Primary Angioplasty in the ACCEPT Registry: Why has it Been Difficult to Accept and Implement the Radial Artery Access as Preferential?

Siqueira, Dimytri; Brito, Fábio Sândoli de; Abizaid, Alexandre

doi:10.5935/abc.20140154

Cited by 2 publications

(2 citation statements)

References 22 publications

(27 reference statements)

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“…8 The transradial approach has several advantages, due to the anatomical location of the radial artery, which provides easy compression, reduction of hemorrhagic complications, early ambulation, patient comfort and reduction of hospitalization costs. 9 In studies carried out in a public teaching hospital in the interior of São Paulo, it was concluded that the hospitalization time for patients with Unstable Angina was 12.5 days and ten days for patients with AMI. Among the complications that affected infarcted patients, cardiorespiratory arrest, cardiac arrhythmias and the procedures of PCI were more frequent.…”

Section: Original Articlementioning

confidence: 99%

Intervenção percutânea por via radial e tempo de permanência hospitalar

Oliveira

Pimenta

Ximenes

et al. 2018

Rev enferm UFPE on line.

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RESUMOObjetivo: analisar os fatores de risco relacionados ao procedimento percutâneo por via radial e o tempo de permanência hospitalar. Método: estudo quantitativo, longitudinal, prospectivo, descritivo e unicêntrico. A coleta de dados foi realizada por meio de questionário, com 100 pacientes, em três fases (pré-procedimento, transprocedimento e pós-procedimento), em 24h e após sete dias. Para as variáveis quantitativas, foram utilizados os testes Mann-Whitnney ou t de Student; para as qualitativas, o teste exato de Fisher. Para a associação entre duas variáveis quantitativas, foi utilizado o coeficiente de correlação de Pearson com nível de significância ≤5%. Resultados: 100 pacientes realizaram o procedimento com média de internação de 6,6 dias. Após a associação entre o tempo de permanência e as variáveis clínicas, o p não mostrou valor significante. Conclusão: os resultados aproximam-se mais da realidade dos hospitais do Sistema Único de Saúde; não houve linearidade no tempo de permanência hospitalar quando associado a diferentes fatores relacionados à intervenção percutânea. Descritores: Intervenção Coronária Percutânea; Tempo de Internação; Artéria Radial; Sistema Único de Saúde; Síndrome Coronária Aguda; Fatores de Risco.ABSTRACTObjective: to analyze the risk factors related to the percutaneous radial procedure and length of hospital stay. Method: quantitative, longitudinal, prospective, descriptive and unicentric study. Data was collected through a questionnaire, with 100 patients, in three phases (pre-procedure, transprocedure and post-procedure), in 24 hours and after seven days. For the quantitative variables, the Mann-Whitnney or Student's t tests were used; for the qualitative, Fisher's exact test. For the association between two quantitative variables, the Pearson correlation coefficient was used with significance level ≤5%. Results: 100 patients had the procedure with mean hospitalization of 6.6 days. After the association between the length of stay and clinical variables, p did not show significant value. Conclusion: the results are closer to the reality of the hospitals of the Unified Health System; there was no linearity in the length of hospital stay when associated with different factors related to the percutaneous intervention. Descriptors: Percutaneous Coronary Intervention; Length of hospitalization; Radial Artery; Unified Health System; Acute Coronary Syndrome; Risk Factors.RESUMEN Objetivo: analizar los factores de riesgo relacionados con el procedimiento percutáneo por vía radial y el tiempo de permanencia hospitalaria. Método: Estudio cuantitativo, longitudinal, prospectivo, descriptivo y unicéntrico. La recolección de datos fue realizada por medio de un cuestionario, con 100 pacientes, en tres fases: (pre-procedimiento, transprocedimiento y post-procedimiento), en 24h y después de siete días. Para las variables cuantitativas, se utilizaron las pruebas Mann-Whitnney o t de Student; para las cualitativas, la prueba exacta de Fisher. Para la asociación entre dos variables cuantitativas, se utilizó el coeficiente de correlación de Pearson con nivel de significancia ≤5 %%. Resultados: 100 pacientes realizaron el procedimiento, con promedio de internación de 6,6 días. Después de la asociación entre el tiempo de permanencia y las variables clínicas, el p no mostró valor significativo. Conclusión: los resultados se acercaron más a la realidad de los hospitales del Sistema Único de Salud; no hubo linealidad en el tiempo de permanencia hospitalaria, cuando asociado a diferentes factores relacionados a la intervención percutánea. Descriptores: Intervención Coronaria Percutánea; Tiempo de Internación; Arteria Radial; Sistema Único de Salud; Síndrome Coronária Aguda; Factores de Riesgo.

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Section: Original Articlementioning

confidence: 99%

Intervenção percutânea por via radial e tempo de permanência hospitalar

Oliveira

Pimenta

Ximenes

et al. 2018

Rev enferm UFPE on line.

View full text Add to dashboard Cite

show abstract

“…Coronary invasive procedures (CIP) are techniques used to detect vascular blockage via coronary angiography (CA) or to treat the blockage with angioplasty and implant stents to keep the lumen open using small inflatable balloon catheters. According to National Cardiovascular Data Registry (NCDR) radial and femoral arteries are the common access sites for puncture to carry out the CIP, (Siqueira, BritoJr & Abizaid, 2014). Since the introduction of angiographic techniques, femoral artery is the preferred vascular route to carry out the procedure but a recent shift has been more towards radial approach.…”

Section: Introductionmentioning

confidence: 99%

Levels of Pain in Patients Undergoing Coronary Invasive Procedures in Trans-Radial Versus Trans-Femoral Approaches: A Cross-Sectional Study

Tasneem¹,

Ilyas²

2018

MJN

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Trends for invasion site for coronary interventions are shifting from femoral to radial approach because of the advantageous effects. Assessment of pain associated with puncture site in both approaches (radial/femoral) is important. Purpose of this study is to find the difference in post procedural access site pain in patients undergoing coronary invasive procedures in trans-radial versus trans-femoral approach and its association with age, gender and BMI. A cross-sectional study was conducted with 75 randomly selected patients who underwent coronary invasive procedures. A structured questionnaire used for demographic and biophysical data, procedural data and Numerical Pain Rating Scale to assess the pain. Out of 75 patients 42 patients received trans-femoral access and 33 received trans-radial access. Post procedural access site pain in trans-femoral site felt at mild and moderate level 64.2% vs. 23.8 % respectively. While on same rating scale in radial group felt at mild and moderate level 42.4% vs. 33.3 % with p-value 0.611 (>0.05). The mean difference in gender with males 69.3 % versus females 30.6 % showed from analysis that both sexes felt pain at mild level on pain rating scale resulting p-value 0.046 (< 0.05). Statistically significant level of pain was associated with obese patients resulting p -value 0.299 (> 0.05). Patient undergoing coronary intervention through femoral site invasion experience more post procedural access site pain than radial site invasion. Pain level is increased in obese and aged population.

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Primary Angioplasty in the ACCEPT Registry: Why has it Been Difficult to Accept and Implement the Radial Artery Access as Preferential?

Cited by 2 publications

References 22 publications

Intervenção percutânea por via radial e tempo de permanência hospitalar

Intervenção percutânea por via radial e tempo de permanência hospitalar

Levels of Pain in Patients Undergoing Coronary Invasive Procedures in Trans-Radial Versus Trans-Femoral Approaches: A Cross-Sectional Study

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