الفهرس 
Radial artery anatomyOnly 14 pages are availabe for public view
 |  | from | 146 |  |  |
| | | from | 146 | | |
Abstract
Percutaneous coronary intervention is an integral part of treatment of ischemic heart disease, with the increasing prevalence of coronary artery disease; coronary catheterization has become even more important.
1-Coupled with evidence-based pharmacological strategies, the use of coronary catheterization in appropriate patients reduces morbidity and mortality. Continuous evolution of Antithrombotic therapy and device technology has resulted in the application of PCI to a wider population of patients.
2- Increase dose of nitroglycerin lead to insignificant improve in radial artery spasm and increase rate of successful procedure which lead to decrease hospital stay and increase patient satisfaction
As experience with the 300 mic approach decrease radial artery spasm compared with the 100 mic approaches
Our study was conducted on 140 patients presenting to Ain Shams University specialized hospital for coronary angiography or PCI. Patients were divided into two groups, group A, where 70 patients underwent the 100 mic approach, and group B, where 70 patient underwent the 300 mic approach.
There was no significant difference between both groups regarding demographic data, risk factors, past history, family history and examination. Also target vessels and number of stents deployed were similar in the two groups except in female gender and patient weight.
Regarding the patient satisfaction, no significant difference was found between the two groups but there was a trend towards more patient satisfaction in group B.
There was no significant difference between both groups regarding the procedural cost.
Keywords: Verapamil Plus Nitroglycerin, Verapamil Plus Nitroglycerin, Spasm Prophylaxis, Trans Radial Approach.