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SHR Neuro Krebs Kardio Lipid

Di Serafino, L; Pyxaras, SA; Mangiacapra, F; Dierickx, K; Toth, G; Bartunek, J; De Bruyne, B; Van Mieghem, C; Wijns, W; Barbato, E.
Influence of transradial versus transfemoral diagnostic heart catheterisation on peripheral vascular endothelial function.
EuroIntervention. 2013; 8(11):1252-1258 [OPEN ACCESS]
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Autor/innen der Med Uni Graz:
Toth-Gayor Gabor
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Abstract:
Endothelium dysfunction has been reported in patients (pts) undergoing transradial catheterisation. Alterations of the hand microcirculation possibly associated with systemic inflammation have never previously been reported. We aimed at investigating possible alteration of hand endothelial microcirculation secondary to transradial heart catheterisation. We randomised 40 pts with stable angina undergoing coronary angiography to either transradial (TR, n=20) or transfemoral (TF, n=20) approach. At baseline (BL), 24 hours (24 hrs) and 30 days (FU: follow-up) after catheterisation we assessed: a) peripheral endothelial function (EndoScore [ES]) by peripheral arterial tonometry (EndoPAT); b) biomarkers of endothelial turnover (sE-Selectin) and inflammation (hs-CRP). No clinical or angiographic differences were observed between the two groups. At 24 hours, ES (BL: 0.42±0.27 vs. 24 hours: 0.27±0.19, p<0.05) significantly decreased in the TR group, but not in the TF group (BL: 0.44±0.34 vs. 24 hours: 0.45±0.39, n.s.). Both sE-Selectin and hs-CRP increased significantly at 24 hours in all pts. At 30 days, we observed in the TR group a restoration of ES (FU: 0.44±0.34, n.s. vs. BL; p<0.05 vs. 24 hours), while no difference was observed in the TF group. A reduction towards baseline was observed in both groups of sE-Selectin and hs-CRP. A transient impairment of the digital microcirculatory endothelial function is observed in patients undergoing transradial diagnostic catheterisation, beyond local mechanical injury at the arterial access and on top of the systemic inflammatory response associated with heart catheterisation.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Analysis of Variance -
Angina, Stable - diagnostic imaging
Angina, Stable - physiopathology
Belgium -
Biomarkers - blood
C-Reactive Protein - metabolism
Cardiac Catheterization - adverse effects
Cardiac Catheterization - methods
Catheterization, Peripheral - adverse effects
Catheterization, Peripheral - methods
Coronary Angiography - adverse effects
Coronary Angiography - methods
E-Selectin - blood
Endothelium, Vascular - immunology
Endothelium, Vascular - physiopathology
Female -
Femoral Artery -
Fingers - blood supply
Humans -
Inflammation Mediators - blood
Male -
Manometry -
Microcirculation -
Middle Aged -
Predictive Value of Tests -
Prospective Studies -
Punctures -
Radial Artery - immunology
Radial Artery - injuries
Radial Artery - physiopathology
Time Factors -
Vascular System Injuries - blood
Vascular System Injuries - immunology
Vascular System Injuries - physiopathology

Find related publications in this database (Keywords)
catheterisation
endothelial dysfunction
inflammation
microcirculation
transradial
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