Influence of the type of radial puncture on vascular complications after cardiac catheterization
Section: Artículos Científicos
How to quote
Enferm Cardiol. 2019; 26 (78): 69-73.
Authors
Vicente Rubio Alcañiz1, Pablo Benítez Martín2, José Miguel Latorre Jiménez2, Damián Lorenzo García2, José Manuel Álvarez Vázquez3.
Position
1 Experto de Enfermería en Hemodinámica y Cardiología Intervencionista. Supervisor del Servicio de Hemodinámica del Hospital Universitario (H. U.) de Gran Canaria Dr. Negrín. Las Palmas de Gran Canaria. 2 Enfermeros del Servicio de Hemodinámica del H. U. de Gran Canaria Dr. Negrín. 3 Máster Enfermería en Hemodinámica y Cardiología Intervencionista Subdirector de Enfermería de Servicios Médicos del H. U. de Gran Canaria Dr. Negrín.
Contact address
Vicente Rubio Alcañiz. H. U. de Gran Canaria Dr. Negrín. Servicio de Hemodinámica. Barranco de La Ballena s/n. 35010 Las Palmas de Gran Canaria. Las P
Contact email: v.rubio@celp.es
Abstract
Introduction. According to the literature, the type of radial puncture does not influence the onset of vascular complications. However, in our daily practice we have observed an increase in hematomas when using the Seldinger technique. Our aim was to analyze whether the type of puncture has been able to influence the onset of vascular complications after cardiac catheterization.
Method. Quasi-experimental study. We analyzed 202 consecutive patients undergoing cardiac catheterization with a positive palmar permeability test, who had been divided into two groups. In group I, patients with Seldinger-type radial puncture, and in group II patients with modified Seldinger-type puncture, were included. The method of hemostasis was the pneumatic bracelet. Baseline data from the patients and those complications observed within 24 hours were collected through direct observation, review of nursing care notes and evaluation of radial occlusion using the inverted Barbeau test. The variables were analyzed by means of the Chi-square test and the Student‘s t test.
Results. Each group included 101 patients and both groups were comparable in terms of baseline and procedural characteristics. The incidence of complications in group I was 19% and in group II 11%. In group I, there was 14% of hematomas and in group II 4%, this data being statistically significant (p = 0.014).
Conclusions. There were more complications, especially hematomas, when the puncture was performed using the Seldinger technique.
Keywords:
cardiac catheterization; radial artery; punctureshematoma
Versión en Español
Título:
Influencia del tipo de punción radial en las complicaciones vasculares tras el cateterismo cardiaco
Artículo completo no disponible en este idioma / Full article is not available in this language
Bibliography
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