Comparison of Pain Levels of Traditional Radial, Distal Radial, and Transfemoral Coronary Catheterization

dc.contributor.author Aslan, Muzaffer
dc.contributor.author Gunlu, Serhat
dc.contributor.author Karahan, Mehmet Zulkuf
dc.contributor.author Kilic, Raif
dc.contributor.author Guzel, Tuncay
dc.contributor.author Aktan, Adem
dc.contributor.author Arslan, Bayram
dc.date.accessioned 2023-12-11T12:07:37Z
dc.date.accessioned 2025-09-17T14:28:16Z
dc.date.available 2023-12-11T12:07:37Z
dc.date.available 2025-09-17T14:28:16Z
dc.date.issued 2023
dc.description Kilic, Raif/0000-0002-8338-4948; Arslan, Bayram/0000-0003-2984-9094; Karahan, Mehmet Zulkif/0000-0001-8145-9574; Gunlu, Serhat/0000-0001-6985-6112; Guzel, Tuncay/0000-0001-8470-1928 en_US
dc.description.abstract OBJECTIVE: The aim of our study was to compare the traditional radial artery, distal radial artery, and transfemoral artery, which are vascular access sites for coronary angiography, in terms of pain level using the visual analog scale.METHODS: Between April 2021 and May 2022, consecutive patients from three centers were included in our study. A total of 540 patients, 180 from each of the traditional radial artery, distal radial artery , and transfemoral artery groups, were included. The visual analog scale was applied to the patients as soon as they were taken to bed. RESULTS: When the visual analog scale was compared between the groups, it was found to be significantly different (transfemoral artery: 2.7 & PLUSMN;1.6, traditional radial artery: 3.9 & PLUSMN;1.9, and distal radial artery: 4.9 & PLUSMN;2.1, respectively, p<0.001). When the patients were classified as mild, moderate, and severe based on the visual analog scale score, a significant difference was found between the groups in terms of body mass index, process time, access time, and number of punctures (p<0.001). Based on the receiver operating characteristic analysis, body mass index>29.8 kg/m2 predicted severe pain with 72.5% sensitivity and 73.2% specificity [(area under the curve: 0.770, 95%CI: 0.724-0.815, p<0.0001)].CONCLUSION: In our study, we found that the femoral approach caused less access site pain and a high body mass index predicts severe pain. en_US
dc.identifier.doi 10.1590/1806-9282.20230198
dc.identifier.issn 0104-4230
dc.identifier.issn 1806-9282
dc.identifier.scopus 2-s2.0-85165521072
dc.identifier.uri https://doi.org/10.1590/1806-9282.20230198
dc.identifier.uri https://hdl.handle.net/20.500.12514/9491
dc.language.iso en en_US
dc.publisher Assoc Medica Brasileira en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.subject Visual Analog Scale en_US
dc.subject Coronary Angiography en_US
dc.subject Radial Artery en_US
dc.subject Femoral Artery en_US
dc.title Comparison of Pain Levels of Traditional Radial, Distal Radial, and Transfemoral Coronary Catheterization en_US
dc.type Article en_US
dspace.entity.type Publication

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