Ischemic Heart Disease Clinical Trial
Official title:
Snuff-box Deep Palmar Arch Artery Versus Radial Angiography
Angiography is a common diagnostic and therapeutic procedure in patients with acute coronary
syndrome (ACS). The complications are variable between mild self-limited complications to
severe life-threatening complications which need early interventions.
New angiographic methods are associated with variable complications. Death, myocardial
infarction, and stroke are among major angiography complications. In addition, some local
complications including bleeding at the site of insertion, infection, arteriovenous fistula,
pseudoaneurysm, and thrombosis is reported after angiography.
Radial and femoral methods are common angiographic methods. Its shown that radial method is
associated with less complications and patients need shorter duration of hospitalization.
Radial artery thrombosis is common complication of radial angiography. However, the
prevalence is between 5 to 19 percent but often it is not clinically important. Risk of
ischemia due to thrombosis is low because of blood flow in radial and ulnar and collaterals.
In patients with incomplete palmar arch this is important and may cause ischemia.
The aim of this study is to compare the outcomes of coronary angiography using Snuff-box deep
palmar arch artery and radial artery in patients attending angiography center of Shahid
Mohammadi hospital in Bandar Abbas in 2017.
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