Randomized study for a novel elbow joint fixation device on postoperative complications in patients undergoing percutaneous coronary diagnostic or therapeutic procedures through the brachial artery.
3D printing
Brachial artery
Novel elbow joint fixation device
Percutaneous coronary diagnostic
Therapeutic procedures
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
04 09 2024
04 09 2024
Historique:
received:
21
02
2024
accepted:
26
08
2024
medline:
5
9
2024
pubmed:
5
9
2024
entrez:
4
9
2024
Statut:
epublish
Résumé
Brachial artery access for coronary diagnostic or therapeutic procedures is associated with a greater risk of vascular complications. To determine whether 3D printing of a novel elbow joint fixation device could reduce postoperative complications after percutaneous coronary diagnostic or therapeutic procedures through the brachial artery. Patients who underwent percutaneous coronary diagnostic or therapeutic procedures by brachial access were randomly assigned to receive either a 3D-printed elbow joint fixation device (brace group) or traditional compression (control group) from March 2023 to December 2023. The severity of puncture site-related discomfort at 24 h postsurgery was significantly lower in the brace group (P = 0.014). Similarly, the upper arm calibration rate at 24 h postsurgery was significantly lower in the brace group [0.024 (0.019-0.046) vs. 0.077 (0.038-0.103), P < 0.001], as was the forearm calibration rate [0.026 (0.024-0.049) vs. 0.050 (0.023-0.091), P = 0.007]. The brace group had a significantly lower area of subcutaneous hemorrhage at 24 h postsurgery [0.255 (0-1.00) vs. 1 (0.25-1.75) cm
Identifiants
pubmed: 39232071
doi: 10.1038/s41598-024-71241-5
pii: 10.1038/s41598-024-71241-5
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
20535Subventions
Organisme : Sichuan Provincial Department of Science and Technology
ID : 2023JDKP0051
Organisme : Deyang City Science and technology plan project
ID : 2022SZ081
Organisme : Deyang City Science and technology plan project
ID : 2023SZZ003
Informations de copyright
© 2024. The Author(s).
Références
Dehmer, G. J. et al. 2023 AHA/ACC clinical performance and quality measures for coronary artery revascularization: A report of the American college of cardiology/American heart association joint committee on performance measures. Circ. Cardiovasc. Qual. Outcomes 16(9), e00121 (2023).
doi: 10.1161/HCQ.0000000000000121
pubmed: 37499042
Goel, S. et al. Left main percutaneous coronary intervention-radial versus femoral access: A systematic analysis. Catheter Cardiovasc. Interv. 95(7), E201–E213 (2020).
doi: 10.1002/ccd.28451
pubmed: 31430040
Riangwiwat, T., Mumtaz, T. & Blankenship, J. C. Barriers to use of radial access for percutaneous coronary intervention. Catheter Cardiovasc. Interv. 96(2), 268–273 (2020).
doi: 10.1002/ccd.28619
pubmed: 31797564
Lawton, J. S. et al. 2021 ACC/AHA/SCAI guideline for coronary artery revascularization: A report of the American college of cardiology/American heart association joint committee on clinical practice guidelines. Circulation 145(3), e18–e114 (2022).
pubmed: 34882435
Mueller, R. L. & Sanborn, T. A. The history of interventional cardiology: Cardiac catheterization, angioplasty, and related interventions. Am. Heart J. 129(1), 146–172 (1995).
doi: 10.1016/0002-8703(95)90055-1
pubmed: 7817908
Mele, M. et al. How brachial access compares to femoral access for invasive cardiac angiography when radial access is not feasible: A meta-analysis. J. Vasc. Access 27, 11297298221145752 (2022).
Kaluski, E., Shah, A. & Bianco, M. Brachial artery access: Easy way in…But cautious way out. Cardiovasc. Revasc. Med. 21(10), 1274–1275 (2020).
doi: 10.1016/j.carrev.2020.07.020
pubmed: 32792220
Koziarz, A. et al. The use of vascular closure devices for brachial artery access: A systematic review and meta-analysis. J. Vasc. Interv. Radiol. 34(4), 677–684 (2023).
doi: 10.1016/j.jvir.2022.12.022
pubmed: 36526077
Koreny, M. et al. Arterial puncture closing devices compared with standard manual compression after cardiac catheterization: Systematic review and meta-analysis. JAMA 291(3), 350–357 (2004).
doi: 10.1001/jama.291.3.350
pubmed: 14734598
Claire, Y. et al. Photopolymerizable biomaterials and light-based 3D printing strategies for biomedical applications. Chem. Rev. 120(19), 10695–10743 (2020).
doi: 10.1021/acs.chemrev.9b00810
Pavan Kalyan, B. G. & Lalit, K. 3D printing: Applications in tissue engineering, medical devices, and drug delivery. AAPS PharmSciTech 23(4), 92–92 (2022).
doi: 10.1208/s12249-022-02242-8
pubmed: 35301602
Ho, K. L. et al. Personalized assistive device manufactured by 3D modelling and printing techniques. Disabil. Rehabil. Assist. Technol. 14(5), 526–531 (2019).
doi: 10.1080/17483107.2018.1494217
Liu, Z. et al. Trends in percutaneous coronary intervention in China: Analysis of China PCI registry data from 2010 to 2018. Cardiol. Plus 7, 118–124 (2022).
Protty, M. et al. Brachial arterial access for PCI: An analysis of the British cardiovascular intervention society database. EuroIntervention 17(13), 1100–1103 (2022).
doi: 10.4244/EIJ-D-21-00294
pubmed: 34278994
pmcid: 9724922
Mantripragada, K., Abadi, K., Echeverry, N., Shah, S. & Snelling, B. Transbrachial access site complications in endovascular interventions: A systematic review of the literature. Cureus 14(6), e25894 (2022).
pubmed: 35844321
pmcid: 9278800
Yi, H. et al. A novel femoral artery compression device (butterfly compress) versus manual compression for hemostasis after femoral artery puncture: A randomized comparison. Minim. Invasive Ther. Allied Technol. 31(1), 50–57 (2022).
doi: 10.1080/13645706.2020.1773856
pubmed: 32536286
Kennedy, S. A. et al. Complication rates associated with antegrade use of vascular closure devices: A systematic review and pooled analysis. J. Vasc. Surg. 73(2), 722–730 (2021).
doi: 10.1016/j.jvs.2020.08.133
pubmed: 32950629