Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.11851/11513
Title: Comparison of Glidesheath Slender and Subcutaneous Nitrate Administration in Terms of Radial Artery Complications: a Retrospective Single-Center Experience
Authors: Akbuğa, K.
Çelebi, A.S.
Keywords: Radial artery occlusion
Radial artery spasm
Transradial intervention
acetylsalicylic acid
anticoagulant agent
beta adrenergic receptor blocking agent
calcium channel blocking agent
clopidogrel
glyceryl trinitrate
lidocaine
nitrate
ticagrelor
acute coronary syndrome
angina pectoris
artery diameter
artery spasm
artery wall
Article
atrial fibrillation
blurred vision
bradycardia
carotid arteriography
clinical article
comorbidity
coronary artery bypass graft
coronary artery disease
demographics
dizziness
Doppler flowmetry
echocardiography
faintness
false aneurysm
female
fluoroscopy
heart failure
hematoma
human
hypertension
hypotension
intravascular ultrasound
male
patient comfort
percutaneous coronary intervention
peripheral arterial disease
postoperative complication
radial artery occlusion
retrospective study
sweating
thrombus
transradial intervention
Publisher: Republic of China Society of Cardiology
Abstract: Objectives: The transradial route is used in most coronary procedures today. Although this method seems to be advantageous in terms of bleeding complications and patient comfort, the small radial artery diameter brings with it complications such as radial artery spasm and occlusion. It has been demonstrated in previous studies that subcutaneous nitrate administration dilates the radial artery. The Glidesheath Slender, which has a thinner outer wall than conventional sheaths, is another method that has been shown to reduce complications by reducing friction on the radial artery wall. Our aim was to compare these two methods in terms of complications. Methods: We retrospectively reviewed patients with complete clinical and radial Doppler ultrasound records who had undergone transradial interventions. We compared procedures using subcutaneous nitrate application plus conventional sheaths with procedures using the Glidesheath Slender sheath in terms of procedural and postprocedural complications. Results: Eighty-seven patients in the subcutaneous nitrate group and 35 patients in the Glidesheath Slender group were included in the study. There were no significant differences between the two groups in terms of procedural and postprocedural complications (p = 0.511 and p = 0.333, respectively). Conclusions: In cases where a thin-walled sheath such as a Glidesheath Slender is not available, subcutaneous nitrate administration seems to be similar, especially in terms of preventing radial artery spasm. © 2024, Republic of China Society of Cardiology. All rights reserved.
URI: https://doi.org/10.6515/ACS.202403_40(2).20231127A
https://hdl.handle.net/20.500.11851/11513
ISSN: 1011-6842
Appears in Collections:Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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