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.
Abstract

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