title: Incidence and predictors of radial artery occlusion associated transradial catheterization.
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 3(rd) h of intervention, the radial artery was checked by palpation; color doppler ultrasonography was performed at the 24(th) 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.
authors.affiliation: 1. Division of Cardiology, Konya Numune State Hospital, Konya.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Tuncez
authors.forename: Zeynettin
authors.initials: Z
authors.lastname: Kaya
authors.forename: Dursun
authors.initials: D
authors.lastname: Aras
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Yıldız
authors.forename: Enes Elvin
authors.initials: EE
authors.lastname: Gül
authors.forename: Mehmet
authors.initials: M
authors.lastname: Tekinalp
authors.forename: Mehmet Fatih
authors.initials: MF
authors.lastname: Karakaş
authors.forename: Halil Lütfü
authors.initials: HL
authors.lastname: Kısacık
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization; D017023:Coronary Angiography / Q000379:methods; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000473:pathology*; D054059:Coronary Occlusion / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000379:methods; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000473:pathology*
keywords: Radial arterial spasm; Radial artery occlusion; Transradial approach