{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T18:42:11Z","timestamp":1784227331638,"version":"3.55.0"},"reference-count":22,"publisher":"Akademiai Kiado Zrt.","issue":"1","license":[{"start":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T00:00:00Z","timestamp":1767484800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,1,4]]},"abstract":"\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n Tudom\u00e1nyos munk\u00e1nk c\u00e9lja volt megvizsg\u00e1lni a\n transradialis behatol\u00e1s biztons\u00e1goss\u00e1g\u00e1t \u00e9s hat\u00e9konys\u00e1g\u00e1t kr\u00f3nikus teljes\n coronariaocclusio rekanaliz\u00e1ci\u00f3j\u00e1ban.\n M\u00f3dszer:<\/jats:italic>\n 2016 \u00e9s 2019\n k\u00f6z\u00f6tt k\u00e9t cardiovascularis centrumban \u00f6sszesen 308 kr\u00f3nikus teljes\n coronariaocclusi\u00f3s beteget vontunk be prospekt\u00edv vizsg\u00e1latunkba. A\n transfemoralis behatol\u00e1sb\u00f3l v\u00e9gzett eseteket kiz\u00e1rtuk, \u00edgy 272, transradialis\n behatol\u00e1sb\u00f3l v\u00e9gzett kr\u00f3nikus teljes coronariaelz\u00e1r\u00f3d\u00e1s miatt coronaria\n intervenci\u00f3n \u00e1tesett beteg adatait dolgoztuk fel. Procedur\u00e1lisan sikeresnek\n tekintett\u00fck a beavatkoz\u00e1st, ha <50%-os rezidu\u00e1lis sz\u0171k\u00fclet maradt vissza a\n beavatkoz\u00e1s v\u00e9g\u00e9n. Vizsg\u00e1ltuk a beavatkoz\u00e1s sikeress\u00e9g\u00e9t, a major cardialis \u00e9s\n cerebralis esem\u00e9nyek el\u0151fordul\u00e1s\u00e1nak gyakoris\u00e1g\u00e1t, a vascularis komplik\u00e1ci\u00f3k\n ar\u00e1ny\u00e1t, a procedur\u00e1lis faktorokat.\n Eredm\u00e9nyek:<\/jats:italic>\n A 3 \u00e9ves\n vizsg\u00e1lati peri\u00f3dusban 272, komplex kr\u00f3nikus teljes coronariaocclusi\u00f3s eset\n percutan coronariaintervenci\u00f3j\u00e1t v\u00e9gezt\u00fck el transradialis behatol\u00e1sb\u00f3l. A\n betegek \u00e1tlag\u00e9letkora 73 \u00b1 9 \u00e9v volt, \u00e9s 74%-uk volt f\u00e9rfi. A procedur\u00e1lis siker\n 83,4%, m\u00edg a technikai siker ar\u00e1nya 64,7% volt. A major cardialis \u00e9s cerebralis\n esem\u00e9nyek 1 \u00e9ves el\u0151fordul\u00e1sa 15,6%, a vascularis sz\u00f6v\u0151dm\u00e9nyek el\u0151fordul\u00e1sa\n 2,57% volt. Procedur\u00e1lis komplik\u00e1ci\u00f3t 4,78%-ban \u00e9szlelt\u00fcnk. Az esetek 1,8%-\u00e1ban\n volt sz\u00fcks\u00e9g technikai okok miatt transradialisr\u00f3l transfemoralisra v\u00e1ltani a\n beavatkoz\u00e1s alatt. Az \u00e1tlagos kontrasztanyag-felhaszn\u00e1l\u00e1s 178 ml (176\u2013211), az\n \u00e1tlagos procedur\u00e1lis id\u0151 52,3 min (51,3\u201366,2) \u00e9s a sug\u00e1rd\u00f3zis 2140,5 (2110\u20132998)\n mGy volt.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n Eredm\u00e9nyeink alapj\u00e1n elmondhat\u00f3, hogy\n a transradialis behatol\u00e1sb\u00f3l v\u00e9gzett kr\u00f3nikus teljes coronariaelz\u00e1r\u00f3d\u00e1s percutan\n intervenci\u00f3ja biztons\u00e1gos \u00e9s sikeres beavatkoz\u00e1s, amely elfogadhat\u00f3 ar\u00e1ny\u00fa\n sz\u00f6v\u0151dm\u00e9nyr\u00e1t\u00e1val t\u00e1rsul. Orv Hetil. 2026; 167(1): 16\u201322.\n <\/jats:p>","DOI":"10.1556\/650.2026.33340","type":"journal-article","created":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T15:57:40Z","timestamp":1767542260000},"page":"16-22","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":1,"title":["Kr\u00f3nikus, teljes koszor\u00fa\u00e9r-elz\u00e1r\u00f3d\u00e1s rekanaliz\u00e1ci\u00f3ja transradialis behatol\u00e1sb\u00f3l"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6016-8371","authenticated-orcid":true,"given":"T\u00edmea","family":"Szigethi","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, Ga\u00e1l J. u. 9\u201311., 1122 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorottya","family":"Olajos","sequence":"additional","affiliation":[{"name":"B\u00e1cs-Kiskun V\u00e1rmegyei Oktat\u00f3k\u00f3rh\u00e1z, Invaz\u00edv Kardiol\u00f3giai Oszt\u00e1ly Kecskem\u00e9t Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Levente","family":"Moln\u00e1r","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, V\u00e1rosmajori Sz\u00edv- \u00e9s \u00c9rgy\u00f3gy\u00e1szati Klinika Budapest, Ga\u00e1l J. u. 9\u201311., 1122 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. 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