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Sökning: id:"swepub:oai:DiVA.org:liu-23434" > Radiation exposure ...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00002858naa a2200349 4500
001oai:DiVA.org:liu-23434
003SwePub
008091007s2004 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-234342 URI
024a https://doi.org/10.1007/s00330-004-2322-42 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Geijer, H4 aut
2451 0a Radiation exposure and patient experience during percutaneous coronary intervention using radial and femoral artery access
264 c 2004-04-21
264 1b Springer Science and Business Media LLC,c 2004
338 a print2 rdacarrier
520 a The aim of this study was to evaluate radiation dose and patient discomfort/pain in radial artery access vs femoral artery access in percutaneous coronary intervention (PCI). Dose-area product (DAP) was measured non-randomised for 114 procedures using femoral access and for 55 using radial access. The patients also responded to a questionnaire concerning discomfort and pain during and after the procedure. The mean DAP was 69.8 Gy cm2 using femoral access and 70.5 Gy cm2 using radial access. Separating the access site from confounding factors with a multiple regression, there was a 13% reduction in DAP when using radial access (p=0.038). Procedure times did not differ (p=0.81). Bed confinement was much longer in the femoral access group (448 vs 76 min, p=0.000). With femoral access, there was a significantly higher patient grading for chest (p=0.001) and back pain (p=0.003) during the procedure and for access site (p=0.000) and back pain (p=0.000) after the procedure. Thirty-two femoral access patients (28%) were given morphine-type analgesics in the post-procedure period compared to three radial access patients (5%, P=0.001). DAP does not increase when using radial instead of femoral access and the patients grade discomfort and pain much lower when using radial access. Radial access is thus beneficial to use.
653 a coronary intervention; coronary angiography
653 a technology; coronary vessels
653 a transluminal angioplasty; radiations
653 a exposure to patients; diagnostic radiology
653 a MEDICINE
653 a MEDICIN
700a Persliden, Jan,d 1950-u Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Medicinsk radiofysik,Radiofysikavdelningen4 aut0 (Swepub:liu)janpe60
710a Linköpings universitetb Hälsouniversitetet4 org
773t European Radiologyd : Springer Science and Business Media LLCg 14:9, s. 1674-1680q 14:9<1674-1680x 0938-7994x 1432-1084
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-23434
8564 8u https://doi.org/10.1007/s00330-004-2322-4

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