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Incidence of Radial Artery Occlusion in Patients Undergoing Percutaneous Coronary Intervention via Trans Radial
Syed Naseem Bukhari1, Imran Javed2, Muhammad Usman3
1Syed Naseem Bukhari, MBBS, FCPS, Assistant Professor, Department of Cardiology, Ch, Pervaiz Elahi Institute of Cardiology, Multan, Pakistan.
Insights
Radial artery occlusion (RAO) occurred in 4.0% of patients after trans-radial access (TRA) for percutaneous coronary intervention (PCI). Radial artery patency should be assessed before transcatheter procedures to prevent this complication.
Area of Science:
- Interventional Cardiology
- Vascular Access
- Cardiovascular Imaging
Background:
- Trans-radial access (TRA) is increasingly used for percutaneous coronary intervention (PCI).
- Radial artery occlusion (RAO) is a potential complication of TRA.
- Assessing the incidence of RAO is crucial for patient safety and procedural success.
Purpose of the Study:
- To determine the incidence of radial artery occlusion (RAO) in patients undergoing PCI via trans-radial access (TRA).
Main Methods:
- A descriptive study was conducted with 125 patients undergoing PCI via TRA.
- Radial artery occlusion was assessed 24 hours post-procedure using Doppler ultrasonography.
- Data analysis included descriptive statistics and a Chi-square test (P<0.05 significance).
Main Results:
- The study included 125 patients (87.2% male, mean age 65.22 years).
- Common comorbidities included hypertension (67.2%) and diabetes (32%).
- The incidence of RAO 24 hours post-TRA was 4.0% (5 patients).
Conclusions:
- Radial artery occlusion is a recognized complication following trans-radial access for PCI.
- Regular assessment of radial artery patency is recommended before utilizing TRA for procedures.
Objective:
To determine the incidence of radial artery occlusion (RAO) in patients undergoing percutaneous coronary intervention (PCI) via trans-radial access (TRA).
Method:
A descriptive study was carried out at the Department of interventional cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan from 30-April 2019 to 30-October 2020. One hundred and twenty-five patients, who underwent PCI by TRA were selected for this study. The presence of Radial artery occlusion was noted 24 hours after the procedure by Doppler ultrasonography. SPSS version 23 was used for data analysis. A Chi-square test was applied. P-value < 0.05 was taken as statistically significant.
Results:
Gender distribution revealed 109 (87.2%) males and 16 (12.8%) females. The mean age of the patients was 65.22 ± 11.54 years. The mean BMI of the patients was 29.93±4.87 kg/m2. 84 (67.2%) patients were hypertensive, 40 (32%) patients were diabetics, 22 (17.6%) patients were smoker and 24 (19.2%) patients were having dyslipidemia. RAO after 24 hours was found in 5(4.0%) patients.
Conclusion:
Radial artery occlusion is a common complication of trans-radial access so radial artery patency must be checked before using it for transcatheter procedures.
Related Concept Videos
Assessment of radial pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
Assessment of apical radial pulse
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
Arteries of the Upper Limbs
Peripheral Artery Disease III: Interprofessional Care
Cardiac Catheterization I: Pre-Procedure Overview
Peripheral Artery Disease I: Introduction

