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2015, Number 3

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CorSalud 2015; 7 (3)

Clinical significance of bleeding in patients who underwent percutaneous coronary intervention by radial approach at the CIMEQ

Hernández NM, Aroche AR, Aldama PL, Obregón SÁG, Gil TIJ, Leal HE

Language: Spanish
References: 24
Page: 175-180
PDF size: 315.88 Kb.


ABSTRACT

Introduction: Bleeding complications after percutaneous coronary intervention are associated with an increased risk of mortality and morbidity. Radial approach is a vas cular access technique that has consistently shown a reduction of these risks. Although it is used in our country, there is still little evidence about its impact regarding the reduction of bleeding and its complications.
Objective: To determine the clinical significance of bleeding in patients undergoing coronary catheterization by radial approach at the CIMEQ hospital.
Method: An observational, descriptive study was conducted with 217 patients who underwent percutaneous coronary intervention by radial approach at the laboratory of hemodynamics of the CIMEQ Cardiology Hospital, from 2009 to 2013. Bleeding was identified and classified, as well as the type of lesion treated. The personal medical history and the presence of complications were explored.
Results: There was a predominance of males (78.3%) with a mean age of 62.2 years. There was a higher incidence of smoking (30.0%) and hypertension (28.0%). There were 6 cases (2.8%) of slight bleeding in the form of hematoma at the access site. Half of the patients with hematoma had type C lesions, with no significant association between these variables (p=0.203). Bleeding was significantly associated only with the loss of radial pulse (p ‹ 0.001).
Conclusions: Patients undergoing percutaneous coronary intervention by radial approach at the CIMEQ showed a low incidence of bleeding without serious associated complications.


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