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Updated: Jul 9, 2025
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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
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Open Radial Artery Study
Ibrahim H Inanc1, Deniz Mutlu2, Zeynep N Efe3
1Department of Cardiology, Kırıkkale Yuksek Ihtisas Hospital, Kırıkkale, Turkey.
The American Journal of Cardiology
|November 30, 2023
Summary
Patent hemostasis effectively prevents radial artery occlusion (RAO) after transradial artery access. This method is crucial for avoiding early and late complications, ensuring patient safety during coronary procedures.
Area of Science:
- Cardiology
- Vascular Surgery
- Interventional Cardiology
Background:
- Radial artery occlusion (RAO) is the most frequent complication following transradial artery access.
- Current methods for preventing RAO after transradial procedures are insufficient.
- Transradial access is widely used for coronary diagnostic and interventional procedures.
Purpose of the Study:
- To assess the efficacy of patent hemostasis in preventing early and late RAO.
- To evaluate the impact of patent hemostasis on other vascular access site complications.
Main Methods:
- The Open Radial Artery Study was a prospective, single-arm, multicenter trial.
- 2,181 patients undergoing transradial coronary procedures were analyzed.
- Primary endpoints included early (24 hours) and late (2 weeks) RAO.
Main Results:
- No instances of RAO, hematoma, pseudoaneurysm, arteriovenous fistula, or nerve damage were observed.
- Radial artery spasm occurred in 10% of patients.
- No catheter kinking, radial artery rupture, or dissection were reported.
Conclusions:
- Patent hemostasis appears to be a critical technique for preventing RAO after transradial access.
- This method contributes to the safety of transradial coronary procedures.
- Further research may confirm patent hemostasis as a standard preventative measure.
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