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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/32231


    標題: Radial artery occlusion with a kaolin-filled pad after transradial cardiac catheterization
    作者: Chiang, Chun-Yen
    Chang, Weng-Ting
    Ho, Chung-Han
    Hong, Chon-Seng
    Shih, Jhih-Yuan
    Wu, Wen-Shiann
    Chen, Zhih-Cherng
    Chou, Ming-Ting
    貢獻者: Chi Mei Med Ctr, Div Cardiol, Dept Internal Med
    Chung Hwa Univ Med Technol, Dept Optometry
    Chi Mei Med Ctr, Dept Med Res
    Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
    Chia Nan Univ Pharm & Sci, Dept Recreat & Healthcare Management
    關鍵字: kaolin-filled pad
    radial artery occlusion
    transradial access
    日期: 2018-11
    上傳時間: 2019-11-15 15:46:03 (UTC+8)
    出版者: LIPPINCOTT WILLIAMS & WILKINS
    摘要: Radial artery occlusion (RAO) occurs in 2% to 18% of patients after transradial access (TRA) cardiac catheterization. Using a kaolin-filled pad (QuikClot) reduces compression time during TRA and might reduce RAO. We examined the RAO risk with the kaolin-filled pad after TRA cardiac catheterization. This was a prospective cross-sectional study of 260 patients who underwent TRA cardiac catheterization in a cardiac ward of a Medical Center from 2012 to 2016. Patients were randomly assigned to 1 of 2 groups: the case group (n=130) was postoperatively treated with a kaolin-filled pad, and the control group (n=130) was treated with conventional hemostasis. Color duplex ultrasound was used to evaluate the 24-hour and 1-month postoperative radial artery flow velocity, diameter, patency, and RAO risk. RAO risk was not significantly different between the case and control groups after 24hours (4.6% vs 5.4%, P=.776) or after 1 month (5.4% vs 6.1%, P=.789), regardless of whether it was a first TRA cardiac catheterization (after 24hours [P=.153] or after 1month [P=.617], respectively) or a repeated TRA cardiac catheterization (after 24hours [P=.754] or after 1month [P=.753], respectively). Using a kaolin-filled pad after TRA cardiac catheterization did not significantly reduce RAO risk compared with conventional hemostasis.
    link: http://dx.doi.org/10.1097/MD.0000000000013134
    Appears in Collections:[醫務管理系(所)] 期刊論文

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