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Slender versus conventional approach reduces post‐procedural upper extremity dysfunction after transradial coronary procedures
Author(s) -
Amoroso Giovanni,
Brug Sander,
Franx Valerie,
Dullemen Anneleen,
VechtKroeze Gerda,
Duinen Mieke
Publication year - 2020
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.28758
Subject(s) - medicine , radial artery , dash , surgery , occlusion , artery , computer science , operating system
Abstract Aims We compared the incidence of post‐procedural radial artery occlusion (RAO) and upper extremity dysfunction (UED), in patients undergoing conventional versus slender transradial (TRA) coronary procedures. Methods and results UED was assessed by the Quick DASH, before conventional (i.e., ≥6F) and slender (i.e., “virtual” 3F to 5F) procedures, after 2 weeks and 2 months. RAO was assessed by Duplex in patients with an abnormal reversed Barbeau test (RBT). A total of 212 patients were included, UED after 2 weeks was 12%, and after 2 months 7% ( p = <.001). RAO occurred in 3%. Multivariate analysis showed an OR of 0.26 (CI0.08–0.84) for UED at 2 weeks ( p = .03) in favor of slender TRA. In patients with RAO, UED did not improve at 2 months (2/5, 40%, p = .046). Conclusions The occurrence of UED after TRA procedures is temporary except for patients with RAO. Slender TRA seems able to reduce short term UED.