Frequency and Predictors of Radial Artery Occlusion in Patients Undergoing Percutaneous Coronary Intervention

Background and objectiveTransradial access (TRA) has become the preferred route for percutaneous coronary interventions (PCI), and this site is often a chink in the armor for staged PCI. In this study, we aimed to evaluate the incidence and predictors of radial artery occlusion (RAO) after TRA.Metho...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-05, Vol.14 (5), p.e25505-e25505
Main Authors: Munir, Ussama, Khan, Rozi, Nazeer, Nouman, Akhter, Junaid, Hassan, Anwaar ul, Hanif, Bashir
Format: Article
Language:English
Subjects:
Acute coronary syndromes
Angioplasty
Blood clots
Cardiac/Thoracic/Vascular Surgery
Cardiology
Catheters
Creatinine
Diabetes
Ejection fraction
Family medical history
Females
Gender
Heart attacks
Hypertension
Hypotheses
Intervention
Intubation
Metabolic disorders
Pathology
Patients
Veins & arteries
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Summary:Background and objectiveTransradial access (TRA) has become the preferred route for percutaneous coronary interventions (PCI), and this site is often a chink in the armor for staged PCI. In this study, we aimed to evaluate the incidence and predictors of radial artery occlusion (RAO) after TRA.MethodsWe conducted a retrospective study involving 1,307 patients who underwent PCI at the Tabba Heart Institute (THI) in Karachi, Pakistan from August 2018 to June 2019. TR band was used for hemostasis after PCI.ResultsThe primary outcome of our study was RAO, which was observed in 11.3% of the study subjects. On multivariate analysis, female gender [odds ratio (OR): 1.79, 95% CI: 1.21-2.64], cardiovascular instability (OR: 2.5, 95% CI: 1.22-5.11), dyslipidemia (OR: 0.61, 95% CI: 0.4-0.92), and a higher number of diseased vessels were found to be predictors of RAO (p=0.004).ConclusionRAO is often an asymptomatic complication of TRA. To ensure radial artery patency, a carefully thought-out management plan and follow-up must be devised for high-risk patients.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.25505