J Saudi Heart Assoc. 2014 Jul;26(3):129-31. doi: 10.1016/j.jsha.2014.04.001. Epub 2014 Apr 18.
Comparison between intra-venous versus intra-arterial heparin during transradial coronary artery catheterization.
Journal of the Saudi Heart Association
Mohammed Almansori, Shady Ouf
Affiliations
Affiliations
- Department of Medicine, Division of Cardiology, University of Dammam.
PMID: 24954984
PMCID: PMC4062765 DOI: 10.1016/j.jsha.2014.04.001
Abstract
BACKGROUND: Trans-radial coronary artery catheterization is gaining popularity, heparin has been proven to reduce the rate of radial artery occlusion, intra-venous or intra-arterial heparin have no effect on the radial artery occlusion, we investigate the effect of route of heparin administration on different procedure related parameters.
METHODS: We randomized 150 consecutive patients to receive intra-venous (75 patients) or intra-arterial (75 patients) heparin; the two groups were compared regarding different procedure related parameters.
RESULTS: The success rate was over 99% and rate of radial artery spasm was about 5%. There was no statistically significant difference between the two groups regarding the parameters tested.
CONCLUSION: The trans-radial angiography can be performed successfully in the Saudi population, Studies with larger sample size are needed to show a significant difference between intra-arterial and intra-venous heparin administration.
Keywords: Angiography; Heparin; Radial
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