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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

  1. 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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