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Transradial access to perform diagnostic cardiac catheterization procedures was introduced by Campeau [5] and was later adapted for therapeutic procedures of coronary angioplasty by Kiemeneij and Laarman. [6] In past few years, transradial access for coronary intervention has become increasingly popular.
In the early 1960s, cardiac catheterization frequently took several hours and involved significant complications for as many as 2–3% of patients. With multiple incremental improvements over time, simple coronary catheterization examinations are now commonly done more rapidly and with significantly improved outcomes. [citation needed]
Cardiac catheterization (heart cath) is the insertion of a catheter into a chamber or vessel of the heart.This is done both for diagnostic and interventional purposes. A common example of cardiac catheterization is coronary catheterization that involves catheterization of the coronary arteries for coronary artery disease and myocardial infarctions ("heart attacks").
An external vascular closure device of radial artery following a Cardiac catheterization. The device allows for gradual release of pressure over the puncture site, reducing patient discomfort, until closure is achieved. Prior to the development of VCD's, the main method for closing the femoral artery was manual compression.
A heart attack during or shortly after the procedure occurs in 0.3% of cases; this may require emergency coronary artery bypass surgery. [13] Heart muscle injury characterized by elevated levels of CK-MB, troponin I, and troponin T may occur in up to 30% of all PCI procedures. Elevated enzymes have been associated with later clinical outcomes ...
Door-to-balloon is a time measurement in emergency cardiac care (ECC), specifically in the treatment of ST segment elevation myocardial infarction (or STEMI). The interval starts with the patient's arrival in the emergency department, and ends when a catheter guidewire crosses the culprit lesion in the cardiac cath lab.
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The instantaneous wave-free ratio (iFR, sometimes referred to as the instant wave-free ratio or instant flow reserve) is a diagnostic tool used to assess whether a stenosis is causing a limitation of blood flow in coronary arteries with subsequent ischemia. iFR is performed during cardiac catheterisation (angiography) using invasive coronary pressure wires which are placed in the coronary ...
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