Comparision of pain levels of transradial versus transfemoral coronary catheterization: a prospective and randomized study

Basit Öğe Kaydı
dc.authoridAkaycan, Jülide/0000-0002-9174-6777
dc.authoridPekdemir, Hasan/0000-0002-4913-5120
dc.authorwosidAkaycan, Jülide/ABI-2397-2020
dc.authorwosidErmis, Necip/A-5184-2018
dc.authorwosidErmis, Necip/HJP-7061-2023
dc.authorwosidPekdemir, Hasan/ABI-6096-2020
dc.contributor.authorAkturk, Erdal
dc.contributor.authorKurtoglu, Ertugrul
dc.contributor.authorErmis, Necip
dc.contributor.authorAcikgoz, Nusret
dc.contributor.authorYagmur, Julide
dc.contributor.authorAltuntas, Mehmet Sait
dc.contributor.authorPekdemir, Hasan
dc.date.accessioned2024-08-04T20:09:46Z
dc.date.available2024-08-04T20:09:46Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: The aim of the present study was to assess access site pain levels of patients undergoing coronary catheterization via transradial route. Methods: We performed a prospective and randomized study in which 408 patients underwent coronary angiography (CAG) and/or percutaneous coronary intervention (PCI) via transradial approach (TRA) and 428 patients underwent CAG and/or PCI via transfemoral approach (TFA). Pain levels of patients were assessed with Visual Analog Scale (VAS) after catheterization and at 30 days. Student-t, Mann-Whitney U and chi-square tests were used for statistical analysis. Results: Patients in the TRA group showed higher VAS scores than those in TFA group after catheterization [CAG alone, 3 (2-5) vs. 1 (1-3), p<0.0001; PCI, 4 (2-6) vs. 2 (1-3), p<0.0001, respectively]. One month later, patients in TRA group also showed higher VAS scores than those in TFA group [CAG alone, 1 (0-1) vs. 0 (0-1), p<0.0001; PCI, 1 (0-2) vs. 0 (0-1), p<0.0001, respectively]. By the ROC analysis in TRA group, a level of BMI < 24.3 kg/m(2) predicted unacceptable pain with a 87.3% sensitivity and 91.6% specificity [area under curve (AUC): 0.875, 95% CI: 0.839-0.906, p<0.0001], while a wrist circumference <16.7 cm predicted unacceptable pain with 84.6% sensitivity and 89.8% specificity (AUC: 0.900, 95% CI: 0.867-0.928, p<0.0001). Conclusion: The current study suggests that a radial approach for CAG and PCI in patients with a low BMI and small wrist circumference may cause more access site pain as compared with a femoral approach.en_US
dc.identifier.doi10.5152/akd.2014.4607
dc.identifier.endpage146en_US
dc.identifier.issn1302-8723
dc.identifier.issn1308-0032
dc.identifier.issue2en_US
dc.identifier.pmid24449626en_US
dc.identifier.scopus2-s2.0-84897464857en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage140en_US
dc.identifier.trdizinid155733en_US
dc.identifier.urihttps://doi.org/10.5152/akd.2014.4607
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/155733
dc.identifier.urihttps://hdl.handle.net/11616/92417
dc.identifier.volume14en_US
dc.identifier.wosWOS:000338107100009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofAnadolu Kardiyoloji Dergisi-The Anatolian Journal of Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTransradial approachen_US
dc.subjectbody mass indexen_US
dc.subjectwrist circumferenceen_US
dc.subjectpainen_US
dc.titleComparision of pain levels of transradial versus transfemoral coronary catheterization: a prospective and randomized studyen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu
TR-Dizin İndeksli Yayınlar Koleksiyonu