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Incidence and predictors of radial artery occlusion associated transradial catheterization
Abdullah Tuncez1, Zeynettin Kaya, Dursun Aras
11. Division of Cardiology, Konya Numune State Hospital, Konya.
Insights
Transradial approach (TRA) for cardiac catheterization shows high success. Female patients have a higher incidence of radial artery occlusion (RAO) compared to males, highlighting a key predictor.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Transradial approach (TRA) is increasingly used for cardiac catheterization.
- Radial artery occlusion (RAO) is a known complication of TRA.
- Understanding RAO predictors is crucial for patient safety and procedural success.
Purpose of the Study:
- To determine the incidence of RAO after TRA.
- To identify predictors of RAO in patients undergoing coronary angiography and percutaneous coronary intervention (PCI).
Main Methods:
- Prospective evaluation of 106 patients undergoing TRA for coronary procedures.
- Radial artery assessment by palpation at 3 hours and color Doppler ultrasonography at 24 hours.
- Recording of fluoroscopy duration, procedure success, and radial artery complications.
Main Results:
- Successful completion of procedures in all patients.
- RAO detected in 10 patients (8 female, 2 male), with a statistically significant higher incidence in females (p=0.019).
- No significant correlation found between other parameters and RAO; transient radial artery spasm occurred in 8 patients without gender association.
Conclusions:
- TRA is a safe and effective method for coronary artery disease diagnosis and treatment with low complication rates and economic benefits.
- Female gender is a significant predictor of RAO following TRA.
- Wider adoption of TRA and integration into cardiology residency programs are recommended.
Abstract:
In this study, we sought to assess the incidence and predictors of radial artery occlusion (RAO), which is a significant complication of transradial cardiac catheterization. We prospectively evaluated the results of 106 patients who underwent coronary angiography and percutaneous coronary intervention (PCI) via the transradial approach (TRA). At the 3(rd) h of intervention, the radial artery was checked by palpation; color doppler ultrasonography was performed at the 24(th) h. Fluoroscopy duration, procedure success, and complications of the radial artery were recorded. The procedure was successfully completed in all patients. RAO was detected in eight female and two male patients. In terms of RAO, there was a statistically significant difference between males and females (p=0.019). Other parameters did not show a significant correlation with RAO. Altough did not have any effect on procedural success, eight patients developed transient radial artery spasm. Gender was not associated with radial arterial spasms (p=0.19). TRA in the diagnosis and treatment of coronary artery disease has shown high procedural success and low complication rates; it addition, it presents a low economic burden. It should be used widely and be involved in the routine cardiology residency program.
Related Concept Videos
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Pre-Procedural Preparation
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
01:28Cardiac Catheterization I: Pre-Procedure Overview
01:12Arteries of the Upper Limbs
01:27Peripheral Artery Disease III: Interprofessional Care