Abstract book 6th RMS 16.indd

antiplatelet therapy markedly increases
the risk of catastrophic stent thrombosis
and death or MI; for that reason elective
procedures for which there is significant
risk of perioperative or postoperative
bleeding should be deferred until patients
have completed an appropriate course of
thienopyridine therapy (12 months after
DES implantation if they are not at high risk
of bleeding and a minimum of 1 month for
bare-metal stent implantation) by which
time stents are generally endothelialized
and antiplatelet therapy completed.
The purpose of this presentation, Dr Wael
Al-Husami will provide a comprehensive
review of the value of percutaneous
coronary intervention prior to surgery if
any and to review the current updated
guidelines and treatment strategies for
patients who has CAD and required
non-cardiac surgery.
334
A Prospective Cohort Study on
the Use of Transradial Approach at
Queen Alia Heart Institute
Abdallah Omeish MD, Ziad Drabaa, Wasfi
Abbadi , Shadwan Faqeeh , Raed Alamlih ,
* Consultant Interventional Cardiologist, QAHI
(Jordan)
abdallah.omeish@yahoo.com
Objectives: To report our experience with
Transradial approach (TRA) for coronary
angiography (CA) as compared with TFA
(transfemoral approach ) at Queen Alia
Heart Institute (QAHI). Nothing is known
or was published about TRA in Jordan and
its surrounding countries.
Methods: This is a prospective, single
center, single operator (A.O) case control
trial that was performed between 1/1/2009
and 31/12/2010. The number of enrolled
patients was 420 patients (87% males)
who were referred for CA to rule out
coronary artery disease (CAD). Inclusion
criteria include patients at high bleeding
risk, obese , those with peripheral vascular
disease, patient request for TRA , need
for same-day patient discharge and lastly
patients who were included to allow for a
minimum of 420 patients to be enrolled in
the trial.
Results: The overall frequency of TRA
in our center was 12.2 %. For TRA
group, success rate was 93.3% .Total
conversion rate to different entry sites
was 6.7 %( 14/210 pts) with no access
site bleeding, perforation or hand
ischemia. Most common complications
were hand numbness and forearm pain .
Asymptomatic loss of radial pulse was seen
in