کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5962003 1176166 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Effects of subcutaneously infiltrated nitroglycerin on diameter, palpability, ease-of-puncture and pre-cannulation spasm of radial artery during transradial coronary angiography
ترجمه فارسی عنوان
اثر نیتروگلیسیرین زیر جلدی نفوذپذیری بر قطر، پالپتپس، سهولت پانچ و اسپاسم قبل از کانال شریان شعاعی در طی آنژیوگرافی عروق کرونر
کلمات کلیدی
نیتروگلیسیرین، دسترسی شریانی شعاعی، قطر شریان شعاعی، پاکسازی پالس شعاعی، اسپاسم شریان شعاعی،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

BackgroundThe success of transradial catheterization depends on meticulous access of radial artery which in turn depends on palpating a good radial pulse.ObjectivesOur objectives were to analyze the effects of subcutaneously infiltrated nitroglycerin on diameter of radial artery, palpability of radial pulse, ease-of-puncture and pre-cannulation spasm of radial artery during transradial coronary angiography.MethodsPatients undergoing transradial coronary angiography were randomized to Group NL or Group SL. In Group NL, 3 ml of solution containing nitroglycerin and lignocaine was infiltrated subcutaneously at the site intended for puncture of radial artery. Similarly, saline and lignocaine were infiltrated in Group SL. Diameter of radial artery was objectively assessed by ultrasonography. Measurements were performed at baseline and repeated at 1 min after injecting the solutions. The ease-of-puncture was evaluated by the number of punctures and the time needed for successful access of radial artery.ResultsBoth groups had 100 patients each. Baseline diameter of radial artery was similar between two groups. The post-injection diameter of radial artery increased by 26.3% in Group NL and 11.4% in Group SL. Nitroglycerin significantly improved the palpability of radial pulse, reduced the number of punctures and shortened the time needed for successful access of radial artery. Pre-cannulation spasm of radial artery occurred in 1% of Group NL and 8% of Group SL.ConclusionsSubcutaneously infiltrated nitroglycerin leads to significant vasodilation of radial artery. This avoids pre-cannulation spasm of radial artery, enhances palpability of the radial pulse and thus makes the puncture of radial artery easier.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Indian Heart Journal - Volume 66, Issue 6, November–December 2014, Pages 593-597
نویسندگان
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