ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

COMPARISON OF TWO ROUTES OF CORONARY ANGIOGRAPHY: A SINGLE CENTER STUDY

Natasha Arshad, Pakeeza Amna, Saba Jehangir

Angioplasty (percutaneous coronary intervention PCI) is a therapeutic procedure in which the clogged arteries are opened up with the help of a balloon catheter. Stents are placed during the angioplasty so that the arteries will remain open after deflating the balloon. Stents can be metallic or they may contain some medicated material. Objective: To compare the trans-radial and trans-femoral access of coronary angiography in terms of fluoroscopy time, procedure time and dose of contrast agent. Study Design: Comparative cross-sectional study Settings: Faisalabad Institute of Cardiology, Faisalabad Duration of Study: May 2018 to May 2019 Subjects & Methods: A total of 200 Patients were divided into two transradial (TR) and transfemoral (TF) groups. Each group contains one hundred patients. Complete physical and clinical examination i.e. oxygen saturation, heart rate and blood pressure of every patient was done before the start of procedure. Patients with bifurcation lesion, chronic renal disease, right heart catheterization chronic total obstruction and bypass graft intervention were excluded. Contrast agent was delivered by the use of 5f sheath. All the variables i.e. contrast dose, fluoroscopy time and procedure time were noted during the whole procedure. Descriptive data was compared by applying Student T test and Chi-square test was applied on nominal data. Results: Time of complete procedure, fluoroscopy time and contrast dose were 41.92±3.58 min, 12.43±2.34 min and 118.44±3.31 ml in TF Group while 35.19±3.67 min, 8.79±1.93 min and 113.27±3.59 ml in the TR Group; and these differences were statistically significant (p<0.001 for all). Conclusion: Coronary angiography done through the trans-radial approach is more favorable to the patients of coronary heart disease as compared to the coronary angiography done through trans-femoral approach. Key Word: Coronary angiography, trans-radial approach, trans-femoral approach, procedure time, fluoroscopy time

FULL TEXT