Indonesian Journal of Cardiology
Vol. 32, No. 2 April - Juni 2011

Perbandingan Komplikasi Vaskular Antara Pendekatan Arteri Radial dengan Femoral Pada Intervensi Koroner Perkutan Primer yang Memakai Eptifibatide

Surya Hafidiansyah (Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia National Cardiovascular Center Harapan Kita, Jakarta)
Yoga Yuniadi (Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia National Cardiovascular Center Harapan Kita, Jakarta)
Sunarya Soerianata (Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia National Cardiovascular Center Harapan Kita, Jakarta)



Article Info

Publish Date
13 Jun 2013

Abstract

Background.The transfemoral approach for percutaneous coronary intervention (PCI) has the complications in vascular access site more than transradial approach. Risk of vascular complications will increase in using eptifibatide. Methods.. This is a prospective cross sectional study involving 52 STEMI patients qualified to primary PCI. 26 patients in transfemoral approaches and 26 patients in transradial approaches. In these two groups, we compare the incidence of vascular complications such as bleeding, arteriovenous fistula, pseudoaneurysm and artery occlusion.Results. From the 52 subjects of this study, found 94.2% men and 5.8% women, mean age 54.3 ± 9.9 years with the highest risk factors were smoking (67.3%), hypertension (51.9%), dyslipidemia (34.6%), diabetes (30.8%) and family history (11.5%). There were no significantly statistic relationship between duration of puncture and PCI procedures between the two groups. Incidence of vascular complications occurred in the femoral group (19.1% vs. 0), consist of arteriovenous fistula (11,5%), pseudoan-eurysm (3,8%), and minor bleeding (3,8%). Minor bleeding occurred in female subject with age 77 years.Conclusion. There was no significant difference in vascular complications between transfemoral approaches with transradial approaches on the Primary PCI

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Journal Info

Abbrev

ijc

Publisher

Subject

Health Professions Medicine & Pharmacology

Description

Indonesian Journal of Cardiology (IJC) is a peer-reviewed and open-access journal established by Indonesian Heart Association (IHA)/Perhimpunan Dokter Spesialis Kardiovaskular Indonesia (PERKI) [www.inaheart.org] on the year 1979. This journal is published to meet the needs of physicians and other ...