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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
- 2018.1
- 수록면
- 1,120 - 1,130 (11page)
이용수
초록· 키워드
오류제보하기
Background and Objectives Feasibility of coronary angiography (CAG) and percutaneous coronary intervention (PCI) via left snuffbox approach is still concerned. We aimed to investigate efficacy and safety of the left snuffbox approach for CAG and PCI. Methods Left snuffbox approach was tried in 150 patients who planned to perform CAG or PCI for suspected myocardial ischemia between 1 November 2017 and 31 March 2018. Results Success rate of radial artery (RA) cannulation via snuffbox approach was 88.0% (n=132). Among 132 individuals, 58 (43.9%) acute coronary syndrome (ACS) patients were included. The diameter of snuffbox RA was significantly smaller than conventional RA (2.57 mm vs. 2.72 mm, p<0.001) from quantitative computed angiography of 101 patients. However, CAG via snuffbox approach by 6 French sheath was successfully performed in all 132 patients. In addition, there was significant correlation between the snuffbox and conventional RA diameter (r=0.856, p<0.001). In 42 PCI cases, including 25 patients with acute myocardial infarction (AMI), the success rate of PCI via snuffbox approach was 97.6% (n=41). Intravascular imaging-guided PCI was performed in 8 (19.5%) patients and multi-vessel PCI in 4 (9.8%) cases. Regarding vascular complication, forearm swelling with bruising, not requiring surgery or transfusion, occurred in 2 (4.9%) PCI cases. Conclusions Left snuffbox approach is suitable for CAG and PCI compared with the conventional radial approach.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Archbold RA / 2004 / Radial artery access for coronary angiography and percutaneous coronary intervention / BMJ 329:443~446
Doyle BJ / 2009 / Bleeding, blood transfusion, and increased mortality after percutaneous coronary intervention : implications for contemporary practice / J Am Coll Cardiol 53:2019~2027
Bertrand OF / 2010 / Transradial approach for coronary angiography and interventions : results of the first international transradial practice survey / JACC Cardiovasc Interv 3:1022~1031
장호준 / 2016 / Numbness after transradial cardiac catheterization may be due to transient nerve injury of the superficial radial nerve / Korean Circulation Journal 46(2):161~168
Roffi M / 2016 / 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation : Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation of the European Society of Cardiology(ESC) / Eur Heart J 37:267~315
Doyle BJ / 2009 / Bleeding, blood transfusion, and increased mortality after percutaneous coronary intervention : implications for contemporary practice / J Am Coll Cardiol 53:2019~2027
Bertrand OF / 2010 / Transradial approach for coronary angiography and interventions : results of the first international transradial practice survey / JACC Cardiovasc Interv 3:1022~1031
장호준 / 2016 / Numbness after transradial cardiac catheterization may be due to transient nerve injury of the superficial radial nerve / Korean Circulation Journal 46(2):161~168
Roffi M / 2016 / 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation : Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation of the European Society of Cardiology(ESC) / Eur Heart J 37:267~315
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