Influence of Puncture Site on Radial Artery Occlusion After Transradial Coronary Intervention
- Author:
- No author available
- Journal Title:
- Chinese Medical Journal
- Issue:
- 8
- DOI:
- 10.4103/0366-6999.179795
- Key Word:
- Percutaneous Coronary Intervention;Puncture Site;Radial Artery;Risk Factors
Abstract： Background:The risk of radial artery occlusion (RAO) needs particular attention in transradial intervention (TRI).Therefore,reducing vascular occlusion has an important clinical significance.The aim of this study was to determine the appropriate puncture site during TRI through comparing the occurrence of RAO between the different puncture sites to reduce the occurrence of RAO after TRI.Methods:We prospectively assessed the occurrence of RAO in 606 consecutive patients undergoing TRI.Artery occlusion was evaluated with Doppler ultrasound in 2 days and 1 year after the intervention.Risk factors for RAO were evaluated using a multivariate model analysis.Results:Of the 606 patients,the RAO occurred in 56 patients.Compared with TRI at 2-5 cm away from the radius styloid process,the odds ratio (OR) for occlusion risk at 0 cm and 1 cm were 9.65 (P =0.033) and 8.90 (P =0.040),respectively.The RAO occurred in the ratio of the arterial diameter to the sheath diameter ≤1 (OR =2.45,P =0.004).Conclusion:Distal puncture sites (0-1 cm away from the radius styloid process) can lead to a higher rate of RAO.
- [1]SHEN Hua,ZHOU Yu-jie,LIU Yu-yang,etc.Assessment of early radial injury after transradial coronary intervention by high-resolution ultrasound biomicroscopy: innovative technology application[J].2012,(19).
- [2]Gomez M,Sadaba M,Martinez M,etc.Interruption of blood flow during compression and radial artery occlusion after transradial catheterization.[J].2007,70(2).
- [3]Fraser D,Slagboom T,Kiemeneij F,etc.Hydrophilic coating aids radial sheath withdrawal and reduces patient discomfort following transradial coronary intervention: A randomized double-blind comparison of coated and uncoated sheaths.[J].2003,59(2).
- [4]Staudt A,Hummel A,Vogelgesang D,etc.A randomized trial of 5 vs. 6 French transradial percutaneous coronary interventions.[J].2002,57(2).
- [5]P R, Stella,F, Kiemeneij,G J, Laarman,etc.Incidence and outcome of radial artery occlusion following transradial artery coronary angioplasty.[J].1997,40(2).
- [6]Yonetsu T,Kakuta T,Lee T,etc.Assessment of acute injuries and chronic intimal thickening of the radial artery after transradial coronary intervention by optical coherence tomography.[J].2010,31(13).
- [7]Patel T,Roke-Thomas M,Coppola J,etc.Prevention of radial artery occlusion-patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization.[J].2008,72(3).
- [8]Miner S,Bertrand OF,Goldman L,etc.Comparison of bivalirudin versus heparin on radial artery occlusion after transradial catheterization.[J].2010,76(5).
- [9]Binnur E, Tuncali,Buhar, Kuvaki,Bahattin, Tuncali,etc.A comparison of the efficacy of heparinized and nonheparinized solutions for maintenance of perioperative radial arterial catheter patency and subsequent occlusion.[J].2005,100.
- [10]Tarantino,F.,Saia,F.,Sangiorgio,P.,etc.Transradial versus transfemoral intervention for acute myocardial infarction: A propensity score-adjusted and -matched analysis from the REAL (registro regionale angioplastiche dell'emilia-romagna) multicenter registry[J].2012,5(1).
- [11]Jolly SS,Yusuf S,Cairns J,etc.Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial.[J].2011,377(9775).
- [12]Janusz, S?awin,Piotr, Kubler,Andrzej, Szczepański,etc.Radial artery occlusion after percutaneous coronary interventions - an underestimated issue.[J].2013,9(4).
- [13]Gérald R Barbeau,François Arsenault,Louise Dugas,etc.Evaluation of the ulnopalmar arterial arches with pulse oximetry and plethysmography: Comparison with the Allen's test in 1010 patients[J].2004,147(3).
- [14]Martin, Kindel,Rudolf, Rüppel.Hydrophilic-coated sheaths increase the success rate of transradial coronary procedures and reduce patient discomfort but do not reduce the occlusion rate: randomized single-blind comparison of coated vs. non-coated sheaths.[J].2008,97(9).
- [15]Hosokawa G,Tanaka S,Ikei H,etc.Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention.[J].1999,46(2).
- [16]Kanei Y,Kwan T,Nakra NC,etc.Transradial cardiac catheterization: a review of access site complications.[J].2011,78(6).
- [17]Olivier F. Bertrand,Sunil V. Rao,Samir Pancholy,etc.Transradial Approach for Coronary Angiography and Interventions: Results of the First International Transradial Practice Survey[J].2010,3(10).
- [18]Kyu Seop, Kim,Hyung Seo, Park,Won-Il, Jang,etc.Thrombotic occlusion of the radial artery as a complication of the transradial coronary intervention.[J].2010,18(1).