UNIVERSI
TÄ
TS-
BIBLIOTHEK
P
ADERBORN
Anmelden
Menü
Menü
Start
Hilfe
Blog
Weitere Dienste
Neuerwerbungslisten
Fachsystematik Bücher
Erwerbungsvorschlag
Bestellung aus dem Magazin
Fernleihe
Einstellungen
Sprache
Deutsch
Deutsch
Englisch
Farbschema
Hell
Dunkel
Automatisch
Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist
gegebenenfalls
nur via VPN oder Shibboleth (DFN-AAI) möglich.
mehr Informationen...
Universitätsbibliothek
Katalog
Suche
Details
Zur Ergebnisliste
Ergebnis 16 von 2614
Datensatz exportieren als...
BibTeX
Safety of transradial cardiac catheterization in patients with end-stage liver disease
Catheterization and cardiovascular interventions, 2014-02, Vol.83 (3), p.360-366
Jacobs, Evan
Singh, Vikas
Damluji, Abdulla
Shah, Neil R.
Warsch, Jessica L.
Ghanta, Ravi
Martin, Paul
Alfonso, Carlos E.
Martinez, Claudia A.
Moscucci, Mauro
Cohen, Mauricio G.
2014
Details
Autor(en) / Beteiligte
Jacobs, Evan
Singh, Vikas
Damluji, Abdulla
Shah, Neil R.
Warsch, Jessica L.
Ghanta, Ravi
Martin, Paul
Alfonso, Carlos E.
Martinez, Claudia A.
Moscucci, Mauro
Cohen, Mauricio G.
Titel
Safety of transradial cardiac catheterization in patients with end-stage liver disease
Ist Teil von
Catheterization and cardiovascular interventions, 2014-02, Vol.83 (3), p.360-366
Ort / Verlag
United States: Blackwell Publishing Ltd
Erscheinungsjahr
2014
Link zum Volltext
Quelle
Wiley Online Library All Journals
Beschreibungen/Notizen
Background Transradial access may be advantageous for patients with end‐stage liver disease (ESLD) who need to undergo left heart catheterization (LHC). We aimed to assess the safety of transradial cardiac catheterization in patients listed for orthotopic liver transplantation. Methods This is a retrospective analysis of consecutive adult patients with the diagnosis of ESLD, who underwent LHC via transradial access as part of a pre‐operative liver transplantation evaluation. All the patients also underwent right heart catheterization (RHC) via brachial or femoral vein. The primary outcome measure was procedure‐related major bleeding. Secondary outcomes included access site minor bleeding, in‐hospital mortality, radial access failure, and acute kidney injury. Results A total of 82 consecutive patients with ESLD, who underwent LHC via transradial access, were enrolled in the study. All patients also underwent RHC (n = 45 via brachial and n = 37 via femoral vein). The median age was 59 (54, 67) years old, and 58% were male. History of coronary artery disease or heart failure was present in 17% of patients. The median MELD score was 19 (13, 24.5), baseline hemoglobin was 10.5 mg/dL (9.4, 11.8), INR was 1.4 (1.2, 1.8) and platelets were 74,000 (53,000, 117,000)/mm3. The most common etiology of liver failure was viral hepatitis (51%), followed by alcoholic cirrhosis (24%) and non‐alcoholic steatohepatitis (21%). Angiographically significant coronary artery disease was present in 17 (21%) patients. Major bleeding and acute kidney injury each occurred in two patients (2.4%). There were no instances of vascular complications. There were no deaths attributable to complications from cardiac catheterization. Conclusion Upper extremity right and left heart catheterization appears to be a safe method to evaluate coronary anatomy and hemodynamics in a severely ill population of patients with ESLD awaiting transplant. © 2013 Wiley Periodicals, Inc.
Sprache
Englisch
Identifikatoren
ISSN: 1522-1946
eISSN: 1522-726X
DOI: 10.1002/ccd.25043
Titel-ID: cdi_proquest_miscellaneous_1499116844
Format
–
Schlagworte
Aged
,
bleeding and transplant
,
cardiac catheterization
,
Cardiac Catheterization - adverse effects
,
Cardiac Catheterization - methods
,
Cardiac Catheterization - mortality
,
Coronary Angiography
,
Coronary Artery Disease - complications
,
Coronary Artery Disease - diagnosis
,
Coronary Artery Disease - mortality
,
Coronary Artery Disease - physiopathology
,
End Stage Liver Disease - complications
,
End Stage Liver Disease - mortality
,
End Stage Liver Disease - surgery
,
Female
,
Hemodynamics
,
Hemorrhage - etiology
,
Hemorrhage - mortality
,
Hospital Mortality
,
Humans
,
liver disease
,
Liver Transplantation
,
Male
,
Middle Aged
,
Patient Safety
,
Patient Selection
,
Preoperative Care
,
Punctures
,
Radial Artery
,
Retrospective Studies
,
Risk Assessment
,
Risk Factors
,
Severity of Illness Index
,
Time Factors
,
transradial
,
Waiting Lists
Weiterführende Literatur
Empfehlungen zum selben Thema automatisch vorgeschlagen von
bX