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نویسندگان:

مجید حاجی کریمی، احمد کیاراد

Background: Transradial coronary catheterization has already become popular in clinical practice. Radial artery occlusion (RAO) is an infrequent but discouraging complication of transradial access. Despite this complication is usually asymptomatic and clinically silent, it limits future transradial access. It seems that the presence of anterograde flow in the artery during hemostasis (patent hemostasis) plays a preventive role for arterial occlusion. Objectives: The aim of this study was to compare conventional versus patent hemostasis after transradial coronary angiography regarding the access site complications especially RAO. Methods: The present study was designed as a prospective randomized, parallel, open-label clinical trial which was conducted on consecutively adult patients scheduled to undergo a diagnostic or therapeutic transradial coronary procedure at Bu-Ali Sina and Mehregan Hospitals (Qazvin, Iran) based during 3 months’ period between March 2021 and May 2021. The number 200 patients divided randomly into two groups, including conventional hemostasis group and patent hemostasis group. The incidence of RAO at discharge were evaluated in both groups as the primary endpoint, and we considered other access site complications as the secondary endpoints. Results: The mean age of the patients was 61.60±10.45 (range 34-86) years, and gender distribution (male/female) of the patients was 119/76. The baseline characteristics were similar in the two study groups. RAO at discharge in patent hemostasis group with a frequency of two cases (2.02%) was significantly less than conventional hemostasis group with a frequency of nine cases (9.37%) (P= 0.02). Furthermore, demographic, clinical, and procedural variables were not found to be associated with RAO. Conclusion: Our study clearly demonstrated that patent haemostasis is highly effective in reducing radial artery occlusion after Transradial coronary catheterization

Coronary artery disease, Transradial angiography, Radial artery occlusion, Patent hemostasis

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حاجی کریمی، مجید، کیاراد، احمد، 1400، مقایسه روش هموستاز شریان رادیال به روش مرسوم و روش هموستاز باز در آنژیوگرافی عروق کرونر از طریق شریان رادیال، سیزدهمین کنگره قلب و عروق خاورمیانه و ششمین همایش مداخلات پیچیده قلبی، http://conf.sums.ac.ir/fa/archive_index.php?c=HN-mecc13&aid=1512550