Impact of Nitroglycerine Injection on Radial Artery Outcomes in Distal Transradial Access.

IF 1.5 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Anatolian Journal of Cardiology Pub Date : 2025-01-31 DOI:10.14744/AnatolJCardiol.2025.4877

Mehmet Karaca, Bahadır Dağdeviren

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Abstract

Background: Preventive measures for radial artery complications in distal transradial approach are not fully studied. Our aim was to investigate the role of nitroglycerine injection in patients undergoing coronary angiography via distal transradial access.

Methods: In this study, 168 patients who underwent angiographic procedures performed via distal transradial route with or without nitroglycerine injection were evaluated. Demographic, angiographic, and laboratory characteristics were recorded. Radial artery outcomes, including radial artery spasm, radial artery occlusion, and hematoma were compared between these groups and P values < .05 indicated significant differences.

Results: Radial artery outcome occurred in 22% of the study population (n = 37), with radial artery spasm being the most encountered complication (n = 28, 16.7%). The groups were not different in terms of radial artery complications. Procedural features were also comparable except for the total contrast volume used.

Conclusion: Coronary angiographic procedures could be performed safely using distal transradial access without nitroglycerine injection.

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硝酸甘油注射对桡动脉远端经桡动脉通路预后的影响。

背景：桡动脉远端经桡动脉入路并发症的预防措施尚未得到充分研究。我们的目的是研究硝酸甘油注射在经桡动脉远端通道接受冠状动脉造影的患者中的作用。方法：在本研究中，对168例经桡骨远端经或不经硝酸甘油注射行血管造影的患者进行了评估。记录人口统计学、血管造影和实验室特征。桡动脉预后，包括桡动脉痉挛、桡动脉闭塞、血肿，组间比较，P值< 0.05为差异有统计学意义。结果：22%的研究人群（n = 37）出现了桡动脉并发症，其中桡动脉痉挛是最常见的并发症（n = 28, 16.7%）。两组在桡动脉并发症方面没有差异。除使用的总造影剂体积外，程序特征也具有可比性。结论：冠状动脉造影可以在不注射硝酸甘油的情况下通过桡动脉远端通道安全地进行。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anatolian Journal of Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.30

自引率

7.70%

发文量

270

审稿时长

12 weeks

期刊介绍： The Anatolian Journal of Cardiology is an international monthly periodical on cardiology published on independent, unbiased, double-blinded and peer-review principles. The journal’s publication language is English. The Anatolian Journal of Cardiology aims to publish qualified and original clinical, experimental and basic research on cardiology at the international level. The journal’s scope also covers editorial comments, reviews of innovations in medical education and practice, case reports, original images, scientific letters, educational articles, letters to the editor, articles on publication ethics, diagnostic puzzles, and issues in social cardiology. The target readership includes academic members, specialists, residents, and general practitioners working in the fields of adult cardiology, pediatric cardiology, cardiovascular surgery and internal medicine.