scholarly journals Radial artery occlusion after transradial coronary catheterization

2017 ◽  
Vol 7 (3) ◽  
pp. 305-316 ◽  
Author(s):  
Grigorios Avdikos ◽  
Aris Karatasakis ◽  
Andreas Tsoumeleas ◽  
Efstathios Lazaris ◽  
Antonios Ziakas ◽  
...  
Keyword(s):  
Radial Artery ◽  
Artery Occlusion ◽  
Coronary Catheterization ◽  
Radial Artery Occlusion

scholarly journals Incidence and predictors of radial artery occlusion after transradial coronary catheterization

2019 ◽  
Vol 71 (1) ◽  
Author(s):  
Mohamed A. Sadaka ◽  
Waleed Etman ◽  
Walid Ahmed ◽  
Saeed Kandil ◽  
Salah Eltahan
Keyword(s):  
Radial Artery ◽  
Artery Occlusion ◽  
Coronary Catheterization ◽  
Radial Artery Occlusion

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

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Kashif Ali Hashmi ◽  
Zahid Iqbal ◽  
Atif Ali Hashmi ◽  
Maira Shoaib ◽  
Muhammad Irfan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Radial Artery ◽  
Cardiac Catheterization ◽  
Age Groups ◽  
Vascular Complications ◽  
Artery Occlusion ◽  
Study Cohort ◽  
Coronary Catheterization ◽  
Significant Difference ◽  
Radial Artery Occlusion

Abstract Objectives Radial artery occlusion is a silent complication of a transradial approach to cardiac catheterization that may complicate subsequent transradial procedures in patients undergoing cardiac catheterization. A transradial band reduces vascular complications and provides brisk, powerful and effective haemostasis. The purpose of this study was to assess the frequency of radial artery occlusion in 180 patients undergoing transradial coronary catheterization. Results The median age of the study cohort was 58 years. Radial artery occlusion was found in 14 (7.8%) patients. When stratifying by age group and sex, there was no significant difference in radial artery occlusion between age groups and sex. It was likewise found that comorbidities such as diabetes mellitus, hypertension and smoking, increased the risk of radial artery occlusion however this was observed to be significant only for diabetes mellitus. We therefore conclude that a transradial pneumatic pressure band is an extremely helpful and safe strategy to prevent radial artery occlusion.

scholarly journals Subcutaneous Injection of Nitroglycerin at the Radial Artery Puncture Site Reduces the Risk of Early Radial Artery Occlusion After Transradial Coronary Catheterization

2018 ◽  
Vol 11 (7) ◽  
Author(s):  
Yequn Chen ◽  
Zhiquan Ke ◽  
Jiaxin Xiao ◽  
Mengyue Lin ◽  
Xiru Huang ◽  
...  
Keyword(s):  
Radial Artery ◽  
Subcutaneous Injection ◽  
Treated Group ◽  
Artery Occlusion ◽  
Control Group ◽  
Placebo Control ◽  
Puncture Site ◽  
Coronary Catheterization ◽  
Placebo Control Group ◽  
Radial Artery Occlusion

Background: Transradial coronary catheterization is widely used as a diagnostic or interventional procedure for coronary disease. However, it can lead to adverse complications, such as radial artery occlusion. We sought to determine whether preprocedural injection of nitroglycerin at the radial artery puncture site reduces radial artery occlusion. Methods and Results: A total of 188 patients undergoing transradial coronary catheterization were randomized in a single-blind fashion to receive subcutaneous injection of 0.5 mL 0.1% nitroglycerin or a placebo at the radial artery puncture site. The participants underwent ultrasound examinations of the radial artery before and at 24 hours after the procedure. Of the 188 patients enrolled, 182 completed the study, as the procedure failed in 2 participants in the nitroglycerin-treated group and 4 in the placebo group. Baseline demographic and clinical characteristics were similar between 2 groups. Comparing the radial artery diameters before and after the operation, there was a statistically significant increase in the nitroglycerin-treated group (2.48±0.45 versus 2.45±0.46 mm; P =0.003) but a decrease in the placebo control group (2.41±0.50 versus 2.46±0.49 mm; P <0.001). Importantly, the incidence of radial arterial occlusion was substantially lower in the nitroglycerin-treated group than in the placebo control group (5.4% versus 14.4%; P =0.04). There was not significant difference in other complications (forearm hematoma and radial artery pseudoaneurysm, respectively), and there was no incidence of cause hypotension or an intolerable headache. Conclusions: Subcutaneous injection of nitroglycerin at the radial artery puncture site dilates the radial artery and reduces the incidence of early radial artery occlusion post-catheterization. Clinical Trial Registration: URL: https://www.chictr.org.cn . Unique identifier: ChiCTR-IPR-15006559.

Rate of late radial artery occlusion following cardiac catheterization at Jordan University Hospital

2021 ◽  
Author(s):  
Hanna Al-Makhamreh ◽  
Ala Shaban ◽  
Mohamad Elfawair ◽  
Shams Noori ◽  
Farah Al-Khaleefa ◽  
...  
Keyword(s):  
Radial Artery ◽  
Cardiac Catheterization ◽  
Artery Occlusion ◽  
University Hospital ◽  
Early Assessment ◽  
Retrospective Case ◽  
Coronary Catheterization ◽  
Hand Disability ◽  
Radial Artery Occlusion

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.

scholarly journals Frequency of radial artery occlusion with transradial pneumatic compression band after cardiac catheterization

2020 ◽  
Author(s):  
Kashif Ali Hashmi ◽  
Zahid Iqbal ◽  
Atif Ali Hashmi ◽  
Maira Shoaib ◽  
Muhammad Irfan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Radial Artery ◽  
Cardiac Catheterization ◽  
Age Groups ◽  
Vascular Complications ◽  
Artery Occlusion ◽  
Study Cohort ◽  
Coronary Catheterization ◽  
Significant Difference ◽  
Radial Artery Occlusion

Abstract Objectives Radial artery occlusion is a silent complication of a transradial approach to cardiac catheterization that may complicate subsequent transradial procedures in patients undergoing cardiac catheterization. A transradial band reduces vascular complications and provides brisk, powerful and effective haemostasis. The purpose of this study was to assess the frequency of radial artery occlusion in 180 patients undergoing transradial coronary catheterization.Results The mean age of the study cohort was 54.19 ± 12.30 years. Radial artery occlusion was found in 14 (7.8%) patients. When stratifying by age group and sex, there was no significant difference in radial artery occlusion between age groups and sex. It was likewise found that comorbidities such as diabetes mellitus, hypertension and smoking, increased the risk of radial artery occlusion however this was observed to be significant only for diabetes mellitus. We therefore conclude that a transradial pneumatic pressure band is an extremely helpful and safe strategy to prevent radial artery occlusion.

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