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2022, Número 1

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Rev Cubana Invest Bioméd 2022; 41 (1)


Experiencia inicial de la revascularización coronaria percutánea mediante el acceso transradial en el Instituto de Cardiología y Cirugía Cardiovascular

Alfonso RE, Llerena RLD, Rodríguez NLM, Echarte MJC, López FLH, González VA

Idioma: Español
Referencias bibliográficas: 26
Paginas: 1-17
Archivo PDF: 304.09 Kb.


RESUMEN

Introduction: In recent years the use of the radial approach as a form of access for diagnostic and interventional studies has become increasingly important and of interest in interventional cardiology services worldwide. Our country has not escaped this boom due to the low complication rate and greater patient comfort.
Objective: To characterise percutaneous coronary intervention using the radial access route in patients attended at the Institute of Cardiology and Cardiovascular Surgery.
Methods: Observational, descriptive, cross-sectional study. The sample consisted of 211 patients who underwent percutaneous coronary intervention via the radial access route.
Results: Male sex predominated (61.2%). Mean age was 60.1 ±9.8 years. Chronic coronary syndrome (76.3%) was the most common diagnosis, hypertension the most frequent risk factor (73.9%) and ischaemic heart disease (30.3%). Elective intervention was performed in 76.3% of cases, using the right radial approach in 88.2%. Two- and three-vessel disease was demonstrated in 45.1% of patients. The procedure was successful in 96.7% of patients. Variables demonstrating statistically significant relationship with failure were: left ventricular ejection fraction < 40% (p(0.0001), glomerular filtration rate ≤ 60 ml/min (p=0.002), history of ischaemic heart disease (p= 0.016) and presence of 3-vessel coronary artery disease (p= 0.019).
Conclusions: Percutaneous coronary intervention via radial access in ICCCV is safe and effective, with a high success rate and few complications.


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