medigraphic.com
ISSN 2954-3835 (Digital)
ISSN 2683-2828 (Impreso)

2021, Número 2

<< Anterior Siguiente >>

Cardiovasc Metab Sci 2021; 32 (2)


Arteriografía coronaria con acceso radial en la enfermedad coronaria aguda y su relación con la fuerza de agarre y la permeabilidad de la arteria radial (CARHANG)

Gaviria S, Alzate M, Ramírez A, Villegas J, Restrepo A, Ospina JJ, Jaramillo N, Moreno-Bedoya S, Contreras H

Idioma: Inglés [English version]
Referencias bibliográficas: 30
Paginas: 94-100
Archivo PDF: 384.72 Kb.


RESUMEN

Introducción: Se han realizado pocas investigaciones sobre algunas complicaciones secundarias al acceso radial para la arteriografía coronaria en pacientes con SCA, como la pérdida de fuerza de prensión y la alteración del flujo radial. Estos no se evalúan de forma rutinaria, sin saber que pueden comprometer el desempeño de los oficios que requieren habilidades finas o actividades en la vida diaria. Material y métodos: Estudio prospectivo observacional de cohorte longitudinal, con una muestra de 77 pacientes con diagnóstico de SCA, sometidos a coronariografía de acceso radial. Para el análisis de los datos, se utilizó el paquete estadístico IBM SPSS&#174; V.21. Para la medición de la fuerza se utilizó un dinamómetro hidráulico de la marca Sahean Corporation&#174; y se realizó un análisis comparativo de muestras relacionadas; prueba t-Student y regresión logística binaria. Resultados: La proporción por sexo fue de 48.1% mujeres y 51.9% hombres, la mediana de edad fue 66 años (58-72). En la fuerza de agarre de los pacientes con acceso radial, encontramos una diferencia estadísticamente significativa entre la medición inicial y final p < 0.001 (IC del 95%: 1.59-4.07). Teniendo en cuenta los criterios de discapacidad para las actividades instrumentales de la vida diaria (IADL), realizamos un análisis estratificado, encontrando diferencias significativas por género (p < 0.05). Conclusiones: Se encontró una pérdida significativa de fuerza de agarre en ambos sexos, con valores de fuerza menores al óptimo para IADL, hallazgos hasta ahora explicados por el tipo de intervención que requiere estudios futuros.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Laslett LJ, Alagona P Jr., Clark BA 3rd et al. The worldwide environment of cardiovascular disease: prevalence, diagnosis, therapy, and policy issues: a report from the American College of Cardiology. J Am Coll Cardiol. 2012; 60 (25 Suppl): S1-49. doi: 10.1016/j.jacc.2012.11.002.

  2. Lloyd-Jones DM, Larson MG, Beiser A, Levy D. Lifetime risk of developing coronary heart disease. Lancet. 1999; 353 (9147): 89-92. doi: 10.1016/s0140-6736(98)10279-9.

  3. Gaviria S, Ramírez A, Alzate M, Contreras H, Jaramillo N, Muñoz MC. Epidemiology of the acute coronary syndrome. Medicina UPB. 2020; 39 (1): 49.

  4. Ferreira-González I. The epidemiology of coronary heart disease. Rev Esp Cardiol (Engl Ed). 2014; 67 (2): 139-144. doi:10.1016/j.rec.2013.10.002.

  5. Amsterdam EA, Wenger NK, Brindis RG et al. 2014 AHA/ACC Guideline for the Management of Patients with Non-ST-Elevation Acute Coronary Syndromes: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014; 64 (24): e139-e228. doi: 10.1016/j.jacc.2014.09.017.

  6. Levine GN, Bates ER, Bittl JA et al. 2016 ACC/AHA Guideline focused update on duration of dual antiplatelet therapy in patients with coronary artery disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention, 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery, 2012 ACC/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease, 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction, 2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes, and 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery. Circulation. 2016; 134 (10): e123-155. doi: 10.1161/cir.0000000000000404.

  7. Worner F, San Roman A, Sanchez PL, Viana Tejedor A, Gonzalez-Juanatey JR. The healthcare of patients with acute and critical heart disease. Position of the Spanish Society of Cardiology. Rev Esp Cardiol (Engl Ed). 2016; 69 (3): 239-242. doi: 10.1016/j.rec.2015.07.015.

  8. Sandoval Y, Burke MN, Lobo AS et al. Contemporary Arterial Access in the Cardiac Catheterization Laboratory. JACC Cardiovasc Interv. 2017; 10 (22): 2233-2241. doi: 10.1016/j.jcin.2017.08.058.

  9. Nathan S, Rao SV. Radial versus femoral access for percutaneous coronary intervention: implications for vascular complications and bleeding. Curr Cardiol Rep. 2012; 14 (4): 502-509. doi: 10.1007/s11886-012-0287-5.

  10. Rondán J, Lozano I, Morís C, Martín M, Avanzas P, Suárez E. [Cardiac catheterization via the right radial artery with a Judkins left catheter. A prospective study]. Rev Esp Cardiol. 2005; 58 (7): 868-871. Published 2005/07/19.

  11. Siracuse JJ, Farber A, Cheng TW et al. Common femoral artery antegrade and retrograde approaches have similar access site complications. J Vasc Surg. 2019; 69 (4): 1160-1166.e1162. doi: 10.1016/j.jvs.2018.06.226.

  12. Jolly SS, Yusuf S, Cairns J et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet. 2011; 377 (9775): 1409-1420. doi: 10.1016/s0140-6736(11)60404-2.

  13. Bhat FA, Changal KH, Raina H, Tramboo NA, Rather HA. Transradial versus transfemoral approach for coronary angiography and angioplasty - A prospective, randomized comparison. BMC Cardiovasc Disord. 2017; 17 (1): 23. doi: 10.1186/s12872-016-0457-2.

  14. Sciahbasi A, Rigattieri S, Sarandrea A et al. Radial artery occlusion and hand strength after percutaneous coronary procedures: Results of the HANGAR study. Catheter Cardiovasc Interv. 2016; 87 (5): 868-874. doi: 10.1002/ccd.26142.

  15. Uhlemann M, Mobius-Winkler S, Mende M et al. The Leipzig prospective vascular ultrasound registry in radial artery catheterization: impact of sheath size on vascular complications. JACC Cardiovasc Interv. 2012; 5 (1): 36-43. doi:10.1016/j.jcin.2011.08.011.

  16. Van Leeuwen MAH, Hollander MR, van der Heijden DJ et al. The ACRA anatomy study (assessment of disability after coronary procedures using radial access): a comprehensive anatomic and functional assessment of the vasculature of the hand and relation to outcome after transradial catheterization. Circ Cardiovasc Interv. 2017; 10 (11). doi: 10.1161/circinterventions.117.005753.

  17. Chim H, Bakri K, Moran SL. Complications related to radial artery occlusion, radial artery harvest, and arterial lines. Hand Clin. 2015; 31 (1): 93-100. doi: 10.1016/j.hcl.2014.09.010.

  18. Boyer N, Beyer A, Gupta V et al. The effects of intra-arterial vasodilators on radial artery size and spasm: implications for contemporary use of trans-radial access for coronary angiography and percutaneous coronary intervention. Cardiovasc Revasc Med. 2013; 14 (6): 321-324. doi: 10.1016/j.carrev.2013.08.009.

  19. Lee MC, Hsu CC, Tsai YF, Chen CY, Lin CC, Wang CY. Criterion-referenced values of grip strength and usual gait speed using instrumental activities of daily living disability as the criterion. J Geriatr Phys Ther. 2018; 41 (1): 14-19. doi: 10.1519/jpt.0000000000000106.

  20. Zsotér TT. Vasodilators. Can Med Assoc J. 1983; 129 (5): 424-432. Published 1983/09/01.

  21. Zwaan E, Ijsselmuiden AJ, Holtzer CA, et al. Upper extremity function after transradial percutaneous coronary intervention short-term interim results of the ARCUS study. Journal of Heart and Cardiology. 2017; 3 (2): 34-39.

  22. Roberts HC, Denison HJ, Martin HJ et al. A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. Age Ageing. 2011; 40 (4): 423-429. doi: 10.1093/ageing/afr051.

  23. Dodds RM, Syddall HE, Cooper R, Kuh D, Cooper C, Sayer AA. Global variation in grip strength: a systematic review and meta-analysis of normative data. Age Ageing. 2016; 45 (2): 209-216. doi: 10.1093/ageing/afv192.

  24. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969; 9 (3): 179-186.

  25. Dodds RM, Syddall HE, Cooper R et al. Grip strength across the life course: normative data from twelve British studies. PLoS One. 2014; 9 (12): e113637. doi: 10.1371/journal.pone.0113637.

  26. Brancati MF, Burzotta F, Coluccia V, Trani C. The occurrence of radial artery occlusion following catheterization. Expert review of cardiovascular therapy. 2012; 10 (10): 1287-1295. doi: 10.1586/erc.12.125.

  27. Kindel M, Rüppel R. Hydrophilic-coated sheaths increase the success rate of transradial coronary procedures and reduce patient discomfort but do not reduce the occlusion rate: randomized single-blind comparison of coated vs. non-coated sheaths. Clin Res Cardiol. 2008; 97 (9): 609-614. doi: 10.1007/s00392-008-0658-5.

  28. Leong DP, Teo KK, Rangarajan S et al. Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study. Lancet. 2015; 386 (9990): 266-273. doi: 10.1016/s0140-6736(14)62000-6.

  29. Sayer AA, Kirkwood TB. Grip strength and mortality: a biomarker of ageing? Lancet. 2015; 386 (9990): 226-227. doi: 10.1016/s0140-6736(14)62349-7.

  30. Chen HY, Wang CY, Lee MY, Tang PF, Chu YH, Suen MW. A hierarchical categorisation of tasks in mobility disability. Disabil Rehabil. 2010; 32 (19): 1586-1593. doi: 10.3109/09638280903551533.




2020     |     www.medigraphic.com