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Radial artery occlusion and hand strength after percutaneous coronary procedures: Results of the HANGAR study
Alessandro Sciahbasi1, Stefano Rigattieri1, Alessandro Sarandrea2
1Interventional Cardiology Unit, Sandro Pertini Hospital, Rome, Italy.
Insights
Transradial percutaneous coronary procedures can cause radial artery occlusion. However, this study found no long-term reduction in hand or finger strength, with grip strength returning to baseline levels post-procedure.
Area of Science:
- Cardiology
- Vascular Surgery
- Hand Surgery
Background:
- Limited data exists on hand strength and function following radial artery occlusion after percutaneous coronary procedures.
- Transradial access is a common approach for percutaneous coronary interventions.
Purpose of the Study:
- To prospectively evaluate hand, thumb, and forefinger muscle force in patients experiencing prolonged radial artery occlusion post-transradial percutaneous coronary procedures.
- To assess the impact of radial artery occlusion on hand grip and pinch strength.
Main Methods:
- Prospective evaluation of elective patients with chronic stable angina undergoing percutaneous coronary procedures.
- Assessment of radial artery patency, Allen test, hand grip, and pinch tests before, immediately after, and at follow-up.
- Patients were stratified into two groups based on radial artery patency or occlusion at follow-up.
Main Results:
- Of 99 patients, 9.1% developed radial artery occlusion.
- Hand grip strength significantly decreased immediately after the procedure in both patent and occluded groups but returned to baseline at follow-up.
- Thumb and forefinger pinch tests showed no significant changes post-procedure or at follow-up compared to baseline.
Conclusions:
- Radial artery occlusion following percutaneous coronary procedures is not associated with a persistent reduction in hand and finger strength.
- Hand grip and pinch strength recover to baseline levels even in the presence of radial artery occlusion.
Objectives:
The aim of this prospective study was to evaluate muscle force of the hand, thumb, and forefinger in patients with prolonged radial occlusion after transradial percutaneous coronary procedures.
Background:
There are no data on hand strength and function in patients with prolonged radial occlusion after percutaneous coronary procedures.
Methods:
Elective patients with chronic stable angina undergoing percutaneous coronary procedures were evaluated the day before the procedure for radial artery patency, Allen test, hand grip, and thumb and forefinger pinch tests. The same measures were performed the day after the procedure and at follow-up. At follow-up, patients were divided in two groups according to the radial patency (group 1) or occlusion (group 2).
Results:
Of the 99 patients included in the study, 90 patients had a patent radial artery (group 1), and nine (9.1%) patients had an occluded artery (group 2). At baseline, there were no significant differences in hand grip test between the two groups (42 ± 11 kg in group 1 and 41 ± 17 kg in group 2, P = 0.74). In both groups, after the procedure, the hand grip test values was significantly reduced compared with baseline values (40 ± 11 kg in group 1, P < 0.0001 and 37 ± 17 kg in group 2, P = 0.007). Finally, at follow-up, in both groups, the hand grip test values returned to baseline values. Thumb and forefinger pinch tests did not show significant differences after the procedure and at follow-up, compared with baseline.
Conclusions:
Radial artery occlusion after percutaneous coronary procedures was not associated with a reduction in hand and finger strength.
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