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[Vascular complications of percutaneous transradial coronary angiography and coronary intervention]

Magnus W Prull1, Bodo Brandts, Henning Rust

  • 1Medizinische Klinik II, Schwerpunkte Kardiologie und Angiologie, Marienhospital Herne, Klinikum der Ruhr-Universität, Bochum. Magnus.W.Prull@rub.de

Medizinische Klinik (Munich, Germany : 1983)
|July 13, 2005
PubMed

Insights

Transradial coronary angiography and intervention is a safe procedure with a high success rate. This study found no significant perfusion deficits in the hand following the procedure, indicating its safety for patients.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Transradial coronary angiography and intervention can lead to vascular complications affecting hand perfusion.
  • Severe complications like hand ischemia and digital artery occlusion are rarely reported.

Purpose of the Study:

  • To investigate the occurrence of vascular complications after percutaneous transradial artery coronary angiography and intervention.
  • To assess the safety and efficacy of the transradial approach for coronary procedures.

Main Methods:

  • A consecutive series of 93 patients undergoing transradial coronary angiography/intervention were studied.
  • Vascular parameters including radial artery diameter, blood volume, flow velocity, and occlusion pressure were measured before and after the procedure.
  • Procedural success was evaluated, and stenosis was graded using the peak velocity ratio.

Main Results:

  • The procedure was successful in 97.2% of patients.
  • Mean radial artery diameter significantly increased post-intervention (p=0.002).
  • Vascular complications occurred in 10% of patients, but no perfusion deficits of digital arteries were observed.

Conclusions:

  • Transradial coronary angiography and intervention is a safe method.
  • The procedure demonstrates a high success rate with minimal vascular complications.
  • The transradial approach is a viable option for coronary angiography and intervention.
Abstract

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