Transradial approach for coronary angiography and interventions: A clinical nurse specialist’s experience

3^rd Euro Nursing & Medicare Summit

July 27-29, 2015 Valencia, Spain

V Perovi�?�?

Institute of Cardiovascular Disease â�?�?Dedinjeâ�?, Serbia

Posters-Accepted Abstracts: J Nurs Care

Abstract :

Background: Transradial approach (TRA) for coronary angiography and percutaneous coronary interventions (PCI) has risen gradually last decade. Last few years there is increasing number of reports and new published studies providing further support for the transradial approach in diagnostic and coronary PCI, with investigators reporting significantly less bleeding and reduced incidence of hard clinical end point. This route provides patient comfort including earlier mobilization in comparison to trans-femoral access and lower rates of vascular complications. Aim: To demonstrate safety and advantage of this access in diagnostic and interventions, not only for elective patients, but for those in complex and with ACS and AMI primary interventions as well. Methods: We analyzed 1032 patients who underwent TRA diagnostic and/or PCI interventions in our Cath lab from 15.01.2012 to 15.06.2012. Results: There were 426 patients with PCI and 606 with diagnostic procedures only. Rate of radial access was almost 95%, where as procedural success rate was as high in both groups 90% and 92% respectively. Selective cannulation of the coronary ostium failed in only 2.5%. There were no bleeding complications need for surgical repair or blood transfusions and no other complications in any group as well. We are presenting all procedural dates, and in three typical cases, one with diagnostic only, the second with elective complex intervention, and finally the third with serious ACS snf STEMI interventions, to demonstrate our strategy, technical preferences and advantages of TRA access approach. Conclusions : As a Clinical Nurse Specialist in Cardiology the key element of my clinical role is to ensure quality of care and improved continuity, from making the patient transition of an Emergency situation/elective admission seamlessly, minimizing the anxiety of our patients and family members by ensuring proficiency of trans radial access, in a safe and efficient environment. I find this clinical experience rewarding and challenging. Within our Cardiology center Radial access has become our first preference.

Biography :

Email: perovicv@gmail.com