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.

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 Metode Barbeau Test dalam Menilai Keutuhan Arteri Radialis Pascaintervensi Koroner Perkutan

1970 ◽  
Vol 2 (1) ◽  
Author(s):  
Nurhusna N ◽  
F Sri Susilaningsih ◽  
Purwo Suwigjo
Keyword(s):  
Radial Artery ◽  
Cardiac Catheterization ◽  
Quantitative Research ◽  
Clinical Observation ◽  
Vascular Complications ◽  
Artery Occlusion ◽  
Vascular Complication ◽  
Test Method ◽  
Significant Difference ◽  
Radial Artery Occlusion

Radial artery occlusion merupakan salah satu komplikasi vaskular postkateterisasi jantung trans radial. Kompresi lokal menggunakan alat kompresi setelah tindakan kateterisasi jantung trans radial dapat menurunkan angka kejadian komplikasi vaskular Radial Artery Occlusion(RAO). Penelitian ini bertujuan untuk mengetahui perbandingan antara metode Barbeau test dan metode pengamatan klinik dalam menilai keutuhan arteri radialis selama proses kompresi pada pasien postprosedur kateterisasi jantung trans radial. Penelitian ini merupakan penelitian kuantitatif dengan desain studi komparatif. Subjek penelitian adalah 20 pasien yang menjalani prosedur kateterisasi jantung dengan akses arteri radialis. Pengukuran dilakukan secara bertahap menit ke-15 dan setelah tiga jam menggunakan alat kompresi stepty-p. Uji komparasi menggunakan uji McNemar. Data univariat dianalisis menggunakan distribusi frekuensi. Hasil uji statistik menunjukkan ada perbedaan penilaian keutuhan arteri radialis antara metode Barbeau testdengan metode pengamatan klinik pada menit ke-15 (p=0.035) dan ke-30 (p=0.035). Namun secara keseluruhan hasil uji statistik menunjukkan tidak ada perbedaan yang bermakna dalam menilai kepatenan arteri pada setiap waktu pengamatan dari kedua metode. Kata kunci:Arteri radialis, Barbeau test, kateterisasi jantung, keutuhan, pengamatan klinik AbstractRadial artery occlusion is one of the trans radial vascular complications post cardiac catheterization. The local compression using compression methods after cardiac catheterization can be reduced the vascular complication such as radial artery occlusion (RAO). This research was conducted to determine the comparison between the Barbeau test method and the clinical observation method carried out by the researcher in order to examine the patency of radial artery during compression, post procedure cardiac catheterization at the Angiography Coroner Unit and the Cardiac Intensive Care Unit, Hasan Sadikin Bandung General Hospital, Indonesia. This research was a quantitative research using the comparative study design. The subjects were 20 patients who took cardiac catheterization procedure using radial artery access and checked in pairs. The measurement divided into two periods: the fifteenth minute and the third hour using the stepty-p compression tool. The statistical test used the McNemar test to analyze the comparison, and the single variable data were analyzed using the distribution frequency. There were a significant difference in radial artery evaluation during compression period between two methods, in which at the first fifteen minutes (p=0.035) and the first thirty minutes (p=0.035), respectively. Overall, the result shows that there were no significant difference in comparison of two methods. Key words:Barbeau test, cardiac catheterization, clinical observation, patency, radial artery

scholarly journals Frequency and Predictors of Radial Artery Occlusion after Coronary Procedure through Transradial Approach: A Vascular Doppler-guided Study

2019 ◽  
Vol 34 (2) ◽  
pp. 111-117
Author(s):  
Mohammad Abdul Matin ◽  
Mir Jamal Uddin ◽  
Abdul Momen ◽  
Mustafizul Aziz ◽  
Abeeda Tasnim Reza ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Radial Artery ◽  
Univariate Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Vascular Complications ◽  
Artery Occlusion ◽  
Transradial Approach ◽  
Doppler Study ◽  
Coronary Procedure ◽  
Radial Artery Occlusion

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

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 Vascular Complications of Transradial Access for Cardiac Catheterization

2021 ◽  
Vol 15 ◽  
Author(s):  
Tanawan Riangwiwat ◽  
James C Blankenship
Keyword(s):  
Radial Artery ◽  
Cardiac Catheterization ◽  
Rare Complication ◽  
Vascular Complications ◽  
Daily Practice ◽  
Artery Occlusion ◽  
Prompt Treatment ◽  
Hand Ischemia ◽  
Transradial Access ◽  
Radial Artery Occlusion

Transradial access has been increasingly adopted for cardiac catheterization. It is crucial for operators to recognize potential vascular complications associated with radial artery access. Prevention, early detection, and prompt treatment of vascular complications are essential to prevent serious morbidities. This review aims to raise awareness of transradial access vascular complications. Radial artery spasm is treated with intra-arterial verapamil and/or nitroglycerine. Hemorrhagic complications, such as perforation, hematoma, arteriovenous fistula, and pseudoaneurysm, are treated with prolonged compression. Patent hemostasis and adequate anticoagulation are used to prevent radial artery occlusion. Hand ischemia is a rare complication not associated with abnormal results of the Allen or Barbeau test, and can be treated with intra-arterial verapamil, IV heparin, and IV diltiazem. Finally, an attentive monitoring protocol for the timely detection of vascular complications should be implemented in daily practice.

scholarly journals FREQUENCY OF RADIAL ARTERY OCCLUSION IN PATIENTS UNDERGOING PERCUTANEOUS CARDIAC CATHETERIZATION BY RADIAL ACCESS

2021 ◽  
Vol 54 (3) ◽  
pp. 230-234
Author(s):  
Usman Mahmood Butt ◽  
Muhammad Abu Bakar ◽  
Muhammad Khaleel Iqbal ◽  
Shahzad Shoukat ◽  
Rao Shahzad Abdul Tawwab Khan ◽  
...  
Keyword(s):  
Radial Artery ◽  
Cardiac Catheterization ◽  
Color Doppler ◽  
Artery Occlusion ◽  
Cross Sectional ◽  
Radial Approach ◽  
Number Of Patients ◽  
Significant Difference ◽  
Insignificant Difference ◽  
Radial Artery Occlusion

Objectives: To assess the frequency of radial artery occlusion (RAO) in patients undergoing percutaneous cardiac catheterization. Methodology: A descriptive cross sectional study was carried out at cardiology department Jinnah hospital, Lahore from April – October 2018. One hundred thirty one consecutive patients who had undergone percutaneous cardiac catheterization via the trans-radial approach were enrolled in the study. Post procedure patients were followed in the ward and after 24 hours, Allen’s test was used for checking the patency of the radial artery. Color Doppler USG was performed in the patients with absent radial artery and RAO was confirmed. Data was entered and analysed in SPSS version 21.0. Results: Out of 131 patients who had undergone for percutaneous cardiac catheterization 63.4% were male and 36.6% were female. Among these cases radial artery occlusion was detected in 52 (39.7%) patients. No statistically significant difference was found with effect modifiers like age, gender, duration of procedure and type of intervention statistically insignificant difference was observed (P>0.05). Conclusion: A considerable number of patients were observed with radial artery occlusion with trans-radial approach thought statistically insignificant difference was noted among all ages, gender or type of intervention suggesting a detailed evaluation of radial artery patency should be done before hospital discharge.

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

1321: Role of nursing care in the prevention of the radial artery occlusion after transradial cardiac catheterization

2007 ◽  
Vol 6 (1_suppl) ◽  
pp. 13-14
Author(s):  
Mónica Gómez ◽  
Marcelo Sanmartín ◽  
Maite Martínez ◽  
J. Ramón Rumoroso ◽  
Begoña Pereira ◽  
...  
Keyword(s):  
Radial Artery ◽  
Cardiac Catheterization ◽  
Nursing Care ◽  
Artery Occlusion ◽  
Radial Artery Occlusion ◽  
Role Of Nursing

Pseudoaneurysm a rare complication of transradial cardiac catheterization: a case report

Vascular ◽  
2013 ◽  
Vol 21 (5) ◽  
pp. 331-334 ◽  
Author(s):  
Tariq Bhat ◽  
Hilal Bhat ◽  
Sumaya Teli ◽  
Bartaula Rajiv ◽  
Muhammad Akhtar ◽  
...  
Keyword(s):  
Radial Artery ◽  
Cardiac Catheterization ◽  
Rare Complication ◽  
Arterial Occlusion ◽  
Surgical Excision ◽  
Artery Occlusion ◽  
Transfemoral Approach ◽  
Radial Artery Occlusion ◽  
Viable Approach

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.

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