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- Title
Transradyal Koroner Anjiyografide Miyokardiyal Köprüleşme Sıklığı: Kokteyl Bileşenlerinin Etkisi .
- Authors
Said COŞGUN, Muharrem; EMİR, İzzet
- Abstract
Objective: The incidence of myocardial bridging varies greatly according to the sensitivity of imaging modalities. In this study, we aimed to examine the effects of different cocktail components used in conventional coronary angiography performed with radial access on the detection of myocardial bridging. Material and Method: A total of 1,974 patients who underwent conventional coronary angiography with the diagnosis of stable angina pectoris were reviewed retrospectively. Patients who underwent conventional coronary angiography with radial access were divided into groups that were given diltiazem (group‐1, n=640) and not given it (group‐2, n=918) according to available cocktail components. The control group consisted of patients who underwent conventional coronary angiography with femoral access (n=416). All demo‐ graphic and clinical characteristics of the patients were compared between the groups. Results: Myocardial bridging was detected in 119 of the total participants (6%) ‐ 60 patients in group‐1, 49 patients in group‐2, and 10 patients in CG, calculated as 9.4%, 5.3%, and 2.4%, respectively. The incidence of myocardial bridging was significantly lower in control group compared to group‐1 and group‐2 (p <0.001 and p=0.001, respectively). None of the patients had multiple vessel involvement. The most involved coronary artery was left anterior descending (94/119 or 79%), and the most affected part of the vessels was the mid‐ segment (97/119 or 81.5%). The median length of tunneled arteries was 23 [14‐26] mm. It was mild in more than half of myocardial bridging (62/119 or 52.1%). There was no significant difference between the groups in terms of an involved vessel, affected segment, tunneled artery length, and myocardial bridging severity. Conclusion: This study showed that the incidence of myocardial bridging was higher in patients undergoing conventional coronary an‐ giography with radial access than with femoral access, and it varied depending on the agents in the cocktail used.
- Subjects
CORONARY angiography; ANGINA pectoris; CORONARY arteries; DILTIAZEM; ARTERIES; MYOCARDIAL perfusion imaging; CHEST pain; MUCOCUTANEOUS lymph node syndrome
- Publication
MN Cardiology / MN Kardiyoloji, 2022, Vol 29, Issue 3, p126
- ISSN
1300-4778
- Publication type
Article