Initial experience in trans-radial percuteneous coronary intervention

الملخص EN

Background: Transradial compared to classic transfemoral coronary intervention has been shown to have similar efficacy rates, while being more cost-effective and most importantly safer due to fewer access site complications.

Furthermore, patient comfort is increased and outpatient treatment may be feasible..

Objectives: To start trans-radial intervention program and the initial learning curve for fellows and the catheterization –laboratory nursing staff.

To test how could it be applicable and comfortable for our patients Methods: This prospective study was performed in Ibn-Albitar hospital for cardiac surgery over a period of 6 months from the 1st of August 2012 till the 1st of February 2013.

Every patient referred for percutenuos coronary intervention whether on scheduled or on an emergency basis was considered initially for trans-radial approach for intervention unless they are excluded.

Allen test was required ensuring adequate ullnar collateral supply.

Sledinger technique was used for radial artery puncture and a special radial sheath was introduced.

Intervention was performed through the same catheter and equipments that are used for femoral approach..

medication given according to center protocol, the relevant data collected and patients immediately ambulated unless they receive sedation.