Transradial Approach in Coronary Angiography from Past to Present

Yıl 2023, Cilt: 3 Sayı: 1, 88 - 92, 12.04.2023

Serhat Günlü

https://doi.org/10.58252/artukluder.1166291

Öz

The transradial approach is a novel method for coronary angiography and percutaneous coronary intervention. Its popularity has grown since its initial application and is now a common technique in many facilities. This is because the transradial approach is less invasive than the conventional approach, which requires catheter placement into the coronary arteries. Transradial access is safer than trans-femoral access because it results in fewer complications at the interventional site, requires a shorter hospital stay, enables the patient to be mobilized sooner, provides a higher degree of patient comfort, and carries a lower risk of significant bleeding events. This research examines the advantages of accessing coronary arteries through the radial artery, as well as the suggestions made by the guidelines and the challenges generated by the technique. All these issues were discussed in light of existing studies.

Anahtar Kelimeler

Transradial coronary intervention, Coronary angiography, Allen test

Geçmişten Günümüze Koroner Anjiyografide Transradyal Yaklaşım

Öz

Transradyal yaklaşım, koroner anjiyografi (CAG) ve perkütan koroner girişim (PCI) için yeni bir yöntemdir. İlk uygulamasından bu yana popülaritesi arttı ve şimdi birçok tesiste yaygın kullanılmaktadır. Bunun nedeni, transradyal yaklaşımın, koroner arterlere kateter yerleştirilmesini gerektiren geleneksel yaklaşımdan daha az invaziv olmasıdır. Transradial erişim, girişim bölgesinde daha az komplikasyona neden olması, daha kısa hastanede kalış süresi gerektirmesi, hastanın daha erken mobilize olmasını sağlaması, daha yüksek derecede hasta konforu sağlaması ve daha düşük risk taşıması nedeniyle trans-femoral erişimden daha güvenlidir. Bu makale, koroner arterlere radyal arter yoluyla erişmenin faydalarını, kılavuzların önerilerini ve tekniğin gündeme getirdiği sorunları incelemektedir. Tüm bu konular araştırmalar ışığında tartışılmaktadır.

Anahtar Kelimeler

Transradyal koroner girişim, Koroner anjiyografi, Allen testi, Transradial coronary intervention, Coronary angiography, Allen test

Kaynakça

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