TRANS-RADIAL CORONARY ANGIOGRAPHY- A STUDY OF CAUSES OF PROCEDURAL FAILURE IN A TERTIARY CARE HOSPITAL IN SOUTH BENGAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 4
Abstract
BACKGROUND The trans-radial approach for performing coronary angiography was practiced for long time. This procedure has some advantages over femoral approach. Due to technical complexity this route is rarely selected for coronary angiography worldwide. The objectives of this study were 1. to assess the feasibility of trans-radial angiography for selective catheterization of the coronary arteries, and 2. to determine the causes of procedural failure. MATERIALS AND METHODS 100 patients of acute coronary syndrome or significant symptomatic angina or abnormal stress test or myocardial perfusion scan were selected for coronary angiography by trans-radial route at R. G. Kar Medical College between 1st March 2013 - 28th February 2014. The number of failure cases is evaluated to find out the causes along with the complications that occurred during procedure in all cases. Results were then analyzed. RESULTS Radial artery spasm is the main cause trans-radial failure along with anatomical abnormality of radial and subclavian artery. It is more common in female patients. This approach is cost effective because of reduced hospital stay and was found to be very safe with high degree of success with very low rate of complications. CONCLUSION Trans-radial approach for coronary angiography is safe and cost-effective procedure in experienced hands.
Authors and Affiliations
Subrata Basu, Biswajit Haldar, Anup Singh, Rakesh Sarkar, Soma Basu, Mona Tirkey, Aditya Kumar Tewari, Suman Biswas
Keywords
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- EP ID EP554695
- DOI 10.14260/jemds/2019/57
- Views 72
- Downloads 0
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