Short sheath benefit in radial artery injury after PCI -
optical coherence tomography serial study

J 2016

Short sheath benefit in radial artery injury after PCI - optical coherence tomography serial study

NOVÁKOVÁ, Tereza; Jan KAŇOVSKÝ; Roman MIKLÍK; Otakar BOČEK; Martin POLOCZEK et al.

Základní údaje

Originální název

Short sheath benefit in radial artery injury after PCI - optical coherence tomography serial study

Autoři

Vydání

Biomedical Papers of the Faculty of Medicine of Palacký University, Olomouc, Palacký University, 2016, 1213-8118

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30201 Cardiac and Cardiovascular systems

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 0.894

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/16:00093219

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

optical coherence tomography; radial artery; injury; introducer

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 4. 4. 2017 13:24, Soňa Böhmová

Anotace

V originále

Background and Aims: Transradial catheterization is the predominant access site for coronary catheterization and percutaneous coronary interventions (PCI). Previous studies have reported a high incidence of radial artery (RA) injury. The aim of this investigation was to evaluate the incidence of RA injury using last generation optical coherence tomography (OCT) intravascular imaging in a serial manner. Methods: 100 patients with a diagnosis of non-ST-elevation myocardial infarction (nSTEMI) treated by PCI were enrolled. OCT of RA was performed immediately after the index PCI. OCT was repeated 9 months later. Results: There were 11 patients with RA injuries (11.0%) at baseline, including 3 patients with RA medial dissection and 8 patients with intimal tears. In the follow-up OCT data, the number of RA injuries was 10 (10.0%), including 7 patients with RA medial dissection and 3 patients with intimal tear. All injuries were clinically asymptomatic and there was no finding of vessel perforation. There was no significant difference between the baseline and follow-up procedure in terms of number of injuries. Conclusion: The study showed no significant difference between baseline and follow-up RA injury incidence. There was a higher risk of radial injury for repeated catheterization in women. The conclusion is that radial catheterization is a very safe procedure in terms of radial artery damage. This is evidenced by considerably fewer injuries compared to published studies. The use of the short radial sheath (7 cm in this study) is protective and reduces the incidence of radial injury.

Citovat

NOVÁKOVÁ, Tereza; Jan KAŇOVSKÝ; Roman MIKLÍK; Otakar BOČEK; Martin POLOCZEK; Petr JEŘÁBEK; Lenka PRÝMKOVÁ; Tomáš ONDRÚŠ; Jiří JARKOVSKÝ; Klára BENEŠOVÁ; Jindřich ŠPINAR a Petr KALA. Short sheath benefit in radial artery injury after PCI - optical coherence tomography serial study. Biomedical Papers of the Faculty of Medicine of Palacký University. Olomouc: Palacký University, 2016, roč. 160, č. 3, s. 393-398. ISSN 1213-8118. Dostupné z: https://doi.org/10.5507/bp.2016.035.

@article{1369978,
   author = {Nováková, Tereza and Kaňovský, Jan and Miklík, Roman and Boček, Otakar and Poloczek, Martin and Jeřábek, Petr and Prýmková, Lenka and Ondrúš, Tomáš and Jarkovský, Jiří and Benešová, Klára and Špinar, Jindřich and Kala, Petr},
   article_location = {Olomouc},
   article_number = {3},
   doi = {https://doi.org/10.5507/bp.2016.035},
   keywords = {optical coherence tomography; radial artery; injury; introducer},
   language = {eng},
   issn = {1213-8118},
   journal = {Biomedical Papers of the Faculty of Medicine of Palacký University},
   title = {Short sheath benefit in radial artery injury after PCI - optical coherence tomography serial study},
   volume = {160},
   year = {2016}
}

TY  - JOUR
ID  - 1369978
AU  - Nováková, Tereza - Kaňovský, Jan - Miklík, Roman - Boček, Otakar - Poloczek, Martin - Jeřábek, Petr - Prýmková, Lenka - Ondrúš, Tomáš - Jarkovský, Jiří - Benešová, Klára - Špinar, Jindřich - Kala, Petr
PY  - 2016
TI  - Short sheath benefit in radial artery injury after PCI - optical coherence tomography serial study
JF  - Biomedical Papers of the Faculty of Medicine of Palacký University
VL  - 160
IS  - 3
SP  - 393-398
EP  - 393-398
PB  - Palacký University
SN  - 12138118
KW  - optical coherence tomography
KW  - radial artery
KW  - injury
KW  - introducer
N2  - Background and Aims: Transradial catheterization is the predominant access site for coronary catheterization and percutaneous coronary interventions (PCI). Previous studies have reported a high incidence of radial artery (RA) injury. The aim of this investigation was to evaluate the incidence of RA injury using last generation optical coherence tomography (OCT) intravascular imaging in a serial manner. Methods: 100 patients with a diagnosis of non-ST-elevation myocardial infarction (nSTEMI) treated by PCI were enrolled. OCT of RA was performed immediately after the index PCI. OCT was repeated 9 months later. Results: There were 11 patients with RA injuries (11.0%) at baseline, including 3 patients with RA medial dissection and 8 patients with intimal tears. In the follow-up OCT data, the number of RA injuries was 10 (10.0%), including 7 patients with RA medial dissection and 3 patients with intimal tear. All injuries were clinically asymptomatic and there was no finding of vessel perforation. There was no significant difference between the baseline and follow-up procedure in terms of number of injuries. Conclusion: The study showed no significant difference between baseline and follow-up RA injury incidence. There was a higher risk of radial injury for repeated catheterization in women. The conclusion is that radial catheterization is a very safe procedure in terms of radial artery damage. This is evidenced by considerably fewer injuries compared to published studies. The use of the short radial sheath (7 cm in this study) is protective and reduces the incidence of radial injury.
ER  -

NOVÁKOVÁ, Tereza; Jan KAŇOVSKÝ; Roman MIKLÍK; Otakar BOČEK; Martin POLOCZEK; Petr JEŘÁBEK; Lenka PRÝMKOVÁ; Tomáš ONDRÚŠ; Jiří JARKOVSKÝ; Klára BENEŠOVÁ; Jindřich ŠPINAR a Petr KALA. Short sheath benefit in radial artery injury after PCI - optical coherence tomography serial study. \textit{Biomedical Papers of the Faculty of Medicine of Palacký University}. Olomouc: Palacký University, 2016, roč.~160, č.~3, s.~393-398. ISSN~1213-8118. Dostupné z: https://doi.org/10.5507/bp.2016.035.

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