Incidence and predictors of early radial artery occlusion associated transradial approach
Journal Title: Chinese Journal of Nervous and Mental Diseases - Year 2024, Vol 50, Issue 6
Abstract
ObjectiveThis study was to explore factors related to early radial artery occlusion (RAO) associated transradial approach(TRA).MethodsPatients who underwent the TRA from July 2021 to Jan 2024 were included in our study. Patients were divided into radial artery occlusion group and non-radial artery occlusion group. The data of general demography, the number of radial artery punctures attempts, and whether add heparin to the Antispasmodic Agents were recorded to assess the incidence and predictors of RAO.ResultsA total of 543 patients were included in the study. All patients underwent ultrasound evaluation 24h after DSA. Among them, 32 cases experienced RAO, while 511 cases did not experienced RAO. The occurrence rate of RAO was significantly higher in patients without addition of heparin to the antispasmodic agents for the prevention of radial artery spasm, those with more than 3 radial artery puncture attempts and those using either an 11 cm short sheath, or Cordis puncture needles (all P<0.05). Multiple logistic analysis showed that addition of heparin to the Antispasmodic Agents(OR=0.076,95%CI:0.018~0.321,P<0.001), less than 3 radial artery puncture attempts (OR=0.245,95%CI:0.111~0.541,P<0.001), using an 16 cm longer sheath (OR=0.195,95%CI:0.067~0.564,P=0.003), using an Terumo puncture needles(OR=0.325,95%CI:0.148~0.717,P=0.005) could reduce the incidence of RAO.ConclusionsAnticoagulation with intrathecal heparin, application of trocar to improve the success rate of puncture, and the use of a 16 cm long sheath can significantly reduce the incidence of early RAO after DSA.
Authors and Affiliations
WU Jian,CAI Ranze,QI Biao,LI Qiuping. ,
Keywords
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