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Titolo:
Measurement of radial artery spasm using an automatic pullback device
Autore:
Kiemeneij, F; Vajifdar, BU; Eccleshall, SC; Laarman, G; Slagboom, T; van der Wieken, R;
Indirizzi:
Onze Lieve Vrouw Hosp, Amsterdam Dept Intervent Cardiol, NL-1090 HM Amsterdam, Netherlands Onze Lieve Vrouw Hosp Amsterdam Netherlands NL-1090 HM rdam, Netherlands
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 4, volume: 54, anno: 2001,
pagine: 437 - 441
SICI:
1522-1946(200112)54:4<437:MORASU>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSLUMINAL CORONARY ANGIOPLASTY; ACCESS;
Keywords:
transradial; cardiac; catheterization; coronary; angiography; intervention;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Kiemeneij, F Onze Lieve Vrouw Hosp, Amsterdam Dept Intervent Cardiol, 1e Oosterpkstr 279, NL-1090 HM Amsterdam, Netherlands Onze Lieve Vrouw Hosp 1e Oosterpkstr 279 Amsterdam Netherlands NL-1090 HM
Citazione:
F. Kiemeneij et al., "Measurement of radial artery spasm using an automatic pullback device", CATHET C IN, 54(4), 2001, pp. 437-441

Abstract

Current evaluation of radial artery spasm (RAS), a frequent finding duringthe transradial approach for coronary angiography and angioplasty (TRA), is subjective. A quantitative measure of RAS will help in evaluation and comparison of management strategies. The objectives of the study were to assess the feasibility and safety of using an automatic pullback device (APD) for removal of transradial introducer sheaths and to establish a parameter toquantify RAS. In 50 consecutive transradial procedures, the APD was used to measure the force required for sheath removal. The mean maximal pullback force (MPF) was 0.53 +/- 0.52 kg (range, 0.1-3.0 kg). In 48 (96%) cases, the MPF was reached within the first 5 sec of pullback. All patients with clinical RAS (n = 4) had an MPF greater than 1.0 kg, while the remaining had an MPF less than 1.0 kg. All patients with severe pain during sheath removal(n = 3) had an MPF greater than 1.0 kg, while no patient with an MPF less than 1.0 kg had severe pain. It is feasible and safe to remove transradial introducer sheaths using the APD. The MPF is achieved within the first 5 sec of pullback and is a reliable parameter to quantify RAS. An MPF more than1.0 kg correlates with clinical RAS and is associated with severe pain during sheath removal. (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 01:42:18