Effectiveness of manual pressure hemostasis following transfemoral coronary angiography in patients on therapeutic warfarin anticoagulation

被引：34

作者：

El-Jack, SS ^{[1
]}

Ruygrok, PN ^{[1
]}

Webster, MWI ^{[1
]}

Stewart, JT ^{[1
]}

Bass, NM ^{[1
]}

Armstrong, GP ^{[1
]}

Ormiston, JA ^{[1
]}

Pornratanarangsi, S ^{[1
]}

机构：

[1] Auckland City Hosp, Green Lane Cardiovasc Serv, Auckland, New Zealand

来源：

AMERICAN JOURNAL OF CARDIOLOGY | 2006年 / 97卷 / 04期

关键词：

D O I：

10.1016/j.amjcard.2005.09.079

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We evaluated the effectiveness of manual pressure hemostasis after transfemoral coronary angiography in patients on therapeutic warfarin anticoagulation (international normalized ratio [INR] 2.0 to 3.0) compared with discontinuing warfarin >= 48 hours before the procedure (INR < 2.0). There was a low incidence of small hematomas with either strategy (no significant difference) and no major vascular complications. No prolonged hospital stay due to an access site complication was observed, and no thromboembolic events occurred. In conclusion, transfemoral coronary angiography appears to be safe in patients on warfarin with an INR of 2.0 to 3.0). (c) 2006 Elsevier Inc. All rights reserved.

引用

页码：485 / 488

页数：4

共 9 条

[1] Managing oral anticoagulant therapy [J].

Ansell, J ;

Hirsh, J ;

Dalen, J ;

Bussey, H ;

Anderson, D ;

Poller, L ;

Jacobson, A ;

Deykin, D ;

Matchar, D .

CHEST, 2001, 119 (01) :22S-38S

[2] Perioperative management of patients receiving oral anticoagulants - A systematic review [J].

Dunn, AS ;

Turpie, AGG .

ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (08) :901-908

[3]

Grossman W., 2000, GROSSMANS CARDIAC CA, P1

[4] Coronary angiography in the fully anticoagulated patient: The transradial route is successful and safe [J].

Hildick-Smith, DJR ;

Walsh, JT ;

Lowe, MD ;

Petch, MC .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2003, 58 (01) :8-10

[5] Elective coronary angiography and percutaneous coronary intervention during uninterrupted warfarin therapy [J].

Jessup, DB ;

Coletti, AT ;

Muhlestein, JB ;

Barry, WH ;

Shean, FC ;

Whisenant, BK .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2003, 60 (02) :180-184

[6] CARDIAC CATHETERIZATION DURING ANTICOAGULANT THERAPY [J].

KLOSTER, FE ;

BRISTOW, JD ;

SEAMAN, AJ .

AMERICAN JOURNAL OF CARDIOLOGY, 1971, 28 (06) :675-&

[7]

POPMA JJ, 2001, HEART DIS TXB CARDIO, P387

[8]

ten Berg JM, 2001, CIRCULATION, V103, P2042

[9]

ten Berg JM, 2000, CIRCULATION, V102, P386

← 1 →