<strong>Background: </strong><span style="font-family:Verdana;">Radial artery catheterization is a fundamental approach that is used as a procedural access in the different catheterization ...<strong>Background: </strong><span style="font-family:Verdana;">Radial artery catheterization is a fundamental approach that is used as a procedural access in the different catheterization laboratories so our study is a</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">compari</span><span style="font-family:Verdana;">s</span><span style="font-family:;" "=""><span style="font-family:Verdana;">on between distal radial artery approach and convential traditional transradial approach to explore the fesibility and safety of coronary angiography and percutanous coronary. </span><b><span style="font-family:Verdana;">Aim of the Work: </span></b><span style="font-family:Verdana;">The purpose of our study is a comparison between the conventional transradial approach versus distal transradial approach for diagnostic and interventional coronary procedures. </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">This </span></span><span style="font-family:Verdana;">is </span><span style="font-family:Verdana;">a</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">prospective study that included 60 patients who presented to the Cardiology departments in Ahmed Maher</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">Teaching Hospital from December 2018 until October 2019 to perform planned Transradial Coronary Angiography and/or coronary intervention</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">T</span><span style="font-family:Verdana;">he study </span><span style="font-family:Verdana;">is </span><span style="font-family:;" "=""><span style="font-family:Verdana;">divided into two groups, group (A) included 30 patients who undergone the procedure through the distal radial approach (The Anatomical Snuffbox)</span><b></b><span style="font-family:Verdana;">and group (B) included 30 patients who unde展开更多
<strong>Background:</strong> The prevalence of both cardiovascular mortality and vascular calcification is much higher in patients with chronic kidney disease (CKD) than in the general population so early ...<strong>Background:</strong> The prevalence of both cardiovascular mortality and vascular calcification is much higher in patients with chronic kidney disease (CKD) than in the general population so early detection and intervention of VC may prevent or delay the progression and achieve improved patient outcomes. <strong>Objectives:</strong> To detect different predictors of vascular calcification in haemodialysis patients. <strong>Methods:</strong> This was a cross sectional observational study that included 85 patients with end stage renal disease (ESRD) on regular dialysis 47 males and 38 females ranged between 18 and 80 years old selected from Nephrology Unit, Internal Medicine Department, Menoufia University Hospital from April 2019 to May 2020. Serum calcium, phosphorus, alkhaline phosphatase, intact PTH, serum Matrix GLA protein, vitamin D and non-contrast CT for calcium scoring of femoral arteries were performed. <strong>Results:</strong> There was a significant correlation between age of the patient by years (p value 0.0001), serum calcium (p value 0.0001), phosphate (0.0001), calcium phosphate products (p value 0.0001) and alkhaline phosphatase (0.0001), and vascular calcification score detected by non-contrast CT on femoral arteries and negative correlation between serum Matrix GLA protein p value 0.0001) and the detected calcification score;the lower the MGP level the higher calcification score while there was no correlation between body mass index (BMI) (p value 0.021) intact PTH (p value 0.117), serum vitamin D level (p value 0.643), serum albumin (p value 0.643), serum haemoglobin (p value 0.257) and duration of dialysis (p value 0.260) and the detected score. Serum phosphate and calcium phosphorus product are independent risk factors for vascular calcification severity in haemodialysis patients. <strong>Conclusions:</strong> serum phosphate, calcium phosphate products are risk factors for vascular calcification while intact PTH vitamin D has no significant role in developing vascular calcification 展开更多
文摘<strong>Background: </strong><span style="font-family:Verdana;">Radial artery catheterization is a fundamental approach that is used as a procedural access in the different catheterization laboratories so our study is a</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">compari</span><span style="font-family:Verdana;">s</span><span style="font-family:;" "=""><span style="font-family:Verdana;">on between distal radial artery approach and convential traditional transradial approach to explore the fesibility and safety of coronary angiography and percutanous coronary. </span><b><span style="font-family:Verdana;">Aim of the Work: </span></b><span style="font-family:Verdana;">The purpose of our study is a comparison between the conventional transradial approach versus distal transradial approach for diagnostic and interventional coronary procedures. </span><b><span style="font-family:Verdana;">Materials and Methods: </span></b><span style="font-family:Verdana;">This </span></span><span style="font-family:Verdana;">is </span><span style="font-family:Verdana;">a</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">prospective study that included 60 patients who presented to the Cardiology departments in Ahmed Maher</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">Teaching Hospital from December 2018 until October 2019 to perform planned Transradial Coronary Angiography and/or coronary intervention</span><span style="font-family:Verdana;">.</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">T</span><span style="font-family:Verdana;">he study </span><span style="font-family:Verdana;">is </span><span style="font-family:;" "=""><span style="font-family:Verdana;">divided into two groups, group (A) included 30 patients who undergone the procedure through the distal radial approach (The Anatomical Snuffbox)</span><b></b><span style="font-family:Verdana;">and group (B) included 30 patients who unde
文摘<strong>Background:</strong> The prevalence of both cardiovascular mortality and vascular calcification is much higher in patients with chronic kidney disease (CKD) than in the general population so early detection and intervention of VC may prevent or delay the progression and achieve improved patient outcomes. <strong>Objectives:</strong> To detect different predictors of vascular calcification in haemodialysis patients. <strong>Methods:</strong> This was a cross sectional observational study that included 85 patients with end stage renal disease (ESRD) on regular dialysis 47 males and 38 females ranged between 18 and 80 years old selected from Nephrology Unit, Internal Medicine Department, Menoufia University Hospital from April 2019 to May 2020. Serum calcium, phosphorus, alkhaline phosphatase, intact PTH, serum Matrix GLA protein, vitamin D and non-contrast CT for calcium scoring of femoral arteries were performed. <strong>Results:</strong> There was a significant correlation between age of the patient by years (p value 0.0001), serum calcium (p value 0.0001), phosphate (0.0001), calcium phosphate products (p value 0.0001) and alkhaline phosphatase (0.0001), and vascular calcification score detected by non-contrast CT on femoral arteries and negative correlation between serum Matrix GLA protein p value 0.0001) and the detected calcification score;the lower the MGP level the higher calcification score while there was no correlation between body mass index (BMI) (p value 0.021) intact PTH (p value 0.117), serum vitamin D level (p value 0.643), serum albumin (p value 0.643), serum haemoglobin (p value 0.257) and duration of dialysis (p value 0.260) and the detected score. Serum phosphate and calcium phosphorus product are independent risk factors for vascular calcification severity in haemodialysis patients. <strong>Conclusions:</strong> serum phosphate, calcium phosphate products are risk factors for vascular calcification while intact PTH vitamin D has no significant role in developing vascular calcification
