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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Upper Extremity Dysfunction after Trans-Radial Interventions- Experience from a Tertiary Care Center of North India
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Upper Extremity Dysfunction after Trans-Radial Interventions- Experience from a Tertiary Care Center of North India

机译：跨径向干预后的上肢功能障碍 - 来自北印度的三级护理中心的经验

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Coronary artery disease treatment by percutaneous intervention has revolutionised the management of this disease and the choice and safety of vascular access site has significantly contributed to the outcome of the overall procedure.Aim: To assess upper extremity dysfunction in patients undergoing transradial Coronary Angiography (CAG) and Percutaneous Coronary Interventions (PCI).Materials and Methods: This study involved patients planned for transradial coronary intervention. Patients were assessed for development of upper extremity dysfunction and other local complications postprocedure at 24 hours, 2 weeks, 1 month and 6 months. Data analysis was done using SPSS Version 23.Results: A total of 165 patients were enrolled in the study. There were 123 (74.5%) males. Total 156 patients (94.5%) had stable angina as underlying diagnosis, 4 (2.4%) had unstable angina, 2 (1.2%) had Non ST Elevation Myocardial Infarction (NSTEMI), 1 (0.6%) had ST Elevation Myocardial Infarction (STEMI) and 2 (1.2%) required CAG before valve replacement. A 5F sheath was used in 110 (66.67%) and 6F sheath in 55 (33.33%) cases. Tiger catheter was used in all 165 patients initially for diagnostic angiography. Dynamometer testing showed reversible downgrading of hand grip in 49% of patients postprocedure. Local site haematoma was seen in 3 (1.8%) at 24 hours, reversible vascular occlusion in 2 (1.2%) at 24 hours and Thrombolysis in Myocardial Infarction (TIMI) Minor bleed in 1 (0.6%) at 24 hours. No significant correlation was seen between sheath or catheter size with dynamometer testing or local complication.Conclusion: There was no significant upper extremity dysfunction after trans-radial intervention in the study population.
机译：经皮干预的冠状动脉疾病治疗已经彻底改变了这种疾病的管理，血管接入部位的选择和安全性已经显着促进了整体程序的结果。目的：评估经历颅代冠状动脉造影患者的上肢功能障碍（CAG）和经皮冠状动脉干预（PCI）。材料和方法：本研究涉及患者计划用于颅代冠状动脉干预。评估患者在24小时，2周，1个月和6个月内进行患者的上肢功能障碍和其他局部并发症的局部并发症。使用SPSS版本23完成数据分析。结果：共有165名患者注册了该研究。男性有123名（74.5％）。共有156名患者（94.5％）具有稳定的心绞痛，因为潜在的诊断，4（2.4％）具有不稳定的心绞痛，2（1.2％）具有非St升高心肌梗死（NSTemi），1（0.6％）具有St升高心肌梗死（STEMI在阀门更换之前，2（1.2％）所需的CAG。在55（33.33％）病例中，在110（66.67％）和6F鞘中使用5F护套。最初用于诊断血管造影的所有165名患者中使用虎导管。测功机测试表明，在患者后患者的49％的患者中，手持夹紧的可逆降级。在24小时内，在3（1.8％）中看到局部遗址血肿，24小时24小时的可逆血管闭塞，并且在24小时内1点（0.6％）的心肌梗死（TIMI）溶栓。鞘或导管尺寸之间没有显着相关性，具有测功机测试或局部并发症。结论：在研究人群中跨径向干预后没有显着的上肢功能障碍。

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