open access

Vol 74, No 1 (2016)
Original articles
Published online: 2015-06-18
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Comparison of patient comfort after coronary angiography by standard arterial access approaches

Joanna K. Rutka, Krzysztof Bryniarski, Tomasz Tokarek, Grzegorz Dębski, Agata Krawczyk, Anna Żabówka, Zbigniew Siudak, Dariusz Dudek
DOI: 10.5603/KP.a2015.0118
·
Kardiol Pol 2016;74(1):68-74.

open access

Vol 74, No 1 (2016)
Original articles
Published online: 2015-06-18

Abstract

Background: Radial access during coronary angiography has become an increasingly popular alternative to femoral access. The procedural outcomes and complications of these two approaches have been thoroughly evaluated; however, no studies have focused exclusively on the postprocedural quality of life of patients.

Aim: To determine and compare both methods from the patient’s point of view.

Methods: Data were gathered from 165 consecutive patients scheduled for elective coronary angiography (from October 2011 to June 2012). The choice of the access site was left at operator’s discretion. Femoral and radial groups consisted of 91 and 74 patients, respectively. Quality of life was assessed by the Short Form of the McGill Questionnaire and a self-designed questionnaire (Questionnaire II) consisting of eight questions evaluating the procedure-specific aspects of recovery time. After three months from index hospitalisation post-discharge interviews were conducted using a modified version of Questionnaire II with an additional two questions.

Results: Patients from the transfemoral approach group characterised their pain (according to McGill Questionnaire) more often as aching (mean value ± SD: 0.84 ± 1.2 vs. 0.21 ± 0.6; p = 0.003), heavy (0.29 vs. 0.027; p = 0.02), and exhausting (0.22 ± 0.7 vs. 0.07 ± 0.2; p = 0.037). Moreover, in Questionnaire II they indicated tenderness of the puncture site (0.42 ± 0.8 vs. 0.23 ± 0.07; p = 0.00004) more frequently.

Conclusions: The quality of life of patients who underwent coronary angiography from radial access was remarkably better in terms of pain characteristic and overall discomfort.

Abstract

Background: Radial access during coronary angiography has become an increasingly popular alternative to femoral access. The procedural outcomes and complications of these two approaches have been thoroughly evaluated; however, no studies have focused exclusively on the postprocedural quality of life of patients.

Aim: To determine and compare both methods from the patient’s point of view.

Methods: Data were gathered from 165 consecutive patients scheduled for elective coronary angiography (from October 2011 to June 2012). The choice of the access site was left at operator’s discretion. Femoral and radial groups consisted of 91 and 74 patients, respectively. Quality of life was assessed by the Short Form of the McGill Questionnaire and a self-designed questionnaire (Questionnaire II) consisting of eight questions evaluating the procedure-specific aspects of recovery time. After three months from index hospitalisation post-discharge interviews were conducted using a modified version of Questionnaire II with an additional two questions.

Results: Patients from the transfemoral approach group characterised their pain (according to McGill Questionnaire) more often as aching (mean value ± SD: 0.84 ± 1.2 vs. 0.21 ± 0.6; p = 0.003), heavy (0.29 vs. 0.027; p = 0.02), and exhausting (0.22 ± 0.7 vs. 0.07 ± 0.2; p = 0.037). Moreover, in Questionnaire II they indicated tenderness of the puncture site (0.42 ± 0.8 vs. 0.23 ± 0.07; p = 0.00004) more frequently.

Conclusions: The quality of life of patients who underwent coronary angiography from radial access was remarkably better in terms of pain characteristic and overall discomfort.

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Keywords

quality of life, radial access, coronary angiography

About this article
Title

Comparison of patient comfort after coronary angiography by standard arterial access approaches

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 74, No 1 (2016)

Pages

68-74

Published online

2015-06-18

DOI

10.5603/KP.a2015.0118

Bibliographic record

Kardiol Pol 2016;74(1):68-74.

Keywords

quality of life
radial access
coronary angiography

Authors

Joanna K. Rutka
Krzysztof Bryniarski
Tomasz Tokarek
Grzegorz Dębski
Agata Krawczyk
Anna Żabówka
Zbigniew Siudak
Dariusz Dudek

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