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Safety of transradial diagnostic cardiac catheterization in patients under oral anticoagulant therapy.

Abstract：

BACKGROUND:Cardiac catheterization in anticoagulated patients is usually performed after the anticoagulation has been withdrawn, at least in the previous 48h, and sometimes bridging therapy with heparin is used. METHODS:A prospective observational study including 489 patients undergoing transradial catheterization was conducted. A total of 140 patients were under acenocoumarol (group A) and they were compared with the remainder (group B) for complications after the procedure (bleeding and vascular access complications). RESULTS:Patients in group A were older (74±12 years vs. 68±17 years, p<0.01) and the main indication for anticoagulation was atrial fibrillation (58.6%). No complications occurred during the procedures. There were no acute bleedings just after the bandage removal. During the first 24h, only 3 (2.1%) radial occlusions in group A and 2 (0.6%) in group B (p=0.14) were recorded. Hematomas between 5 and 10cm appeared in 5% of the group A vs. 4.6% in group B. During the 1-month follow-up period, one more radial occlusion in each group was recorded and there were 4 (1.1%) additional mild hematomas in group B and none in group A (p=0.48). CONCLUSIONS:Performing a transradial diagnostic cardiac catheterization without removal of the oral chronic anticoagulation appears safe in patients under acenocumarol therapy.

journal_name

J Cardiol

journal_title

Journal of cardiology

authors

Gallego-Sánchez G,Gallardo-López A,Córdoba-Soriano JG,Gutiérrez-Díez A,Melehi D,Barrionuevo-Sánchez MI,Jiménez-Mazuecos J

doi

10.1016/j.jjcc.2016.04.015

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

561-564

issue

3

eissn

0914-5087

issn

1876-4738

pii

S0914-5087(16)30076-4

journal_volume

69

pub_type

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