Abstract
Background Ad hoc percutaneous coronary intervention via radial access has become frequent in interventional cardiology services, with reduced bleeding rates, vascular complications and costs. There are few reports in the medical literature on radiological exposure rates (kerma area product − Kap, and incident air kerma − Iak) in these procedures, when they are performed via radial access. The objective of the study was to compare radiological variables in staged percutaneous coronary interventions with ad hoc interventions via radial access. [...]
Highlights
Technological evolution and the advent of new tools have made ad hoc percutaneous coronary intervention (PCI) a safe procedure with low rates of early complications
Radiological exposure rates in ad hoc percutaneous coronary interventions were lower than in staged percutaneous coronary interventions, when the procedures are performed via radial access
The study was conducted from August 2014 to September 2015, in 120 patients divided into two equal groups of patients undergoing coronary angiography and staged (Group A) or ad hoc (Group B) PCI, at the Hospital do Servidor Público Estadual “Francisco Morato de Oliveira” (HSPE-FMO) do Instituto de Assistência Médica do Servidor Público Estadual (IAMSPE)
Summary
Technological evolution and the advent of new tools have made ad hoc percutaneous coronary intervention (PCI) a safe procedure with low rates of early complications. The use of radial access for coronary angiography and PCI has increased significantly in recent years. The advantages of this approach include lower bleeding and vascular complication rates, and greater patient comfort, with a significant reduction in hospital costs and length of stay.[6,7] The higher radiological exposure via radial access compared with femoral access is related to the operator’s experience.[8,9] Combining ad hoc PCI with the radial technique, compared with the femoral technique, provides more comfort for the patient, and reduces hemorrhagic complications and costs.[7,10,11,12]
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