지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 161 - 168 (8page)
이용수
초록· 키워드
오류제보하기
Background and Objectives Numbness on the hand occurs infrequently after a transradial cardiac catheterization (TRC). The symptom resembles that of neuropathy. We, therefore, investigated the prevalence, the predicting factors and the presence of neurological abnormalities of numbness, using a nerve conduction study (NCS). Subjects and Methods From April to December 2013, all patients who underwent a TRC were prospectively enrolled. From among these, the patients who experienced numbness on the ipsilateral hand were instructed to describe their symptoms using a visual analogue scale; subsequently, NCSs were performed on these patients. Results Of the total 479 patients in the study sample, numbness occurred in nine (1.8%) following the procedure. The NCS was performed for eight out of the nine patients, four (50%) of which had an abnormal NCS result at the superficial radial nerve. A larger sheath and history of myocardial infarction (p=0.14 and 0.08 respectively) tended towards the occurrence of numbness; however, only the use of size 7 French sheaths was an independent predictor for the occurrence of numbness (odds ratio: 5.50, 95% confidence interval: 1.06-28.58, p=0.042). The symptoms disappeared for all patients but one, within four months. Conclusion A transient injury of the superficial radial nerve could be one reason for numbness after a TRC. A large sheath size was an independent predictor of numbness; therefore, large sized sheaths should be used with caution when performing a TRC.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Campeau L / 1989 / Percutaneous radial artery approach for coronary angiography / Cathet Cardiovasc Diagn 16:3~7
Jolly SS / 2009 / Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials / Am Heart J 157:132~140
Chase AJ / 2008 / Association of the arterial access site at angioplasty with transfusion and mortality: the M.O.R.T.A.L study (Mortality benefit Of Reduced Transfusion after percutaneous coronary intervention via the Arm or Leg) / Heart 94:1019~1025
Rao SV / 2010 / The transradial approach to percutaneous coronary intervention:historical perspective, current concepts, and future directions / J Am Coll Cardiol 55:2187~2195
Cho EJ / 2013 / Type II complex regional pain syndrome of the hand resulting from repeated arterial punctures during transradial coronary intervention / Catheter Cardiovasc Interv 82:E465~E468
Jolly SS / 2009 / Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials / Am Heart J 157:132~140
Chase AJ / 2008 / Association of the arterial access site at angioplasty with transfusion and mortality: the M.O.R.T.A.L study (Mortality benefit Of Reduced Transfusion after percutaneous coronary intervention via the Arm or Leg) / Heart 94:1019~1025
Rao SV / 2010 / The transradial approach to percutaneous coronary intervention:historical perspective, current concepts, and future directions / J Am Coll Cardiol 55:2187~2195
Cho EJ / 2013 / Type II complex regional pain syndrome of the hand resulting from repeated arterial punctures during transradial coronary intervention / Catheter Cardiovasc Interv 82:E465~E468
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