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Titolo:
MANAGEMENT OF THE ARTERIAL PUNCTURE SITE
Autore:
SPOKOJNY AM; SANBORN TA;
Indirizzi:
CORNELL UNIV,MED CTR,NEW YORK HOSP,DEPT MED,DIV CARDIOL,525 E 68TH STNEW YORK NY 10021
Titolo Testata:
Journal of interventional cardiology
fascicolo: 2, volume: 7, anno: 1994,
pagine: 187 - 193
SICI:
0896-4327(1994)7:2<187:MOTAPS>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
NO
Recensione:
Indirizzi per estratti:
Citazione:
A.M. Spokojny e T.A. Sanborn, "MANAGEMENT OF THE ARTERIAL PUNCTURE SITE", Journal of interventional cardiology, 7(2), 1994, pp. 187-193

Abstract

With more complex interventional procedures, such as intracoronary stent placement, there is a higher incidence of procedural related peripheral vascular complications including pseudoaneurysm and hemorrhage. In these procedures, the amount of anticoagulation as well as the use of thrombolytic agents intraprocedurally increases the risk of complication. Meticulous care during vascular access, careful use and monitoring of anticoagulation, and patient selection are helpful in reducing the risk. Newer vascular hemostatic devices utilizing biodegradable collagen plugs might be of advantage since they allow early sheath removal without interrupting anticoagulation and, therefore, early ambulation. However, it remains to be determined, whether these devices are effective in reducing complications, duration of bed rest and hospitalization, or improvement of stent patency. Newer designs, e.g., coated orbiodegradable stents, or different deployment strategies might reducethe need of anticoagulation and lower the risk of peripheral vascularcomplications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 08:54:46