Preview

Bashkortostan Medical Journal

Advanced search

THE RATIONALE AND EFFECTIVENESS OF USING RADIAL ACCESS FOR ENDOVASCULAR TREATMENT OF STENOSES OF THE CAROTID ARTERIES

Abstract

Currently, radial approach is a priority during coronary interventions. Today, the radial approach is a topical for peripheral interventions on the carotid. The aim of the study was to evaluate the economic significance for hospital use of radial approach in the endovascular treatment of patients with stenotic lesions of the carotid arteries.The study enrolled 91 patients. Group 1 (control) included 46 patients being operated by femoral approach. Group 2 (comparative) - included 45 patients after the surgery using radial approach. The study revealed a significant reduction in hospitalization time in the quantitative analysis of patient days (p<0,05). Cost-effectiveness is estimated by «cost-minimization analysis». It was established that financial savings made 16,400 rubles in every case of transradial approach.

About the Authors

T. N. Khafizov
ГБУЗ «Республиканский кардиологический центр»
Russian Federation


I. E. Nikolaeva
ГБУЗ «Республиканский кардиологический центр»
Russian Federation


R. R. Khafizov
ГБУЗ «Республиканский кардиологический центр»
Russian Federation


B. A. Oleynik
ГБУЗ «Республиканский кардиологический центр»
Russian Federation


N. Sh. Zagidullin
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation


B. I. Zagidullin
ГАУЗ «Больница скорой медицинской помощи»
Russian Federation


References

1. Campeau, L. Percutaneous radial artery approach for coronary angiography / L. Campeau // Cathet Cardiovasc Diagn. - 1989. - Vol. 16(1). - P. 3-7

2. Kiemeneij, F. Transradial artery Palmaz-Schatz coronary stent implantation: Results of a single-center feasibility study / F. Kiemeneij, G.J. Laarman // Am Heart J. - 1995. - Vol. 130(1). - P. 14-21

3. Kiemeneij, F. Transradial artery coronary angioplasty / F. Kiemeneij, G.J. Laarman, E. de Melker // Am Heart J. - 1995. - Vol. 129(1). - P. 1-7

4. Transradial approach for coronary angiography and angioplasty / C. Lotan [et al.]// Am J Cardiol. - 1995. - Vol. 76(1). - P. 164-167

5. Otaki, M. Percutaneous transradial approach for coronary angiography / M. Otaki // Cardiology. - 1992. - Vol. 81(3). - P. 330-333

6. Left radial approach for coronary angiography: Results of a prospective study / C. Spaulding [et al.] // Cathet Cardiovasc Diagn. - 1996. - Vol. 39(4) - P. 365-370

7. Transradial coronary angiography and angioplasty in Chinese patients / Wu CJ [et al.] // Cathet Cardiovasc Diagn.- 1997. - Vol. 40 - P. 159-163

8. Trends in the prevalence and outcomes of radial and femoral approaches to percutaneous coronary intervention: A report from the National Cardiovascular Data Registry. / S.V Rao [et al.]// JACC Cardiovasc Interv. - 2008. - Vol. 1(4) - P. 379-386

9. Prevalence of transradial coronary angiography and intervention in China: Report from the Transradial coronary intervention Registration Investigation in China (TRI-China) / L. Wang [et al.] // Int J Cardiol - 2010. - Vol. 145(2) - P. 246-247

10. Radial versus femoral access for coronary angiography or intervention and the impact the major bleeding and ischemic events: a systematic review and meta-analysis of randomized trial / S.S. Jolly [et al.] // Am Heart J. - 2009 - Vol.157. - P. 132-140

11. Radial versus femoral randomized investigation in ST-elevation acute coronary syndrome: the RIFLE-STEACS (radial versus femoral randomized investigation in ST-elevation acute coronary syndrome) study / E. Romagnoli [et al.] //J. Am Coll Cardiol.- 2012. - Vol. 60. - P. 2481-2489

12. ST-segment elevation myocardial infarction treated by radial or femoral approach in a multicenter randomized clinical trial: the STEMI- RADIAL Trial / I. Bernat [et al.] // J. Am Coll Cardiol. - 2014. - Vol. 63 - P. 964-72


Review

For citations:


Khafizov T.N., Nikolaeva I.E., Khafizov R.R., Oleynik B.A., Zagidullin N.Sh., Zagidullin B.I. THE RATIONALE AND EFFECTIVENESS OF USING RADIAL ACCESS FOR ENDOVASCULAR TREATMENT OF STENOSES OF THE CAROTID ARTERIES. Bashkortostan Medical Journal. 2017;12(1):12-15. (In Russ.)

Views: 53


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1999-6209 (Print)