Lessons from transulnar access for repeat percutaneous coronary intervention after radial artery occlusion

Introduction: Radial artery occlusion may occur after percutaneous coronary intervention when done via transradial approach. The frequency of radial artery occlusion is almost nil in patients after PCI through transradial approach. Thus radial artery approach for PCI can be a good opportunity to conduct the procedure. Objective: To assess the frequency of radial artery occlusion after percutaneous coronary intervention through transradial approach in patients of acute coronary syndrome Material & Methods Study Design: Descriptive case study Settings: Department of Cardiology, Punjab Institute of Cardiology, Lahore. Duration: Six months i.e. 1st July 2020 to 31st December 2020. Data Collection: Total 100 patients who underwent PCI through transradial approach 6 months ago were studied. All the selected patients then underwent Doppler scan to assess patency of radial artery. Radial artery occlusion was confirmed by when there was reduced flow in radial artery as compared to the adjacent side artery Results: In this study, the mean age of patients was 54.56 ± 8.96 years. There were 43 (43%) males and 57 (57%) females. The frequency of radial artery occlusion in patients after PCI through transradial approach was seen in 3 (3%) of the patients. Conclusion: Results of this study demonstrates that the frequency of radial artery occlusion is almost nil in patients after PCI through transradial approach. Thus radial artery approach for PCI can be a good opportunity to conduct the procedure. Key Words: Radial artery Occlusion, Transradial approach, percutaneous coronary intervention, acute coronary syndrome

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TCT-167: Risk Factors of Acute Radial Artery Occlusion Following Transradial Percutaneous Coronary intervention in Senile Patients

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2010.08.189 ◽

2010 ◽

Vol 56 (13) ◽

pp. B39

Keyword(s):

Risk Factors ◽

Percutaneous Coronary Intervention ◽

Radial Artery ◽

Coronary Intervention ◽

Artery Occlusion ◽

Percutaneous Coronary ◽

Radial Artery Occlusion

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Recanalization of the occluded radial artery via distal transradial access in the anatomic snuffbox

BMC Cardiovascular Disorders ◽

10.1186/s12872-021-01890-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Feng Li ◽

Gan-Wei Shi ◽

Bi-Feng Zhang ◽

Xiao-Long Yu ◽

Hao-Min Huang ◽

...

Keyword(s):

Percutaneous Coronary Intervention ◽

Coronary Angiography ◽

Radial Artery ◽

Coronary Intervention ◽

Artery Occlusion ◽

Transradial Access ◽

Vascular Ultrasonography ◽

Percutaneous Coronary ◽

Radial Artery Occlusion ◽

The Right

Abstract Background Radial artery occlusion is a common complication after coronary angiography and percutaneous coronary intervention via the transradial access. In recent years, coronary angiography and percutaneous coronary intervention via the distal transradial access has gradually emerged, but recanalization of the occluded radial artery through the distal transradial access has rarely been reported. Case presentation A 67-year-old female with arterial hypertension and diabetes mellitus was admitted to the hospital due to chest pain for three hours. She was diagnosed with acute myocardial infarction. After admission, the patient successfully underwent emergency coronary angiography and percutaneous coronary intervention through the right transradial access. Radial artery occlusion was found after the operation, and recanalization was successfully performed through the right distal transradial access before discharge. Immediately after the operation and one month later, vascular ultrasonography showed that the antegrade flow was normal. Conclusions This report presents a case of radial artery occlusion after emergency coronary angiography and percutaneous coronary intervention in which recanalization was successfully performed through the right distal transradial access. This case demonstrates that recanalization of a radial artery occlusion via the distal transradial access is safe and feasible.

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Same-day dual radial artery puncture examination in patients requiring percutaneous coronary intervention and the incidence of radial artery occlusion

Therapeutic Advances in Cardiovascular Disease ◽

10.1177/1753944717749738 ◽

2018 ◽

Vol 12 (3) ◽

pp. 77-84 ◽

Cited By ~ 1

Author(s):

Daniel Brancheau ◽

Sachin Kumar Amruthlal Jain ◽

Patrick B. Alexander

Keyword(s):

Percutaneous Coronary Intervention ◽

Radial Artery ◽

Duplex Ultrasound ◽

Coronary Intervention ◽

The United States ◽

Artery Occlusion ◽

Total Occlusion ◽

Ultrasound Evaluation ◽

Percutaneous Coronary ◽

Radial Artery Occlusion

Background: We sought to investigate the rate of radial artery occlusion (RAO) after same-day dual radial artery puncture. The trans-radial arterial approach (TRA) for diagnostic and interventional procedures has risen significantly in the United States. Although becoming more commonly performed, TRA is not without risk, and a potential complication is RAO. The rate of RAO after same-day dual artery puncture is unknown. Methods: A retrospective analysis of 27 patients who underwent same-day dual radial artery puncture for percutaneous coronary intervention (PCI) at our institution (Providence Heart Institute in Southfield, MI, USA) from November 2011 to December 2013 were included after initially presenting for cardiac catheterization at a non-PCI-capable facility. The study patients were asked to follow up for evaluation of the radial artery, including obtaining a duplex ultrasound evaluation. Results: The mean age of the patients was 65 years old with 66% of the patients being male. Of the 27 study participants, there were no symptoms reported that were related to RAO. Overall, one (3.7%) patient had an absent radial pulse. The modified Allen’s test was normal in all of the patients with a mean return of palmar flush time of 4 seconds. Duplex ultrasound revealed subtotal RAO in four (14.8%) patients and no patients experienced total occlusion following the intervention. Conclusion: Dual radial artery puncture appears to be a well-tolerated and viable strategy in patients that are transferred to a PCI-capable hospital for coronary interventions.

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