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Feasibilty and complications of left versus right transradial approach for percutaneous coronary procedures / Yasser Mohamed Helmy Elhaddad ; Supervised Hussein Heshmat Kassem , Mohamed Abdelmeguid Mahdy , Assem Abdelaziz Hashad

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Yasser Mohamed Helmy Elhaddad , 2017Description: 115 P. : charts , facsimiles ; 25cmOther title:
  • امكانية تنفيذ و مضاعفات اجراء قسطرة قلبية عن طريق شريان الساعد الايسر بالمقارنة بالايمن [Added title page title]
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Dissertation note: Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiology Summary: Background : Most of the studies assessing transradial approach for coronary angiography (CA) have been performed through right radial approach (RRA). Our aim was to evaluate the safety and efficacy of left radial approach (LRA) compared with RRA for coronary procedures.Methods: From January 2016 to January 2017, we prospectively studied 200 patients. We divided them into two groups RRA (100 patients) and LRA (100 patients) for percutaneous coronary procedures. Each group consists of 75 patients who did diagnostic coronary angiography and 25 patients who did percutaneous coronary intervention. The primary end point was procedure time, fluoroscopy time, number of catheters, number of wires, cross over, contrast amount, radiation dose, general complications, and local complication in the two groups were observed. Results: There was no statistically significant difference between right and left radial approach in diagnostic coronary angiography regarding the procedure time (22.37 ± 10.33 min vs. 22.67 ± 8.19 min, P=0.84), fluoroscopy time (9.20 ± 4.78 min vs. 9.96 ± 4.14 min, P=0.299), number of catheters (2.06 ± 0.64 vs. 2.17 ± 0.52, P=0.27), contrast amount (122 ± 49.48 mil vs. 120 ± 27.37 mil, P=0.839) and radiation dose(849.82 ± 558 mGy vs. 887.38 ± 410 mGy, P=0.64).There was no statistically significant difference between right and left radial approach in percutaneous coronary intervention regarding procedure time (31.56 ± 11.88 min vs. 29.08 ± 17.34 min , P=0.558), fluoroscopy time (15.90 ± 10.42 min vs. 13.0 ± 9.44 min , P=0.309), number of catheters approach (2.56 ± 0.583 vs. 2.40 ± 0.50 , P=0.303), number of wires (1.44 ± 0.71 vs. 1.12 ± 0.43, P=0.63), contrast amount (186 ± 60.41 mil vs. 172 ± 67.82 mil , P=0.445), radiation dose (2249 ± 1157 mGy vs. 1992 ± 1620 mGy , P=0.522). Conclusion: Right and left radial accesses appear largely similar in their overall procedural and clinical performance during diagnostic or interventional procedures
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Item type Current library Home library Call number Copy number Status Date due Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.04.M.Sc.2017.Ya.F (Browse shelf(Opens below)) Not for loan 01010110073254000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.04.M.Sc.2017.Ya.F (Browse shelf(Opens below)) 73254.CD Not for loan 01020110073254000

Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiology

Background : Most of the studies assessing transradial approach for coronary angiography (CA) have been performed through right radial approach (RRA). Our aim was to evaluate the safety and efficacy of left radial approach (LRA) compared with RRA for coronary procedures.Methods: From January 2016 to January 2017, we prospectively studied 200 patients. We divided them into two groups RRA (100 patients) and LRA (100 patients) for percutaneous coronary procedures. Each group consists of 75 patients who did diagnostic coronary angiography and 25 patients who did percutaneous coronary intervention. The primary end point was procedure time, fluoroscopy time, number of catheters, number of wires, cross over, contrast amount, radiation dose, general complications, and local complication in the two groups were observed. Results: There was no statistically significant difference between right and left radial approach in diagnostic coronary angiography regarding the procedure time (22.37 ± 10.33 min vs. 22.67 ± 8.19 min, P=0.84), fluoroscopy time (9.20 ± 4.78 min vs. 9.96 ± 4.14 min, P=0.299), number of catheters (2.06 ± 0.64 vs. 2.17 ± 0.52, P=0.27), contrast amount (122 ± 49.48 mil vs. 120 ± 27.37 mil, P=0.839) and radiation dose(849.82 ± 558 mGy vs. 887.38 ± 410 mGy, P=0.64).There was no statistically significant difference between right and left radial approach in percutaneous coronary intervention regarding procedure time (31.56 ± 11.88 min vs. 29.08 ± 17.34 min , P=0.558), fluoroscopy time (15.90 ± 10.42 min vs. 13.0 ± 9.44 min , P=0.309), number of catheters approach (2.56 ± 0.583 vs. 2.40 ± 0.50 , P=0.303), number of wires (1.44 ± 0.71 vs. 1.12 ± 0.43, P=0.63), contrast amount (186 ± 60.41 mil vs. 172 ± 67.82 mil , P=0.445), radiation dose (2249 ± 1157 mGy vs. 1992 ± 1620 mGy , P=0.522). Conclusion: Right and left radial accesses appear largely similar in their overall procedural and clinical performance during diagnostic or interventional procedures

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