Metode Barbeau Test dalam Menilai Keutuhan Arteri Radialis  Pascaintervensi Koroner Perkutan

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

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

BMC Research Notes ◽

10.1186/s13104-020-05323-8 ◽

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.

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

10.21203/rs.3.rs-42637/v1 ◽

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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Vascular Complications of Transradial Access for Cardiac Catheterization

US Cardiology Review ◽

10.15420/usc.2020.23 ◽

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.

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

Pakistan Heart Journal ◽

10.47144/phj.v54i3.2146 ◽

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.

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

European Journal of Cardiovascular Nursing ◽

10.1016/j.ejcnurse.2007.01.020 ◽

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

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

Vascular ◽

10.1177/1708538113478745 ◽

2013 ◽

Vol 21 (5) ◽

pp. 331-334 ◽

Cited By ~ 1

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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Radial artery occlusion with a kaolin-filled pad after transradial cardiac catheterization

Medicine ◽

10.1097/md.0000000000013134 ◽

2018 ◽

Vol 97 (46) ◽

pp. e13134 ◽

Cited By ~ 1

Author(s):

Chun-Yen Chiang ◽

Weng-Ting Chang ◽

Chung-Han Ho ◽

Chon-Seng Hong ◽

Jhih-Yuan Shih ◽

...

Keyword(s):

Radial Artery ◽

Cardiac Catheterization ◽

Artery Occlusion ◽

Radial Artery Occlusion

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P6524The comparison of radial artery occlusion rate after distal radial artery puncture between hemodialysis and non-hemodialysis patients

European Heart Journal ◽

10.1093/eurheartj/ehz746.1114 ◽

2019 ◽

Vol 40 (Supplement_1) ◽

Author(s):

S Yokota ◽

K Tobita ◽

T Hayashi ◽

Y Mashimo ◽

H Miyashita ◽

...

Keyword(s):

Radial Artery ◽

Hemodialysis Patients ◽

Artery Occlusion ◽

Dialysis Patients ◽

Puncture Site ◽

Single Center Study ◽

Significant Difference ◽

Radial Artery Occlusion ◽

Event Rates ◽

Distal Radial Artery

Abstract Background In recent years it has been attempted to use a distal radial artery (DRA) as a puncture site for cardiac catheterization and intervention. A patency of radial artery is important in hemodialysis patients because the radial artery is source as an arteriovenous shunt. However, the incidence of radial artery occlusion (RAO) is not known after DRA puncture. Purpose To compare RAO rates after DRA puncture between dialysis and non-dialysis patients. Method This was retrospective, observational and single center study. All consecutive 1,533 patients undergoing DRA puncture were analyzed. The primary endpoint is RAO rates. The secondary endpoint is composite bleeding adverse event rates. These endpoints were evaluated by a vascular echocardiography several hours or the next day after the procedure. Result Among 1,533 patients, 26 were dialysis patients and 1,504 were non-dialysis patients. 1,386 people (90.5%) succeeded in puncture. Radial artery occlusion occurred in 7 patients (0.4%), all of whom were non-dialysis patients. There was no significant difference of RAO rate in dialysis patients and non-dialysis patients. Conclusion When performing DRA puncture, the probability of radial artery occlusion is not higher in dialysis patients than non-dialysis patients. The DRA puncture may be one of the option as puncture site even in dialysis patients.

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Abstract 14147: Vascular Complication of Distal Transradial Approach in Patients With Acute Myocardial Infarction

Circulation ◽

10.1161/circ.142.suppl_3.14147 ◽

2020 ◽

Vol 142 (Suppl_3) ◽

Author(s):

Takeshi Yamada ◽

Yuki Matsubara ◽

Soichiro Washimi ◽

Sho Hashimoto ◽

Norimasa Taniguchi ◽

...

Keyword(s):

Myocardial Infarction ◽

Radial Artery ◽

Bleeding Complication ◽

Artery Occlusion ◽

Vascular Complication ◽

Primary Pci ◽

Transradial Approach ◽

The Mean ◽

Radial Artery Occlusion

Background: The distal transradial approach (dTRA) for coronary catheterisation is a newly introduced alternative to the conventional transradial approach. This study investigated the incidence of vascular complication of the dTRA in patients with acute myocardial infarction (AMI) who underwent primary percutaneous coronary intervention (PCI). Methods: Consecutive 131 patients with AMI who underwent primary PCI between April 2018 and October 2019 were investigated. The dTRA was used as the primary approach whenever feasible in this study period. The bleeding complication after dTRA and the patency of the radial artery were investigated. The patency of the radial artery was examined using Doppler ultrasound in follow-up period. Results: Among the 131 AMI patients, 116 patients (88.5%) underwent successful primary PCI using the dTRA. The patients included 83 men (71.6%), and the mean age was 70.4 ± 12.9 years. A 5- or 6-French sheath (conventional or slender) was used in the primary procedure. The average time to achieving hemostasis was 5.0 ± 4.1 hours; TIMI minor bleeding was observed in 2 patients (1.5%) and there were no TIMI major bleeding. Color Doppler sonography of the radial artery was performed in 94 patients with the mean follow-up period of 273 ± 183 days, and the incidence of radial artery occlusion (RAO) was 1.1% (n=1). Conclusions: The application of dTRA is considered to have low incidences of bleeding complication and radial artery occlusion in the patients with AMI.

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