RADIAL ARTERY APPROACH FOR CORONARY INTERVENTION - EARLY EXPERIENCE

Abstract

Objective: To see the clinical outcome of patients undergoing Transradial
Coronary Angioplasty with stable Angina.
Methodology: This was a single center observational study with prospective data
collection of 338 patients who underwent transradial coronary angioplasty from
September 2009 to August 2011, at Post Graduate Medical Institute, Lady
Reading Hospital, Peshawar. Patients of both genders and all ages who had
transradial coronary angioplasty for chronic stable angina were included in the
study. Patients were clinically examined in out patients department on first month
of hospital discharge and clinical outcome data was recorded.
Results: A total of 338 patients were included in the study. Male were 58.8% and
41.2% were female with mean age of 52±7years. All the patients had coronary
intervention through right radial artery. Baseline characteristics of the patients
were; 48.2% diabetic, 43.2% hypertensive, 30.5% smokers, dyslipidemia was
45.7% and mean values of serum creatinine and Hemoglobin were 1.1±0.3 and
11.5±1.5, respectively. The frequency of various complications were as follow;
hematoma 1.3%, nausea and vomiting 2.2%, pain in hand 11.2%, readmission to
hospital for chest pain 6.5%, need for revascularization 2.2%, hand ischemia
1.8%, minor bleeding 0.9%, no major bleeding and 1.9% mortality.
Conclusion: The radial artery approach for coronary intervention is useful with
low degree of access site vascular complications and an early mobilization.