Incidence and Predictors of Radial Artery Occlusion Associated Transradial Catheterization

Abstract

In this study, we sought to assess the incidence and predictors of radial artery occlusion (RAO), which is a significant complication of transradial cardiac catheterization. We prospectively evaluated the results of 106 patients who underwent coronary angiography and percutaneous coronary intervention (PCI) via the transradial approach (TRA). At the 3rd h of intervention, the radial artery was checked by palpation; color doppler ultrasonography was performed at the 24th h. Fluoroscopy duration, procedure success, and complications of the radial artery were recorded. The procedure was successfully completed in all patients. RAO was detected in eight female and two male patients. In terms of RAO, there was a statistically significant difference between males and females (p=0.019). Other parameters did not show a significant correlation with RAO. Altough did not have any effect on procedural success, eight patients developed transient radial artery spasm. Gender was not associated with radial arterial spasms (p=0.19). TRA in the diagnosis and treatment of coronary artery disease has shown high procedural success and low complication rates; it addition, it presents a low economic burden. It should be used widely and be involved in the routine cardiology residency program.

Radial Artery Occlusion After Transradial Interventions: A Systematic Review and Meta‐Analysis

“…29,49,69,73,77,78 Body weight was reported as a significant predictor in 3 studies. 17,65,75 In terms of procedural variables, use of a smaller introducer sheath has been shown to be predictive of lower RAO 71 and use of larger diameter of sheath 42,78,81 and duration of compression 61,81 was associated with higher occlusion rates. Other predictors included baseline radial artery diameter, 19,84,85 peripheral artery disease, 79 statin use, 42 procedural success, 47 serum creatinine, 49 and heparin use.…”

“…Age was reported to be a significant predictor of RAO in 3 studies, while sex was significant in 6 studies . Body weight was reported as a significant predictor in 3 studies . In terms of procedural variables, use of a smaller introducer sheath has been shown to be predictive of lower RAO and use of larger diameter of sheath and duration of compression was associated with higher occlusion rates.…”

Radial Artery Patency after Trans-radial Cardiac Catheterization in a Bangladeshi Population

“…26 In another study radial artery diameter and vasodilatory properties were assessed by high resolution ultrasound at 10 to 14 months after TCC and found that radial artery diameter was reduced while vasodilatory properties were preserved. 27 The only case of RAO in our study was a female and the reduction of mean radial artery diameter after TCC was significantly more in female (p=0.032).…”

Finger necrosis after accidental radial artery puncture

“…The complications described herein—permanent ischemic damage and pseudoaneurysm—are very rare adverse effects, with rates of 0.09% each [ 1 ]. Risk factors for complications involve the cannula size, vasospasm, patient age, female sex, high number of puncture attempts, and duration of catheter placement [ 5 - 8 ].…”