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Titolo:
Coronary angiography using 4 Fr catheters with acisted power injection: A randomized comparison to 6 Fr manual technique and early ambulation
Autore:
Khoukaz, S; Kern, MJ; Bitar, SR; Azrak, E; Eisenhauer, M; Wolford, T; El-Shafei, A;
Indirizzi:
St Louis Univ Hosp, JG Mudd Cardiac Catheterizat Lab, Div Cardiol, Dept Internal Med, St Louis, MO 63110 USA St Louis Univ Hosp St Louis MO USA 63110 rnal Med, St Louis, MO 63110 USA
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 3, volume: 52, anno: 2001,
pagine: 393 - 398
SICI:
1522-1946(200103)52:3<393:CAU4FC>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
5 FRENCH CATHETERS; CARDIAC-CATHETERIZATION;
Keywords:
coronary angiography; coronary artery disease;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
6
Recensione:
Indirizzi per estratti:
Indirizzo: Kern, MJ St Louis Univ Hosp, JG Mudd Cardiac Catheterizat Lab, Div Cardiol, Dept Internal Med, 3635 Vista Ave & Grand Blvd, St Louis, MO 63110 USA StLouis Univ Hosp 3635 Vista Ave & Grand Blvd St Louis MO USA 63110
Citazione:
S. Khoukaz et al., "Coronary angiography using 4 Fr catheters with acisted power injection: A randomized comparison to 6 Fr manual technique and early ambulation", CATHET C IN, 52(3), 2001, pp. 393-398

Abstract

Coronary angiography using 4 Fr catheters may reduce access site complications, promote better utilization of outpatient facilities, but at a cost ofsuboptimal image quality. To determine whether 4 Fr diagnostic angiographywith power injection (Acist, Minneapolis, MN) was equivalent to 6 Fr manual technique, 101 unselected patients were randomized to transfemoral coronary angiography with 4 or 6 Fr catheters. Procedural characteristics, angiographic quality scores, and results of 90 min ambulation were analyzed. Coronary angiographic quality scores using 4 Fr and 6 Fr catheters were equivalent (left coronary artery 4.73 +/- 0.6 vs. 4.80 +/- 0.65, P = 0.28; right coronary artery 4.98 +/- 90.13 vs. 4.97 +/- 0.16, P = 0.48). However, 4 Fr left ventriculographic image score was lower (4.53 +/- 0.68 vs. 4.83 +/- 0.42, P = 0.0002), attributed, in part, to a smaller injected contrast volume (32 +/- 11 vs. 37 +/- 4 mt, P = 0.001), The total study contrast volume wassignificantly less in the 4 Fr group (119 +/- 35 vs. 159 +/- 52 mt, P = 0.001), Complications related to early ambulation at 90 min were similar and minimal in both groups. Compared to 6 Fr manual contrast injection technique, diagnostic angiography through 4 Fr catheters with power contrast injection resulted in equivalent coronary angiographic image quality, slightly reduced but diagnostic left ventricular image quality, and significantly lesscontrast volume, Four Fr angiography facilitates early ambulation without compromising safety and image quality. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 21:29:53