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Title: LEFT RADIAL ARTERY APPROACH FOR CORONARY ARTERY INTERVENTION
Authors: Zafar Ul Islam, Tahir Iqbal, Asim Javed
Journal: Pakistan Armed Forces Medical Journal (PAFMJ)
Publisher: Army Medical College, Rawalpindi.
Country: Pakistan
Year: 2011
Volume: 61
Issue: 3
Language: English
Keywords: Coronary angiographyLeft Radial Artery approachPercutaneus Coronary Intervention
Objective: To determine the success rate of left radial artery approach for coronary intervention.Study design: Descriptive study.Place and Duration of Study: Armed Forces Institute of Cardiology/National Institute of Heart Diseases Rawalpindi. Study Period spanned from 15 January 2010 to 15 July 2010.Patients and Methods: The study was conducted on a total of 41 patients, out of these 41 patients, 25(61%) had undergone diagnostic coronary angiography using left radial artery approach and 16(39%) underwent percutaneus coronary intervention. Left radial artery route was selected after Positive Allen Test. Injection Verapamil 5mg was given through side connection of radial artery sheath to prevent spasm.Results: No conversion to femoral artery route was done, establishing 100% success rate,without any bleeding or haematoma.Conclusion: Left radial artery approach for coronary angiography and percutaneus intervention is convenient and safe for the patient and almost free from major access site complication.
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