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Titolo:
Efficacy and safety of PTCA using brachial approach and low-dose heparin
Autore:
Taguchi, H; Kawarabayashi, T; Tanaka, A; Nishida, Y; Sakamoto, T; Tahara, A; Shimada, K; Yoshikawa, J;
Indirizzi:
Baba Mem Hosp, Dept Cardiol, Sakai, Osaka 5928555, Japan Baba Mem Hosp Sakai Osaka Japan 5928555 diol, Sakai, Osaka 5928555, Japan Asakayama Gen Hosp, Sakai, Osaka, Japan Asakayama Gen Hosp Sakai Osaka Japan ayama Gen Hosp, Sakai, Osaka, Japan Osaka City Univ, Sch Med, Dept Internal Med 1, Osaka 545, Japan Osaka CityUniv Osaka Japan 545 d, Dept Internal Med 1, Osaka 545, Japan
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 2, volume: 54, anno: 2001,
pagine: 165 - 168
SICI:
1522-1946(200110)54:2<165:EASOPU>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY STENT IMPLANTATION; VASCULAR COMPLICATIONS; SINGLE-CENTER; ANGIOPLASTY; FEASIBILITY;
Keywords:
brachial approach; percutaneous transluminal coronary angioplasty; low-dose heparin;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Kawarabayashi, T Baba Mem Hosp, Dept Cardiol, 4-244,Hamaderafunaocho Higashi, Sakai, Osaka 5928555, Japan Baba Mem Hosp 4-244,Hamaderafunaocho Higashi Sakai Osaka Japan 5928555
Citazione:
H. Taguchi et al., "Efficacy and safety of PTCA using brachial approach and low-dose heparin", CATHET C IN, 54(2), 2001, pp. 165-168

Abstract

Percutaneous transluminal coronary angioplasty (PTCA) is routinely performed using the femoral approach. However, recent reports suggest the usefulness of the brachial approaches for patients for whom the femoral approach isimpossible due to peripheral vessel disease or to shortened postoperative rest times. However, some reports have revealed that the incidence of vascular complications undergoing brachial-approach PTCA may be higher than those with the femoral approach, possibly due to relatively higher dose of heparin. Accordingly, in this study we evaluated the efficacy and safety of PTCA using the brachial approach and low-dose heparin, hypothesizing that lowering the heparin dose might result in reduced vascular complications. The study population of patients admitted for angina pectoris consisted of 217 subjects (221 lesions) who underwent brachial-approach PTCA and 102 subjects(115 lesions) who underwent PTCA via the femoral approach. Both groups were monitored for complications. There were no significant differences in patient or lesion characteristics between the groups. Incidence of vascular complications tended to be lower in the brachial group than in the femoral group (1.8% vs. 3.5%), although the difference did not reach statistical significance. Use of anodynes was also significantly lower in the brachial group (3.6% vs. 33%). PTCA from the brachial approach with low-dose heparin is as safe and effective a strategy as compared with the femoral approach withstandard dose of heparin. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/01/21 alle ore 03:03:01