Trans-brachial approach as the first alternative to the trans-radial approach for coronary angiography

master's thesis

• Title (croatian): Transbrahijalni pristup kao prva alternativa transradijalnom pristupu kod koronarne angiografije
• Author: Lara Gudelj
• Mentor: Matias Trbušić (mentor)
• Committee member: Matias Trbušić (predsjednik povjerenstva)
• Committee member: Nikola Bulj (član povjerenstva)
• Committee member: Boško Skorić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Internal Medicine); Zagreb
• Defense date and country: 2020-07-17, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Internal Medicine

Abstract

OBJECTIVE: Trans-radial approach for coronary angiography is the most appropriate route for intervention due to its low risk of complications and adverse events. However, trans-radial approach has its own limitations and whenever radial access is not feasible, trans-brachial approach should be considered due to its similar benefit with forearm artery access. The aim of this study was to evaluate the efficacy and safety of trans-brachial approach for coronary angiography. ----- METHODS: We retrospectively evaluated all cases of trans-brachial approach in our hospital at Cardiology department at Sisters of Charity Hospital from November 2012 to February 2020. 117 patients were included in this study. ----- RESULTS: There were 117 procedures, 5 patients were excluded from the study due to incomplete data, 112 patients were left in the study with 98.21% success rate. There was only one major complication and one minor. ----- CONCLUSION: Brachial approach is safe and efficient alternative to trans-radial approach if performed by skilled operators who are experienced in arm approaches and if standardized post-procedure protocol is being used after the procedure.

Abstract (croatian)

CILJ: Transradijalni pristup kod koronarne angiografije je česta metoda koja se koristi zbog malog rizika komplikacija i nuspojava. Unatoč tome transradijalni pristup nije uvijek moguć i ima svoja ograničenja te se traže druga dostupna mjesta za intervenciju. Transbrahijalni pristup je dobra alternativa zbog sličnih pogodnosti u pristupu nadlaktičnoj arteriji. ----- METODE: U ovoj retrospektivnoj studiji pregledani su svi pacijenti kod koji je korišten transbrahijalni pristup na odjelu kardiologije u KBC Sestre Milosrdnice, u periodu od studenog 2012. do veljače 2020. ----- REZULTATI: Ukupno je napravljeno 117 procedura, od koji je 5 pacijenata isključeno iz studije zbog nepotpunih podataka, u studiji je ostalo uključeno 112 pacijenata sa 98.21% uspjeha. Zabilježena je samo jedna velika komplikacija i jedna mala komplikacija. ----- ZAKLJUČAK: Brahijalni pristup je sigurna i efikasna alternativa radijalnom pristupu ako ju izvodi vješti operater koji ima iskustva u pristupu iz ruke te ako se koristi standardizirani post-operativni protokol nakon intervencije.

• Keywords: trans-brachial approach; coronary angiography
• Keywords (croatian): transbrahijalni pristup; koronarna angiografija
• Language: english
• URN:NBN: urn:nbn:hr:105:632680
• Study programme: Title: Medicine (in English language); Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-10-06 08:01:41