Kết quả sử dụng đường vào đoạn xa động mạch quay trong chụp vcàa n thiệp động mạch vành

Objective: To evaluate the feasibility and results of using distal radial access in coronary angiography and intervention.Subjects and methods: Including 180 patients with indications for percutaneous coronary angiography and intervention at Cardiology Institute - Bach Mai Hospital, from August 2020 to October 2021, divided into 2 groups of 90 patients. access to the radial artery and 90 patients used the distal radial access. The patients were followed up for a short time during their hospital stay. Results: Mean age was 68.07 ± 10.28 years old, Male/Female > 2/1. Hypertension is the most common risk factor (>70%), acute coronary syndrome (> 80%) of which STEMI accounts for > 13%. The results of coronary angiography and intervention through the distal radial artery have a success rate of 100%, complications in the procedure 13.3% (equivalent to radial artery), no local complications during and after the intervention, the rate 0% mortality. The success of the distal radial access procedure was 94.5% equivalent to that of traditional access (95.5%), pain severity, discomfort, numbness, swelling, and bruising of the hand and The complications at the puncture site are zero, the hemostasis time, and the time to completely loosen and remove the compression bandage (about 1/2 the traditional way) have brought a lot of comfort to both patients. and the doctor intervened, reducing local complications, reducing the rate of radial artery occlusion, preserving the radial artery and hand for the patient. Therefore, this is a technique with high feasibility, applicability and safety. This entry is considered “The Future of Cardiovascular Intervention”.