Prevention of arterial spasm during percutaneous coronary interventions through radial artery: The SPASM study

2006 ◽  
Vol 68 (2) ◽  
pp. 231-235 ◽  
Author(s):  
Olivier Varenne ◽  
Arnaud Jégou ◽  
Remy Cohen ◽  
Jean Philippe Empana ◽  
Emmanuel Salengro ◽  
...  
Keyword(s):  
Radial Artery ◽  
Percutaneous Coronary Interventions ◽  
Arterial Spasm ◽  
Coronary Interventions ◽  
Percutaneous Coronary

scholarly journals Radial artery occlusion after primary percutaneous coronary interventions performed using different radial approaches

2020 ◽  
Vol 24 (3S) ◽  
pp. 33
Author(s):  
R. V. Akhramovich ◽  
S. P. Semitko ◽  
A. V. Azarov ◽  
I. S. Melnichenko ◽  
A. I. Analeev ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Radial Artery ◽  
Artery Occlusion ◽  
Percutaneous Coronary Interventions ◽  
Radial Approach ◽  
Coronary Syndrome ◽  
Coronary Interventions ◽  
Percutaneous Coronary ◽  
Radial Artery Occlusion ◽  
Approach Group

<p><strong>Aim</strong>. The analyses of radial artery patency during hospitalisation in patients with acute coronary syndrome after percutaneous coronary interventions were performed using three options of radial approaches, i.e. traditional, classical and dorsopalmar distal radial approaches.</p><p><strong>Methods</strong>. Patients (n = 178) with acute coronary syndrome on whom endovascular procedure by the traditional and two options of distal radial approach were performed met the entry criteria. The classical distal radial approach was performed within an anatomic snuffbox in 65 patients (36.5%), and the dorsopalmar type was performed in 29 patients (16.3%); the traditional radial approach was performed in 84 patients (47.2%). On completion of the percutaneous coronary interventions and final radial artery angiography, hemostasis was performed with bandage application for 6 h. From <!-- x-tinymce/html-mce_16411137711604383874135 -->the 5<sup>th</sup> to the 7<sup>th</sup> day after intervention, examination, palpation and ultrasound duplex scan were performed in every patient.</p><p><strong>Results</strong>. Examination, palpation and ultrasound duplex scan performed from the 5th to 7th day after intervention revealed 3 cases (1.7%) of forearm radial artery occlusion (high type). All the 3 cases were in the traditional radial approach group. Access side radial artery occlusion (at the anatomical snuffbox and the dorsum of the plant [local type]) with saved blood supplement on the forearm was registered in the classical distal radial approach group in 4 cases (2.3%). There were no cases of access side radial artery occlusion in the dorsopalmar group.</p><p><strong>Conclusion</strong>. The use of the distal radial approach for primary percutaneous coronary intervention in patients with acute coronary syndrome definitely reduces the risk of radial artery occlusion of the forearm, whereas the dorsopalmar distal radial approach can be considered as a basic approach.</p><p>Received 11 May 2020. Revised 31 May 2020. Accepted 3 June 2020.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> Authors declare no conflict of interest.</p><p><strong>Author contributions</strong><br />Conception and design: S.P. Semitko, R.V. Akhramovich<br />Data collection and analysis: R.V. Akhramovich, I.S. Melnichenko<br />Drafting the article: R.V. Akhramovich<br />Critical revision of the article: S.P. Semitko<br />Final approval of the version to be published: R.V. Akhramovich, S.P. Semitko, A.V. Azarov, I.S. Melnichenko, A.I. Analeev, I.E. Chernyisheva, A.A. Tretyakov, D.G. Ioseliani</p>

scholarly journals Expert reviews Radial artery occlusion after percutaneous coronary interventions – an underestimated issue

2013 ◽  
Vol 4 ◽  
pp. 353-361 ◽  
Author(s):  
Janusz Sławin ◽  
Piotr Kubler ◽  
Andrzej Szczepański ◽  
Joanna Piątek ◽  
Michał Stępkowski ◽  
...  
Keyword(s):  
Radial Artery ◽  
Artery Occlusion ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Percutaneous Coronary ◽  
Radial Artery Occlusion

Prevalence of chronic kidney disease among patients undergoing transradial percutaneous coronary interventions

2018 ◽  
Vol 19 (4) ◽  
pp. 346-349 ◽  
Author(s):  
Mohammad A Hossain ◽  
Amy Quinlan ◽  
Jennifer Heck-Kanellidis ◽  
Dawn Calderon ◽  
Tejas Patel ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Glomerular Filtration Rate ◽  
Kidney Disease ◽  
Glomerular Filtration ◽  
Radial Artery ◽  
Filtration Rate ◽  
Estimated Glomerular Filtration Rate ◽  
Percutaneous Coronary Interventions ◽  
Coronary Interventions ◽  
Percutaneous Coronary

Background: While transradial approach to conduct percutaneous coronary interventions offers multiple advantages, the procedure can cause radial artery damage and occlusion. Because radial artery is the preferred site for the creation of an arteriovenous fistula to provide dialysis, patients with chronic kidney disease are particularly dependent on radial artery for their long-term survival. Methods: In this retrospective study, we investigated the prevalence of chronic kidney disease in patients undergoing coronary interventions via radial artery. Stage of chronic kidney disease was based on estimated glomerular filtration rate and National Kidney Foundation - Kidney Disease Outcomes Quality Initiative guidelines. Results: A total of 497 patients undergoing transradial percutaneous coronary interventions were included. Over 70.4% (350/497) of the patients had chronic kidney disease. Stage II chronic kidney disease was observed in 243 (69%) patients (estimated glomerular filtration rate = 76.0 ± 8.4 mL/min). Stage III was observed in 93 (27%) patients (estimated glomerular filtration rate = 49 ± 7.5 mL/min). Stage IV chronic kidney disease was observed in 5 (1%) patients (estimated glomerular filtration rate = 25.6 ± 4.3 mL/min) and Stage V chronic kidney disease was observed in 9 (3%) patients (estimated glomerular filtration rate = 9.3 ± 3.5 mL/min). Overall, 107 of 350 patients (30%) had advanced chronic kidney disease, that is, stage III–V chronic kidney disease. Importantly, 14 of the 107 (13%) patients had either stage IV or V chronic kidney disease. Conclusion: This study finds that nearly one-third of the patients undergoing transradial percutaneous coronary interventions have advanced chronic kidney disease. Because many of these patients may require dialysis, the use of radial artery to conduct percutaneous coronary interventions must be carefully considered in chronic kidney disease population.

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