scholarly journals The Long Term Incidence and Predictors of Radial Artery Occlusion Following a Transradial Coronary Procedure

2013 ◽  
Vol 29 (10) ◽  
pp. S285
Author(s):  
A. Buturak ◽  
S. Gorgulu ◽  
T. Norgaz ◽  
N. Voyvoda ◽  
Y. Sahingoz ◽  
...  

2013 ◽  
Vol 62 (18) ◽  
pp. C3
Author(s):  
Ali Buturak ◽  
Sevket Gorgulu ◽  
Tugrul Norgaz ◽  
Nuray Voyvoda ◽  
Yusuf Sahingoz ◽  
...  


2014 ◽  
Vol 21 (4) ◽  
pp. 350-356 ◽  
Author(s):  
Ali Buturak ◽  
Sevket Gorgulu ◽  
Tugrul Norgaz ◽  
Nuray Voyvoda ◽  
Yusuf Sahingoz ◽  
...  


Vascular ◽  
2013 ◽  
Vol 21 (5) ◽  
pp. 331-334 ◽  
Author(s):  
Tariq Bhat ◽  
Hilal Bhat ◽  
Sumaya Teli ◽  
Bartaula Rajiv ◽  
Muhammad Akhtar ◽  
...  

Transradial access for cardiac catheterization is a safe and viable approach with significantly lower incidence of major access-related complications compared with the transfemoral approach. As this form of access is getting wider acceptance among interventional cardiologists, awareness of its complications is of vital importance. Asymptomatic radial artery occlusion, non-occlusive radial artery injury and radial artery spasm are commonly reported complication of this approach. Symptomatic radial arterial occlusion, pseudoaneurysm and radial artery perforation are rarely reported complications of transradial approach. Early identification of these uncommon complications and their urgent management is of significant importance. We present the case of an 80-year-old lady who developed pseudoaneurysm a week after transradial cardiac catheterization managed with surgical excision with no long-term sequela.



2017 ◽  
Vol 72 (3) ◽  
pp. 318-327 ◽  
Author(s):  
Santosh Kumar Sinha ◽  
Mukesh Jitendra Jha ◽  
Vikas Mishra ◽  
Ramesh Thakur ◽  
Amit Goel ◽  
...  


2019 ◽  
Vol 34 (2) ◽  
pp. 111-117
Author(s):  
Mohammad Abdul Matin ◽  
Mir Jamal Uddin ◽  
Abdul Momen ◽  
Mustafizul Aziz ◽  
Abeeda Tasnim Reza ◽  
...  

Background: Although transradial approach (TRA) has better outcome and reduced vascular complications, radial artery occlusion (RAO) is now a major concern as it limits future radial artery use for further TRA, for use as a conduit during CABG, for invasive hemodynamic monitoring and for creation of arteriovenous fistula for hemodialysis in CKD patients. Vascular doppler study is the most accurate method for evaluation of RAO and yet this is not practiced in our population. Objectives: To detect the frequency and identify the predictors of RAO after coronary procedure through TRA. Methods: This cross-sectional analytical study was done in the department of cardiology, NICVD from July-2015 to June- 2016 by including a total 125 patients undergoing coronary procedures (CAG and/or PCI) through TRA. Vascular doppler study of the radial artery were performed before and one day after the procedure. RAO was defined as an absence of antegrade flow and monophasic flow on doppler study. Univariate and multivariate logistic regression analysis were done to evaluate the predictors of RAO. Results: On the day after the procedure, radial artery vascular doppler examination revealed RAO in 12 (09.6%) patients. On univariate analysis female gender (p= 0.038), diabetes mellitus (p= 0.024), prolonged hemostatic compression for more than 02 hours after sheath removal (p= 0.003) were identified as predictors of RAO. Interestingly hypertension, low BMI, smaller radial artery diameter and use of reprocessed sheath were not identified as predictors of RAO. On multivariate analysis diabetes mellitus (p= 0.016), prolonged hemostatic compression for more than 02 hours after sheath removal (p= 0.004) were found as independent predictors for RAO. Conclusion: Frequency of RAO was 09.6% after coronary procedure through TRA. Diabetes mellitus and hemostatic compression after sheath removal for more than two hours were identified as independent predictors of RAO. Strategies should be taken from patient selection for TRA to end of hemostatic compression removal to prevent RAO. Bangladesh Heart Journal 2019; 34(2) : 111-117





2021 ◽  
Author(s):  
Hanna Al-Makhamreh ◽  
Ala Shaban ◽  
Mohamad Elfawair ◽  
Shams Noori ◽  
Farah Al-Khaleefa ◽  
...  

Background: A recanalizing-process might decrease the incidence of radial artery occlusion (RAO) at a late assessment postcatheterization opposed to an early assessment. In this study, we evaluated the rate of RAO at a late postcatheterization period. Materials & methods: A retrospective case-control design was adapted including 148 patients who underwent trans-radial cardiac catheterization 7 to 18 months ago. The primary outcome was to assess RAO at the mentioned period while the secondary outcomes were to assess risk factors and symptoms associated with occlusion. RAO was assessed by Doppler ultrasound. Result: Thirteen patients (8.8%) had RAO in a median follow-up time of 13 months. Hand disability as measured by QuickDash score was significantly associated with RAO. Conclusion: This study adds a new insight on late RAO after coronary catheterization in Jordan and the region. Our findings support an ischemic mechanism contributing to long-term hand dysfunction.



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