The frequency of radial artery occlusion following cardiac catheterization with the use of transradial pneumatic compression band

Hashmi, Kashif Ali; Iqbal, Zahid; Hashmi, Atif Ali; Shoaib, Maira; Irfan, Muhammad; Khan, Rabeet; Ali, Nauman; Khan, Amir; Edhi, Muhammad Muzzammil

doi:10.1186/s13104-020-05323-8

Cited by 4 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mean height of the patients was measured 167.5 ± 5.11 cm with mean weight of 75.9±11.14 kg. These findings were comparable to the previous studies 23,24 . Most common risk factor was hypertension, found in 90 (64.3%) cases, followed by smokers 80 (57.14%) and diabetes mellitus 75 (53.6%).…”

Section: Discussionsupporting

confidence: 93%

Frequency of Radial Artery Occlusion (RAO) in Patients undergoing Percutaneous Cardiac Catheterization

Rahman¹,

Hamid²,

Ahmad³

et al. 2021

PJMHS

View full text Add to dashboard Cite

Objective: The aim of this study was to determine the frequency of radial artery occlusion (RAO) in patients undergoing percutaneous cardiac catheterization. Study Design: Prospective study Place and Duration: The study was conducted at cardiology department of Cat A Hospital Batkhela and Fauji Foundation Hospital Peshawar for six months duration from January 2021 to June 2021. Methods: Total one hundred and forty patients of both genders were included in this study. Patients’ detailed demographics including age, sex and body mass index were recorded after taking informed written consent. Patients who underwent percutaneous cardiac catheterization were presented in this study. Hypertension, diabetes mellitus and smoking history were analyzed. Frequency of radial artery occlusion (RAO) was measured by Barbeau test. Chi square test and fisher test was used to measure prevalence of RAO with respect to comorbidities. Complete data was analyzed by SPSS 23.0 version. Results: There were 100 (71.4%) male patients and 40 (28.6%) patients were females. Mean age of the patients was 53.7±8.44 years with mean BMI 28.6±9.51 kg/m2. Mean height of the patients 167.5 ± 5.11 cm with mean weight 75.9±11.14 kg. Most common risk factor was hypertension found in 90 (64.3%) cases, followed by smokers 80 (57.14%) and diabetes mellitus 75 (53.6%). Prevalence of radial artery occlusion (RAO) was found among 25 (17.9%) cases, most of them were females. Prevalence of RAO was most common among smokers 20 (80%) followed by diabetes mellitus 17 (68%) and hypertension 14 (56%). Conclusion: We concluded in this study that frequency of radial artery occlusion (RAO) was 17.9% among patients undergoing percutaneous cardiac catheterization. Hypertension, smoking and diabetes were the most common risk factors among all these cases. To achieve long-term patency of the radial artery in patients with high predictors of RAO, meticulous management and close follow-up are essential. Keywords: Cardiac Catheterization, Radial Artery Occlusion (RAO), DM, HTN, Smoking

show abstract

Section: Discussionsupporting

confidence: 93%

Frequency of Radial Artery Occlusion (RAO) in Patients undergoing Percutaneous Cardiac Catheterization

Rahman¹,

Hamid²,

Ahmad³

et al. 2021

PJMHS

View full text Add to dashboard Cite

show abstract

“…Most studies check the pulse to assess radial artery patency before hospital discharge. In the United States, 20% will determine RAO incidence with echo-Doppler or oximetry/plethysmography testing [12,13].…”

Section: Discussionmentioning

confidence: 99%

Radial Artery Occlusion After Transradial Access for Coronary Interventions

Ahmad,

Ullah,

Khan

2024

Cureus

View full text Add to dashboard Cite

BackgroundTransradial access (TRA) is a medical procedure primarily used for percutaneous coronary interventions (PCI) and cardiac catheterization. Based on the recently published Minimizing Adverse Haemorrhagic Events by Transradial Access Site and Systemic Implementation of AngioX (MATRIX) trial, TRA is being used more frequently than transfemoral access (TFA) since it has reduced rates of bleeding and fatality. A structural complication of TRA is radial artery occlusion (RAO), which may cause temporary pain to limit TRA in the future. ObjectiveThis study aimed to investigate the onset and risk factors of RAO following TRA for coronary interventions. Material and methodsAn observational study was conducted at Fauji Foundation Hospital in Peshawar, Pakistan. The study included 1,680 patients recruited between April 2021 to December 2023. Fifty-eight patients were lost to follow-up, while another 95 patients did not come for a visit within the study period. The final study, therefore, included 1,527 patients. ResultsThe mean age of patients was 58.09 ± 8.07 years. Patients were divided into two age groups (greater or less than 60 years). Diagnostic angiograms were completed for 955 patients, while 572 also underwent PCI. The overall RAO onset was 81 (5.3%). There was a significantly higher RAO onset in patients over 60 years old (7.1 vs 3.8%, p = 0.003). ConclusionOverall, the risk of RAO is low following TRA. The risk of RAO is significantly higher in people aged over 60 years.

show abstract

Traditional Versus Distal Radial Access for Coronary Diagnostic and Revascularization Procedures: Final Results of the TENDERA Multicenter, Randomized Controlled Study

Babunashvili,

Pancholy,

Zulkarnaev

et al. 2024

Cathet Cardio Intervent

View full text Add to dashboard Cite

BackgroundTraditional transradial access (TRA) is widely used for coronary and non‐coronary interventions with significant improvements in procedural outcomes; however, it is associated with RAO that precludes repeat use of the same artery for possible future TRI and other purposes. Distal radial access (DRA) has been proposed as an effective alternative to decrease RAO rates. Published literature describing the RAO rate after DRA versus TRA from various RCT and clinical registries has shown conflicting results.ObjectivesThis study compared the forearm radial artery occlusion (RAO) rate assessed by Doppler ultrasound between distal and conventional radial access at 1‐year follow‐up after the initial procedure.MethodsTENDERA was a multicenter, randomized controlled study comparing DRA versus TRA for coronary diagnostic and interventional procedures using 5 or 6F hydrophilic‐coated sheaths. The primary endpoint was forearm RAO at 12 months after radial access. The secondary endpoints included puncture time, sheath insertion and total procedure time, radiation dose, and vascular access site‐related complications.ResultsEight hundred and fifty patients were randomized to either TRA (n = 418) and DRA (n = 432) groups. In the intention‐to‐treat analysis, the rate of forearm RAO at 12 months was observed in 39 patients (4.6%) and was significantly reduced in the DRA group compared with the TRA group (2.5% vs. 6.7%, RR 2.59 [95% CI 1.29–5.59], p = 0.010). Analysis in per protocol population has shown consistent results with forearm RAO rate 2.8% in the DRA group versus 6.5% in the TRA group (p = 0.008). The crossover rate was higher (4.6% vs. 1%, p = 0.013) and median hemostasis time was shorter (156.5 min vs. 180 min, p < 0.001) with DRA. Overall bleeding (BARC 1–2) and postprocedure hematoma > 5 cm occurred less frequently in the DRA group compared with the TRA group (3.2% vs. 20.5%, p < 0.001% and 9.0% vs. 27.0%, p < 0.001, respectively). No significant differences were observed in total procedure time and radiation dose between groups.ConclusionsDRA for coronary diagnostic and interventional procedures is associated with reduced forearm RAO rate and shorter hemostasis time, but a longer sheath insertion time and higher crossover rate compared with TRA.Trial RegistrationClinicalTrials.gov: NCT04211584.

show abstract

The frequency of radial artery occlusion following cardiac catheterization with the use of transradial pneumatic compression band

Cited by 4 publications

References 12 publications

Frequency of Radial Artery Occlusion (RAO) in Patients undergoing Percutaneous Cardiac Catheterization

Frequency of Radial Artery Occlusion (RAO) in Patients undergoing Percutaneous Cardiac Catheterization

Radial Artery Occlusion After Transradial Access for Coronary Interventions

Traditional Versus Distal Radial Access for Coronary Diagnostic and Revascularization Procedures: Final Results of the TENDERA Multicenter, Randomized Controlled Study

Contact Info

Product

Resources

About