Trans-radial Angiogram held at CMC for the first time in Imphal,Manipur


IMPHAL, Jan 16:  For the first time in Manipur, Trans-radial Angiogram was performed by Dr. V Mohanty MD DM, the visiting consultant yesterday,at Catholic Medical Centre (CMC Hospital), Koirengei in collaboration with Medica Superspeciality Hospital, Kolkata on two patients  S Hansing 58 Years from Dimapur at 09:00 pm and  Thanmi  40 Years from Ukhrul at 10:00 pm) admitted in this hospital.
According to the release from the CMC hospital Koirengie in an angiography – the study of heart arteries – miniature tubes are used to reach the arteries from the groin for injecting a dye to make blockages visible.  “Conventionally, this has been done through an artery in the groin – the femoral artery. Newer techniques that are now available include trans-radial and CT (computerised tomography) angiography,” The trans-radial method is safer, economical, and a “walk-in, walk-out” outpatient process compared to other procedures.
The release further mentioned that, In this procedure, an angiogram is performed through the small (radial) artery in the wrist rather than the femoral artery, Patients are able to sit, eat and walk unlike after other procedures done through the groin where bed rest is needed for eight to 12 hours.” The advantages of the trans-radial access: less bleeding (particularly for women), fewer complications, much quicker recovery. The artery is easily accessible and is easy to palpate. Its superficial location also makes the artery easy to compress. This is particularly important in anticoagulated patients when the radial approach offers the best means of maintaining haemostasis. Radial approach provides comfort for patients because the procedure assures them the ability to mobilise. In fact, it is possible for patients who have undergone this procedure to walk from the lab table and back to the ward. It is easier to notice and control bleeding from the radial artery. The femoral artery on the other hand lies deeper in the leg and compressing the artery can be difficult. In addition bleeding would be considerably significant by the time a haematoma is noted. The limitations and risks involved via femoral approach in the presence of vascular disease and for obese patients are overcome in the radial method it added.
The trans-radial technique cost less than the femoral technique. And the “left wrist technique” did on the left wrist, allowing patients to go about their daily chores by using the right hand immediately after the procedure the release added.

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