Abstract:
Diagnostic left heart catheterization (LCH) and coronary angiography via Brachial Seldinger technique was compared to Femoral Seldinger technique with a view to determine its feasibility, efficacy and safety. 22 patients in the brachial group (Br) and 20 matched patients in femoral group (Fe) were retrospectively reviewed. The source of information included hospital records of the patients (medical and nursing) and catheter laboratory data. The two groups were compared with respect to patients tolerance of the procedure, complications, time for radiation exposure, hemostasis, ambulation and procedure. The mean age of patients was 65.8 ±11.4 yrs. The reasons for performing LHC via brachial approach included known Peripheral Vascular Disease (PVD) in 72.7%, difficult access due to previously unrecognized aorto-iliac disease in 22.7% and tight coractation of aorta in 4.6%. Mean procedure time for Br group was 31.6 + 33.0 min and for Fe group was 12.6 + 5.2 (p=0.004). Mean ambulation time for Br pts was 2 hrs and that for Fe patients was 4.3hrs +0.9 hrs (p
Page(s):
105-112
DOI:
DOI not available
Published:
Journal: Pakistan Journal of Cardiology, Volume: 14, Issue: 3--4, Year: 2003