RADIAL/BRACHIAL (ARM ANGIO) ANGIOGRAPHY

Angiography performed on the inguinal artery provides great convenience to the physician during the procedure due to the large inguinal veins. However, after the procedure, when the angio sheath in the vein is removed, hand pressure is applied for 10-15 minutes, and then pressure is applied with a sandbag for an hour and bed rest is required for approximately 4-5 hours. However, the pressure applied to the groin to prevent bleeding is sometimes not sufficient to compress the vein, especially in overweight patients, and the procedure causes some difficulties for the patient, even if it is small. Since the bleeding of the vein stops late, a sandbag is needed even for an hour to prevent swelling (hematoma), pain and bruising. Although the sandbag weighs 1 kg, it can cause a serious discomfort in the patient, and he will either have to make the toilet need in his bed or have to postpone it. All these events negatively affect the comfort of the patient. However, the angiography procedure performed through the radial artery (wrist) or brachial artery (elbow) intervention, which is one of the arm veins, provides quite comfort to the patients. No sandbag required. The patient’s discharge time is approximately 2 hours. However, this method also has limitations. The difficulty of the procedure in patients with thin veins and the difficulty of catheter manipulations in thin veins for the physician are the main ones. However, in good hands, the procedure is successfully completed in the vast majority of patients. Balloon and stent can be inserted in the same session with the aforementioned arm angio method, if necessary.

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