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    Comparison of Cardiac Catheterization Complications of The Radial and Femoral Access

    مقارنة مضاعفات القثطرة القلبية عن طريق المدخل الكعبري و المدخل الفخذي

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     Added by Tishreen University ورقة بحثية
     Publication date 2015
      fields Medicine
    and research's language is العربية
     Created by Shamra Editor


    ‎Shamra Academia - شمرا أكاديميا‎


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    Abstract in Arabic Abstract in English

    The main aim of the study was to determine the frequency of coronary angiography complications with or without percutaneous coronary intervention (PCI) by the TR access compared with the TF access of patients undergoing coronary angiography (CAG). The study included 640 patients undergoing CAG with or without (PCI) in AL-ASSAD university Hospital in Lattakiabetween 1 December 2013 and 31 December 2014 .A total of 106 CAG (22.8% of all CAG) and 12 CAP (6.7% of all coronary angioplasties) were performed via a TR approach , 357 CAG (77.2% of all CAG) and 165 CAP (93.3% of all coronary angioplasties) were performed via a TF approach ,Vascular access site complications were significantly lower in the TR group than in the TF group.

    Artificial intelligence review:
    Research summary
    تهدف هذه الدراسة إلى مقارنة مضاعفات تصوير الأوعية الإكليلية مع أو بدون تداخل إكليلي عبر الجلد باستخدام المدخل الكعبري والمدخل الفخذي. شملت الدراسة 640 مريضًا في مستشفى الأسد الجامعي باللاذقية بين ديسمبر 2013 وديسمبر 2014. تم إجراء تصوير الأوعية الإكليلية عبر المدخل الكعبري لـ 106 مريضًا (22.8% من جميع الحالات) و12 مريضًا مع تداخل إكليلي عبر الجلد (6.7% من جميع التداخلات). بينما تم إجراء تصوير الأوعية الإكليلية عبر المدخل الفخذي لـ 357 مريضًا (77.2% من جميع الحالات) و165 مريضًا مع تداخل إكليلي عبر الجلد (93.3% من جميع التداخلات). أظهرت النتائج أن مضاعفات موقع الدخول الوعائي كانت أقل بشكل كبير في مجموعة المدخل الكعبري مقارنة بمجموعة المدخل الفخذي (0.84% مقابل 9%). خلصت الدراسة إلى أن المدخل الكعبري لتصوير الأوعية الإكليلية ورأب الأوعية الإكليلية آمن وفعال مع مضاعفات موضعية أقل مقارنة بالمدخل الفخذي التقليدي.
    Critical review
    دراسة نقدية: تقدم هذه الدراسة مساهمة مهمة في مجال تصوير الأوعية الإكليلية، حيث تقارن بين مدخلين مختلفين وتسلط الضوء على الفوائد والمضاعفات المحتملة لكل منهما. ومع ذلك، هناك بعض النقاط التي يمكن تحسينها. أولاً، كان من الممكن توسيع حجم العينة لتشمل مستشفيات ومراكز طبية أخرى للحصول على نتائج أكثر شمولية. ثانيًا، لم تتناول الدراسة بشكل كافٍ العوامل النفسية والاجتماعية التي قد تؤثر على اختيار المدخل من قبل المرضى والأطباء. أخيرًا، كان من الممكن تقديم تحليل أكثر تفصيلاً حول تأثير التدريب والخبرة الطبية على نتائج الإجراءات المختلفة.
    Questions related to the research
    1. ما هو الهدف الرئيسي من هذه الدراسة؟

      الهدف الرئيسي هو مقارنة مضاعفات تصوير الأوعية الإكليلية مع أو بدون تداخل إكليلي عبر الجلد باستخدام المدخل الكعبري والمدخل الفخذي.

    2. كم عدد المرضى الذين شملتهم الدراسة؟

      شملت الدراسة 640 مريضًا.

    3. ما هي النتيجة الرئيسية التي توصلت إليها الدراسة؟

      النتيجة الرئيسية هي أن مضاعفات موقع الدخول الوعائي كانت أقل بشكل كبير في مجموعة المدخل الكعبري مقارنة بمجموعة المدخل الفخذي.

    4. ما هي التوصيات التي قدمتها الدراسة بناءً على النتائج؟

      أوصت الدراسة باعتماد المدخل الكعبري كاستراتيجية روتينية لتصوير الأوعية الإكليلية ورأب الأوعية الإكليلية بسبب أمانه وفعاليته ومضاعفاته الموضعية الأقل.

    Keywords
    المدخل الكعبري المدخل الفخذي تصوير الأوعية الإكليلية تداخل إكليلي عبر الجلد مضاعفات موقع الدخول
    References used
    BRUECK, M. randomized comparison of transradial versus transfemoral approach for coronary angiography and angioplasty. JACC CardiovascInterv.2009; 2: 1047-54
    TAYEH ,O. Coronary angiography safety between radial and femoral access,The Egyptian Heart Journal (2014) 66, 149–154
    TS TSE,S. Feasibility of transradial coronary angiography and angioplasty in Chinese patients. Hong Kong Med J 2006;12:108-14
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    كيف يتم التنظيم الحراري في الحياة الرحمية؟
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    الطب البشري زمن بقاء الطالب في كلية الطب البشري التنظيم الحراري
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