[Doppler ultrasound imaging of the radial artery after catheterization]

B Bertrand1, Y Sene, O Huygue

  • 1Hôpital du Val-de-Grâce, service de cardiologie, 74, boulevard de Port-Royal, 75230 Paris, France.

Annales De Cardiologie Et D'Angeiologie
|August 27, 2003
PubMed

Insights

Transradial coronary angiography and angioplasty have minimal vascular risk. Radial artery occlusion is rare and typically without clinical consequence after these procedures.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Transradial access for coronary procedures is increasingly common.
  • Vascular complications, specifically radial artery occlusion, are a concern.
  • The incidence and clinical impact of radial artery occlusion post-procedure are not well-established.

Purpose of the Study:

  • To prospectively evaluate the incidence and consequences of radial artery occlusion after transradial coronary angiography and angioplasty.
  • To assess the clinical significance of radial artery occlusion in patients undergoing these procedures.

Main Methods:

  • A prospective study involving 300 patients with a positive Allen test.
  • Radial artery patency assessed via physical and ultrasound examinations.
  • Evaluations conducted before, at discharge, and at 3-month follow-up.

Main Results:

  • Radial artery occlusion rate was 1.3% at discharge.
  • Occlusion rate decreased to less than 1% at 3-month follow-up.
  • No ischemic complications or significant changes in radial artery diameter or flow were observed.

Conclusions:

  • The risk of radial artery occlusion following transradial coronary procedures is minor.
  • Radial artery occlusion in this context appears to be clinically inconsequential.

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