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Videosurgery and Other Miniinvasive Techniques
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1/2024
vol. 19
 
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Interventional radiology
abstract:
Original paper

Effects of different puncture approaches on the curative effect and safety of patients with combined cardiovascular and cerebrovascular angiography

Hui Xi
1, 2
,
Chang-Yu Lu
3
,
Ning Wang
2
,
Yang Zhao
3
,
Yuan-Li Zhao
4
,
Tao Hong
1
,
Wen-Chao Zhang
2

  1. Department of Cardiology, Peking University First Hospital, Beijing, China
  2. Department of Cardiology, Peking University International Hospital, Beijing, China
  3. Department of Neurosurgery, Peking University International Hospital, Beijing, China
  4. Department of Neurosurgery, Peking Union Medical College Hospital, Beijing, China
Videosurgery Miniinv 2024; 19 (1): 107–112
DOI: https://doi.org/10.5114/wiitm.2023.134144
Online publish date: 2023/12/31
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Introduction
The relationship between different puncture points and perioperative complications and length of stay in hospital (LOS) in SCCAG patients has rarely been reported.

Aim
To compare the curative effect and safety of the transradial artery approach and the transfemoral artery approach in combined heart-brain angiography.

Material and methods
120 patients who received combined cardio-cerebral angiography in our hospital were selected and divided into a transradial artery approach group (TRA) and a transfemoral artery approach group (TFA) according to a random number table. The postoperative efficacy and safety of the 2 groups were compared.

Results
There was no statistically significant difference in puncture time and operation time between the 2 groups (p > 0.05). Postoperative bed rest time, hospitalization time, and X-ray exposure time in the TRA group were shorter than those in the TFA group, and the difference was statistically significant (p < 0.05). Before operation and 3 days after operation, there was no significant difference in left ventricle ejection fraction between the 2 groups (p > 0. 05). The overall incidence of complications in the TFA group was higher than that in the TRA group. The incidence between haematoma and pseudoaneurysm in the TFA group was higher, and the difference was statistically significant (p < 0.05).

Conclusions
For simultaneous heart-brain angiography, interventional therapy via radial artery and femoral artery has good curative effect and can improve cardiac function. However, interventional therapy through the radial artery can shorten the postoperative bed rest time and hospitalization time, and reduce the incidence of complications.

keywords:

simultaneously cerebral coronary angiography, transradial access, transfemoral access, atherosclerosis
  
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