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Vascular Complications Following Transradial and Transulnar Coronary Angiography in 1600 Consecutive Patients

George Hahalis1, Grigorios Tsigkas2, Stavros Kakkos3

  • 1Department of Cardiology, Patras University Hospital, Rio, Patras, Greece hahalisg@yahoo.com.

Angiology
|July 1, 2015
PubMed

Insights

Major noncoronary complications after transradial coronary procedures are rare, occurring in 0.44% of patients. Vigilance for these infrequent events following forearm procedures is recommended.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Transradial access is a common approach for coronary procedures.
  • Major noncoronary complications are considered rare following these interventions.

Purpose of the Study:

  • To determine the incidence and types of major noncoronary complications after transradial coronary procedures.
  • To highlight the importance of monitoring for adverse events.

Main Methods:

  • Prospective study of 1600 patients undergoing transradial coronary procedures.
  • Complete follow-up was conducted to identify complications.

Main Results:

  • Seven major complications were observed in 1600 patients, yielding an incidence of 0.44%.
  • Complications included intramyocardial contrast injection, compartment syndrome, hand ischemia, ulnar artery pseudoaneurysm, and arteriovenous fistula.

Conclusions:

  • Major noncoronary complications, though infrequent, can occur after transradial coronary procedures.
  • Continued surveillance for these complications is advised.
Abstract

Keywords:
complicationscoronary procedureshand ischemiaradial arteryulnar artery

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