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ISSN 1561-2937 (Impreso)

2014, Número 4

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Rev Cubana Cardiol Cir Cardiovasc 2014; 20 (4)


Vía de acceso transradial. Técnica y complicaciones

Rodríguez BS, Leyva QA, Valdés RM, Almeida GJ, Ponte GG, Aguilar MJM, Pérez GJC

Idioma: Español
Referencias bibliográficas: 60
Paginas: 226-242
Archivo PDF: 510.13 Kb.


RESUMEN

La utilización del acceso transradial en el cateterismo cardiaco ha aumentado progresivamente debido a sus claras ventajas sobre el acceso transfemoral. Sin embargo, algunos laboratorios y operadores plantean que una limitante para su sistematización es su inferior tasa de éxito, basados en la dificultad técnica y complicaciones propias de esta vía. Proponemos una revisión acerca de algunos aspectos de la técnica específica utilizada en este acceso, así como las complicaciones derivadas de este. El dominio de la técnica de acceso transradial mejora el éxito del proceder y reduce las complicaciones vinculadas al mismo. Las más frecuentes: el espasmo radial, la oclusión radial y hematoma de la muñeca. El reconocimiento temprano y manejo de estas complicaciones, constituyen un pilar fundamental para mantener su sistematización y con ello sus beneficios.


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