Eventos clínicos adversos relacionados con el uso del método femoral y método radial en pacientes sometidos a procedimientos de cardiología intervencionista en el Hospital Nacional Hipólito Unanue
Objective: To determine the clinical adverse events related to the use of femoral and radial artery access in patients who underwent interventional cardiology procedures in the Hospital Nacional Hipólito Unanue from 2015 to 2017. Materials and methods: A comparative, retrospective, observational and...
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2022
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| author | Universidad Nacional Mayor de San Marcos, Facultad de Medicina. Lima, Perú Lisset Haydee Sapo Solano Cesar Asbel Aranda Castillo Universidad Peruana Unión, Facultad de Ingeniería y Arquitectura. Lima, Perú |
| author_browse | Cesar Asbel Aranda Castillo Lisset Haydee Sapo Solano Universidad Nacional Mayor de San Marcos, Facultad de Medicina. Lima, Perú Universidad Peruana Unión, Facultad de Ingeniería y Arquitectura. Lima, Perú |
| author_facet | Universidad Nacional Mayor de San Marcos, Facultad de Medicina. Lima, Perú Lisset Haydee Sapo Solano Cesar Asbel Aranda Castillo Universidad Peruana Unión, Facultad de Ingeniería y Arquitectura. Lima, Perú |
| author_sort | Universidad Nacional Mayor de San Marcos, Facultad de Medicina. Lima, Perú |
| collection | Producción científica |
| description | Objective: To determine the clinical adverse events related to the use of femoral and radial artery access in patients who underwent interventional cardiology procedures in the Hospital Nacional Hipólito Unanue from 2015 to 2017. Materials and methods: A comparative, retrospective, observational and analytical study was conducted with a total of 151 medical records of patients who had clinical adverse events. Medical record review was used as data collection technique, and a data collection sheet designed by the researcher was used as instrument. The R software was used for the analysis. Results: Out of 151 cardiac catheterizations, 51.66 % were performed by a femoral artery access and 48.34 % by a radial artery access. The average age of the patients was 59.6 ± 11.3 years, out of which 39.73 % ranged between 60 and 70 years, and 73.50 % of the patients were males. The most frequent comorbidities were arterial hypertension and diabetes mellitus. Non-serious clinical adverse events occurred as a result of both vascular access procedures; however, their incidence was high. Fifty percent (50%) of the patients who underwent a femoral artery access procedure showed the following adverse events: hematoma (25.60 %), bleeding (9 %), ischemia (1.30 %), vagal response (1.30 %), pseudoaneurysm (1.30 %), a rare skin rash that looked like a burn (1.30 %) and pain (10.20 %). In contrast, 19.14 % of the patients who underwent a radial artery access procedure presented hematoma (8.21 %), bleeding (2.73 %), radial artery spasm (1.40 %) and pain (6.80 %). Conclusions: After determining the clinical adverse events, it was concluded that radial artery access is better than femoral artery access for interventional cardiology procedures. |
| format | Article |
| id | openalex:W4224097783 |
| institution | UPeU |
| language | Spanish |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| record_format | dspace |
| spelling | openalex:W4224097783Eventos clínicos adversos relacionados con el uso del método femoral y método radial en pacientes sometidos a procedimientos de cardiología intervencionista en el Hospital Nacional Hipólito UnanueUniversidad Nacional Mayor de San Marcos, Facultad de Medicina. Lima, PerúLisset Haydee Sapo SolanoCesar Asbel Aranda CastilloUniversidad Peruana Unión, Facultad de Ingeniería y Arquitectura. Lima, Perútransfemoral accesstransradial accessinterventional cardiologycardiac catheterizationvascular access complicationshematomahemorrhagepseudoaneurysmradial artery spasmadverse eventsVascular Procedures and ComplicationsCentral Venous Catheters and HemodialysisCoronary Interventions and DiagnosticsObjective: To determine the clinical adverse events related to the use of femoral and radial artery access in patients who underwent interventional cardiology procedures in the Hospital Nacional Hipólito Unanue from 2015 to 2017. Materials and methods: A comparative, retrospective, observational and analytical study was conducted with a total of 151 medical records of patients who had clinical adverse events. Medical record review was used as data collection technique, and a data collection sheet designed by the researcher was used as instrument. The R software was used for the analysis. Results: Out of 151 cardiac catheterizations, 51.66 % were performed by a femoral artery access and 48.34 % by a radial artery access. The average age of the patients was 59.6 ± 11.3 years, out of which 39.73 % ranged between 60 and 70 years, and 73.50 % of the patients were males. The most frequent comorbidities were arterial hypertension and diabetes mellitus. Non-serious clinical adverse events occurred as a result of both vascular access procedures; however, their incidence was high. Fifty percent (50%) of the patients who underwent a femoral artery access procedure showed the following adverse events: hematoma (25.60 %), bleeding (9 %), ischemia (1.30 %), vagal response (1.30 %), pseudoaneurysm (1.30 %), a rare skin rash that looked like a burn (1.30 %) and pain (10.20 %). In contrast, 19.14 % of the patients who underwent a radial artery access procedure presented hematoma (8.21 %), bleeding (2.73 %), radial artery spasm (1.40 %) and pain (6.80 %). Conclusions: After determining the clinical adverse events, it was concluded that radial artery access is better than femoral artery access for interventional cardiology procedures.Articlehttps://doi.org/10.24265/horizmed.2022.v22n1.04https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/download/1719/1044W4224097783esHorizonte Médico (Lima)1727-558X2227-35302022-03-03 |
| spellingShingle | transfemoral access transradial access interventional cardiology cardiac catheterization vascular access complications hematoma hemorrhage pseudoaneurysm radial artery spasm adverse events Vascular Procedures and Complications Central Venous Catheters and Hemodialysis Coronary Interventions and Diagnostics Universidad Nacional Mayor de San Marcos, Facultad de Medicina. Lima, Perú Lisset Haydee Sapo Solano Cesar Asbel Aranda Castillo Universidad Peruana Unión, Facultad de Ingeniería y Arquitectura. Lima, Perú Eventos clínicos adversos relacionados con el uso del método femoral y método radial en pacientes sometidos a procedimientos de cardiología intervencionista en el Hospital Nacional Hipólito Unanue |
| title | Eventos clínicos adversos relacionados con el uso del método femoral y método radial en pacientes sometidos a procedimientos de cardiología intervencionista en el Hospital Nacional Hipólito Unanue |
| title_full | Eventos clínicos adversos relacionados con el uso del método femoral y método radial en pacientes sometidos a procedimientos de cardiología intervencionista en el Hospital Nacional Hipólito Unanue |
| title_fullStr | Eventos clínicos adversos relacionados con el uso del método femoral y método radial en pacientes sometidos a procedimientos de cardiología intervencionista en el Hospital Nacional Hipólito Unanue |
| title_full_unstemmed | Eventos clínicos adversos relacionados con el uso del método femoral y método radial en pacientes sometidos a procedimientos de cardiología intervencionista en el Hospital Nacional Hipólito Unanue |
| title_short | Eventos clínicos adversos relacionados con el uso del método femoral y método radial en pacientes sometidos a procedimientos de cardiología intervencionista en el Hospital Nacional Hipólito Unanue |
| title_sort | eventos clinicos adversos relacionados con el uso del metodo femoral y metodo radial en pacientes sometidos a procedimientos de cardiologia intervencionista en el hospital nacional hipolito unanue |
| topic | transfemoral access transradial access interventional cardiology cardiac catheterization vascular access complications hematoma hemorrhage pseudoaneurysm radial artery spasm adverse events Vascular Procedures and Complications Central Venous Catheters and Hemodialysis Coronary Interventions and Diagnostics |
| topic_facet | transfemoral access transradial access interventional cardiology cardiac catheterization vascular access complications hematoma hemorrhage pseudoaneurysm radial artery spasm adverse events Vascular Procedures and Complications Central Venous Catheters and Hemodialysis Coronary Interventions and Diagnostics |
| url | https://doi.org/10.24265/horizmed.2022.v22n1.04 https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/download/1719/1044 |
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