International Journal of Medical Sciences

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22 October 2017

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Int J Med Sci 2013; 10(12):1715-1719. doi:10.7150/ijms.7087

Research Paper

Incidence and Predictors of Radial Artery Occlusion Associated Transradial Catheterization

Abdullah Tuncez1, Zeynettin Kaya2✉, Dursun Aras3, Abdulkadir Yıldız4, Enes Elvin Gül5, Mehmet Tekinalp6, Mehmet Fatih Karakaş7, Halil Lütfü Kısacık3

1. Division of Cardiology, Konya Numune State Hospital, Konya,
2. Department of Cardiology, Mevlana University, Konya
3. Department of Cardiology, Turkish High Specialty Hospital, Ankara
4. Department of Cardiology, Dicle University, Diyarbakır1
5. Divison of Cardiology, Malkara State Hospital, Tekirdağ
6. Division of Cardiology, Beyhekim State Hospital, Konya
7. Department of Cardiology, Mustafa Kemal University, Hatay

Abstract

In this study, we sought to assess the incidence and predictors of radial artery occlusion (RAO), which is a significant complication of transradial cardiac catheterization. We prospectively evaluated the results of 106 patients who underwent coronary angiography and percutaneous coronary intervention (PCI) via the transradial approach (TRA). At the 3rd h of intervention, the radial artery was checked by palpation; color doppler ultrasonography was performed at the 24th h. Fluoroscopy duration, procedure success, and complications of the radial artery were recorded. The procedure was successfully completed in all patients. RAO was detected in eight female and two male patients. In terms of RAO, there was a statistically significant difference between males and females (p=0.019). Other parameters did not show a significant correlation with RAO. Altough did not have any effect on procedural success, eight patients developed transient radial artery spasm. Gender was not associated with radial arterial spasms (p=0.19). TRA in the diagnosis and treatment of coronary artery disease has shown high procedural success and low complication rates; it addition, it presents a low economic burden. It should be used widely and be involved in the routine cardiology residency program.

Keywords: Radial artery occlusion, Transradial approach, Radial arterial spasm

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How to cite this article:
Tuncez A, Kaya Z, Aras D, Yıldız A, Gül EE, Tekinalp M, Karakaş MF, Kısacık HL. Incidence and Predictors of Radial Artery Occlusion Associated Transradial Catheterization. Int J Med Sci 2013; 10(12):1715-1719. doi:10.7150/ijms.7087. Available from http://www.medsci.org/v10p1715.htm