Demonstrate stability in minimally incised cardiovascular procedures in high-risk bleeding groups

Dec 05, 2024

Demonstrate stability in minimally incised cardiovascular procedures in high-risk bleeding groups



A research team led by Kim Yong-cheol, Noh Ji-woong, and Lee Oh-hyun of Yonsei University's Yongin Severance Hospital, and Jin In-tae, a clinical instructor of Severance Hospital's cardiology, proved the stability of cardiovascular procedures using the minimum incision approach in patients at high risk of bleeding.

Cardiovascular procedures have traditionally been performed through the femoral artery, but recently, the radial artery (wrist artery) is mainly used to lower the risk of bleeding and cardiovascular accidents.

The minimal incision approach, 'Snuffbox approach', is a procedure method that uses blood vessels in the back of the hand, which is smaller in diameter among radial arteries. This approach, which is emerging as an alternative to the existing radial artery approach, has the advantage of reducing the likelihood of radial artery obstruction after the procedure and reducing complications at the treatment site due to easy hemostasis.




The research team analyzed data from patients who underwent cardiovascular procedures using the snuffbox approach at 14 medical institutions in Korea from 2019 to 2021. In the study, high-risk groups for bleeding were identified according to age, kidney function, anemia levels, and anticoagulant use to confirm the effect of the minimal incision approach on the patient's course.

As a result of the study, the incidence of complications at the treatment site in the high-risk and non-risk groups of bleeding was similar, and none of the serious bleeding cases occurred.

Professor Lee Oh-hyun said that "the minimal incision approach is a way to further enhance patient safety after the procedure" and that "this study is of great significance in confirming the stability of the procedure, especially in patients at high risk of bleeding".




Professor Noh Ji-woong added "In the rapidly aging Korean society, the number of patients vulnerable to bleeding will continue to increase" and "A minimal incision approach will enable safer and more effective cardiovascular procedures."

The results of the study were recently published in the online edition of the Korean Heart Journal 'Korean Circulation Journal (IF 3.0)'.

Demonstrate stability in minimally incised cardiovascular procedures in high-risk bleeding groups
From left, Kim Yong-cheol, Noh Ji-woong, and Lee Oh-hyun, clinical instructor Jin In-tae





This article was translated by Naver AI translator.