Experiência inicial utilizando a via radial no tratamento percutâneo de doença coronária

Dall'Orto, Clarissa Campo; Lapa, Guilherme Alves; Carnieto, Nadia de Mendonça; Siqueira, Breno de; Neto, João Batista; Mauro, Maria Fernanda Zuliani; Cristóvão, Salvador André Bavaresco; Salman, Adnan Ali; Mangione, José Armando

doi:10.1590/s2179-83972009000200014

Cited by 7 publications

(4 citation statements)

References 13 publications

(13 reference statements)

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“…T he radial access approach has been the subject of increasing interest for diagnostic and therapeutic procedures worldwide and also in Brazil, since it has several advantages, such more convenience for the patient in the immediate post-procedure, with earlier return to activities, decreased hospitalisation time, with consequent reduction in hospital costs, and a low complication rate at the puncture site when compared with the femoral approach, reducing the rate of major bleeding, which, in turn, is associated with increased risk of death and ischemic events. [1][2][3][4] This access is particularly important in scenarios associated with high risk of bleeding, such as acute coronary syndromes, in which the use of antiplatelet and antithrombotic therapies is more aggressive, in female patients, and in the elderly. 5,6 However, radial access in the elderly may be a more difficult approach due to tortuosity and arterial stenosis.…”

Section: Discussionmentioning

confidence: 99%

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Intervenção coronária percutânea por acesso transradial em pacientes idosos vs. não-idosos

Dall'Orto¹,

Lopes²,

Alcântara³

et al. 2013

Rev. Bras. Cardiol. Invasiva

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background: Radial access is the object of increasing interest for interventional cardiologists, providing several advantages, including a reduction of bleeding and major adverse cardiovascular event (MACE) rates. However, even though elderly patients have a greater risk of access site bleedings, the use of the radial approach is controversial, due to the greater anatomical complexity of these patients. Methods: Retrospective study including patients undergoing percutaneous coronary intervention (PCIs) using the radial access divided into an elderly (> 65 years) and a non-elderly (< 65 years) group. Clinical, angiographic and procedural characteristics as well as early and late follow-up outcomes were analyzed. results: The elderly group included 131 patients (145 PCIs) and the non-elderly group, 149 patients (176 PCIs). The elderly group presented lower body mass index and fewer smokers and higher rates of chronic renal failure, peripheral arterial disease, stable coronary artery disease, multivessel disease and calcified lesions. There was no difference in the rate of access-site crossover (4.8% vs. 3.4%), fluoroscopy time (15.3 ± 10.3 minutes vs. 16.1 ± 10.3 minutes), procedure time (40.6 ± 26.4 minutes vs 46.4 ± 53.6 minutes), angiographic (96.3% vs 97.5%) and clinical (94.5% vs 95.4%) success, MACE (3.4% vs 3.4%) and bleedings (0.21% vs 0.6%) during hospitalization. In the late follow-up there was no difference in the MACE rates (9.6% vs 11%). Conclusions: Despite the greater clinical and angiographic complexity, PCI using the radial access is safe and effective, with a high procedural success rate and low in-hospital and late follow-up complication rates.

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Section: Discussionmentioning

confidence: 99%

“…Teixeira de Freitas, BA, Brazil. 4 Cardiologist physician of the Hospital Regional de Teixeira de Freitas. Teixeira de Freitas, BA, Brazil.…”

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confidence: 99%

Intervenção coronária percutânea por acesso transradial em pacientes idosos vs. não-idosos

Dall'Orto¹,

Lopes²,

Alcântara³

et al. 2013

Rev. Bras. Cardiol. Invasiva

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“…A via radial vem sendo utilizada de forma crescente em procedimentos diagnósticos e terapêuticos, por possuir diversas vantagens, como comodidade para o paciente no pósprocedimento imediato, diminuição do tempo de internação com consequente redução dos custos hospitalares e menor índice de complicações no sítio de punção, quando comparada à via femoral. [13,20,22].…”

Section: Complicações Nas Intervenções Coronárias Percutâneas (Icps)unclassified

Complicações da intervenção coronária percutânea: inferência dos diagnósticos de enfermagem

Gomes¹,

Silva

Santos

2019

Enferm Bras

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Objetivos: Realizar a inferência de diagnósticos de enfermagem (DE) aplicáveis às principais complicações das intervenções coronárias percutâneas (ICP). Métodos: Revisão da literatura a partir da qual foi realizada a inferência dos DE aplicáveis nas principais complicações das ICP. Na etapa da revisão integrativa foram buscados artigos nas bases Lilacs, BDEnf e Scielo, com o descritor “angioplastia”, que abordasse as complicações relacionadas ao procedimento. Após a avaliação das complicações, foram realizadas as inferências dos DE aplicáveis. Resultados: Treze artigos compuseram o corpus de análise. Os principais DE aplicáveis inferidos são: Eliminação urinária prejudicada; Padrão respiratório ineficaz; Risco de perfusão tissular cardíaca diminuída; Perfusão tissular periférica ineficaz; Risco de perfusão tissular cerebral ineficaz; Débito cardíaco diminuído; Confusão aguda; Integridade da pele prejudicada; Integridade tissular prejudicada. Conclusão: As taxonomias de enfermagem permitem DE aplicáveis que norteiem a sistematização da assistência nas complicações das ICP.Palavras-chave: angioplastia, enfermagem cardiovascular, diagnóstico de enfermagem, cardiologia.

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“…The low risk of puncture site complications leads to a reduced rate of major bleeding, which, in turn, is associated with a decreased risk of death and ischaemic events. [1][2][3][4][5] This access is particularly important in the setting of acute myocardial infarction with ST-segment elevation (STEMI), in which the use of antiplatelet and antithrombotic therapies is more aggressive, increasing the risk of bleeding. However, the role of percutaneous coronary intervention (PCI) through radial access in STEMI remains controversial, for reasons related to the complexity of the procedure and its possible delay in obtaining early reperfusion, the main goal of primary PCI.…”

Section: Descritoresmentioning

confidence: 99%

Intervenção coronária percutânea por acesso transradial em pacientes com infarto agudo do miocárdio com supradesnivelamento do segmento ST

Dall'Orto¹,

Lopes²,

Oliveira³

et al. 2012

Rev. Bras. Cardiol. Invasiva

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background: Radial access is the object of increasing interest for interventional cardiologists, providing several advantages, including the reduced rates of major bleeding, which is related to increased risk of death and ischemic events. However, its role as an access technique in primary percutaneous coronary intervention (PCI) remains controversial due to the greater complexity of the procedure and possible delay in obtaining myocardial reperfusion, compared to femoral access. Methods: Retrospective study including consecutive patients with a diagnosis of ST-elevation acute myocardial infarction (STEMI) undergoing primary PCI by radial access. Clinical, angiographic and procedure characteristics were analyzed, as well as early and late follow-up outcomes. results: From October 2010 to February 2012, 61 patients underwent primary PCI by radial access. Mean age was 59 ± 11.1 years, 24.6% were female and 21.3% were diabetic. Door-to-balloon time was 126.1 ± 44.7 minutes, fluoroscopy time was 16.1 ± 9.5 minutes, angiographic success was achieved in 98.5%, with myocardial blush grades 2 and 3 in 77.4% and ST-segment elevation resolution > 50% at 90 minutes in 70.5% of the patients. Hospital mortality was 6.6% and the rate of major bleeding was 1.6%. In the late follow-up, clinical restenosis was observed in 7.2% and additional deaths in 3.5% of the patients. Conclusions: The use of radial access for primary PCI is safe and effective when performed at experienced centers and did not pres-

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Experiência inicial utilizando a via radial no tratamento percutâneo de doença coronária

Cited by 7 publications

References 13 publications

Intervenção coronária percutânea por acesso transradial em pacientes idosos vs. não-idosos

Intervenção coronária percutânea por acesso transradial em pacientes idosos vs. não-idosos

Complicações da intervenção coronária percutânea: inferência dos diagnósticos de enfermagem

Intervenção coronária percutânea por acesso transradial em pacientes com infarto agudo do miocárdio com supradesnivelamento do segmento ST

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