[Right versus left radial artery approach for coronary angiography. Differences observed and the learning curve]. / Vía radial derecha o izquierda en la coronariografía. Importancia en la curva de aprendizaje.
Rev Esp Cardiol
; 59(10): 1071-4, 2006 Oct.
Article
en Es
| MEDLINE
| ID: mdl-17125718
ABSTRACT
There are anatomical differences between right and left radial artery approaches for coronary catheterization that could influence application of the technique. We present the results of a randomized study that compared the effectiveness of the two approaches and identified factors associated with failure of the procedure. The study involved 351 consecutive patients a left radial approach was used in 180, and a right radial approach, in 171. The procedure could not be completed using the initial approach selected in 15 patients (11 right radial vs. 4 left radial; P=.007). Use of a right radial approach, lack of catheterization experience, patient age >70 years, and the absence of hypertension were found to be independently associated with prolonged fluoroscopy duration and failure using the initial approach. Use of the right radial approach in patients aged over 70 years was associated with a 6-fold increase in the risk of an adverse event. Consequently, use of the right radial approach should be avoided in patients aged over 70 years when trainee practitioners are on the learning curve.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Cateterismo Cardíaco
/
Angiografía Coronaria
/
Arteria Radial
Tipo de estudio:
Clinical_trials
/
Etiology_studies
/
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Rev Esp Cardiol
Año:
2006
Tipo del documento:
Article
País de afiliación:
España