Anxiety Score as a Risk Factor for Radial Artery Vasospasm During Radial Interventions

Ercan, Süleyman; Ünal, Ahmet; Altunbaş, Gökhan; Kaya, Hilal; Davutoğlu, Vedat; Yüce, Murat; Özer, Orhan

doi:10.1177/0003319713488931

Cited by 23 publications

(18 citation statements)

References 26 publications

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“…Presence of clinical RAS was verified, if two of the five following conditions were observed at least. 9,10 Constant forearm pain Pain caused by catheter manipulation Severe pain during sheath retrieval Marked resistance against catheter manipulation, pushing or pulling Marked resistance against sheath retrieval In 2 procedures catheters could not be advanced due to significant RAS. However, both procedures could be completed after administrating intraarterial additional doses of nitroglycerin and reducing the catheter size.…”

Section: Procedural Characteristicsmentioning

confidence: 99%

“…6,7 RAS was reported to occur in 4-20% of transradial procedures and main pathophysiologic mechanism underlying this condition is increased Alpha-1 adrenoreceptor density and endothelial dysfunction. 4,[8][9][10] Female gender, low body mass index (BMI), hypertension, low radial artery diameter, increased caliper and number of catheters used, repetitive puncture attempts and anxiety are well-determined risk factors for occurrence of RAS. 4,[6][7][8] Anxiety is the sensation of apprehension in response to a partially identified or unspecified stimulus.…”

mentioning

confidence: 99%

“…11,12 It acts as a trigger for sympathetic system activation which may explain its relationship with RAS. 10,11,13 Anxiety disorders are considerably prevalent among patients with coronary artery disease (CAD) with rates up to 20%. 14,15 Not only the disease state but also the procedures performed for diagnosis and treatment of CAD may induce anxiety due to several reasons like under-recognition of the technical aspects of the procedure, uncertainty about the disease course and treatment options including surgery, and fear of unpredictable pain and potential complications.…”

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confidence: 99%

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Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions

Omaygenç¹,

Karaca²,

İbişoğlu³

et al. 2019

Turkiye Klinikleri J Cardiovasc Sci

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Section: Procedural Characteristicsmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions

Omaygenç¹,

Karaca²,

İbişoğlu³

et al. 2019

Turkiye Klinikleri J Cardiovasc Sci

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“…In a study of 637 patients, 90% of those suffering severe pain during transradial catheterization suffered RAS (9). Intraprocedural characteristics of the pain during transradial procedures are the key determinants of a clinical RAS diagnosis, but the number of punctures and the patient's anxiety level are also related to RAS (3,10). In our study, although we did not detect any difference in RAS between the staged and ad hoc intervention groups, post-procedural pain was more common in the ad hoc group.…”

Section: Discussionmentioning

confidence: 99%

Should We Use Staged or Ad-Hoc Approach in Percutaneous Coronary Interventions Through Radial Artery to Avoid Radial Artery Spasm?

Demir¹

2020

Erciyes Med J

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Objective: Transradial approach has recently been adopted as the default strategy for percutaneous coronary interventions due to benefits which include reduced all-cause mortality, major access-site complications, and hospital stay, as well as increased patient comfort and early ambulation. However, radial artery spasm (RAS) is still a major drawback. The impact on RAS of an ad hoc compared with a staged intervention strategy has not previously been investigated. In this study, we sought to investigate the effect of ad hoc and staged percutaneous coronary intervention (PCI) on RAS in patients undergoing elective transradial coronary interventions. Materials and Methods:In this retrospective study, patients with symptoms suggestive of ischemia who were scheduled for coronary angiography and candidates for elective PCI were enrolled and divided into two equal groups: ad hoc group and staged group. RAS was clinically identified and established based on the existence of two or more of predefined clinical features.Results: A total of 60 patients was enrolled in the study: 30 in the ad hoc group and 30 in the staged group. The mean time between coronary angiography and intervention in the staged group was 2.5 [1-30] days. RAS rates were similar between the ad hoc and staged PCI groups (16.7% [n=5] vs. 31% [n=9], p=0.233), but post-procedural pain was more frequent in patients in the ad hoc group (64.5% [n=20] vs. 33.3% [n=10], p=0.021). Radial artery occlusion did not differ between the ad hoc and staged PCI groups (10.7 % [n=3] vs. 11.1 [n=3], p=1). Conclusion:Use of ad hoc or staged strategies in patients undergoing transradial PCIs is not associated with reduced incidence of RAS. Post-procedural pain is more common in patients undergoing ad hoc PCI through radial artery.

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“…Radial artery spasm causes pain and discomfort in the patient, as well as a decrease in the success rate of radial angiography (9), and in the event of higher intensity of spasticity and lack of prevention and treatment, it may lead to failure of radial angiography and alteration of vascular access to operating angiography (7,10). Radial artery spasm can easily arise due to fear, anxiety, and pain (8,11,12), and shows the need to control anxiety to prevent spasticity and subsequent complications in radial angiography.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Benson Relaxation on the Anxiety of Patients under Radial Angiography: A Randomized Clinical Trial

Goudarzi¹,

Ghadirian²,

Vahedian³

et al. 2018

Crit Care Nurs J

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Background: Angiography is the gold standard test for the diagnosis of coronary artery disease; however, more than 82% of patients have stress and anxiety before they undergo angiography, which significantly effects the diagnostic results. One of the common complications of the angiography method through the radial artery is the occurrence of arterial spasm that is seen more in patients with severe anxiety. The current researchers believe that using Benson relaxation is effective in reducing the patient's anxiety. Objectives: This study was designed to evaluate the Benson relaxation method in patients undergoing radial angiography. Methods: This study was a clinical trial, which was performed on 60 candidate patients undergoing coronary angiography by radial method at Baqiyatallah Hospital during year 2017 (N = 60). The samples were randomly allocated to two groups, intervention and control. The information gathering tools were demographic questionnaire, the Beck Anxiety Inventory (BAI), and hemodynamic variables checklist. Data analysis was done with the SPPSS V16 software using Kolmogorov -Smirnov test, Mann -Whitney test, and paired -t test. Results:The results showed a significant difference between the anxiety of the patients before and after the intervention in each group (P < 0.05). The comparison of the two groups with the paired -t test was not statistically significant. The anxiety of patients after the intervention was decreased, yet this decrease was not statistically significant. Conclusions: Benson's relaxation method can be effective in reducing anxiety in angiography candidate patients. Accordingly, it may also be effective in reducing the occurrence of radial artery spasm.

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Anxiety Score as a Risk Factor for Radial Artery Vasospasm During Radial Interventions

Cited by 23 publications

References 26 publications

Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions

Comparing of Efficacy of Different Self-Assessment Anxiety Scales for Predicting Radial Artery Spasm During Coronary Interventions

Should We Use Staged or Ad-Hoc Approach in Percutaneous Coronary Interventions Through Radial Artery to Avoid Radial Artery Spasm?

The Effect of Benson Relaxation on the Anxiety of Patients under Radial Angiography: A Randomized Clinical Trial

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