Frequency of radial pulse loss in patients undergoing trans-radial coronary catheterization

Authors

  • Asim Iqbal Punjab Institute of Cardiology, Lahore
  • Iftikhar Hussain Punjab Institute of Cardiology, Lahore, Pakistan
  • Nida Tasneem Akbar Punjab Institute of Cardiology, Lahore, Pakistan
  • Salman Ahmad National Institute of Cardiovascular Diseases, Karachi - Pakistan
  • Ahsan Iqbal Jinnah Hospital, Lahore - Pakistan
  • Farhan Riaz Punjab Institute of Cardiology, Lahore, Pakistan

Keywords:

Loss of radial pulse, Trans-Radial Coronary catheterization, BMI, Gender

Abstract

BACKGROUND:  The advent of coronary intervention through radial artery approach is taking lead due to its superiority over the trans-femoral approach when considered regarding future complications.

AIMS & OBJECTIVE: The objective of this study was to know the frequency of radial pulse loss in patients undergoing trans-radial coronary intervention / catheterization (TCC).

MATERIAL AND METHODS: We performed this study in the department of Cardiology, Punjab Institute of Cardiology, Lahore from August2016 toFebruary2017. One hundred and thirty patients with coronary artery disease were included for trans-radial catheterization. The enrolled patients were followed for one month for radial artery assessment.

RESULTS: The mean of age of patients was 56.62±19.26 years. 63(48.5%) were male and 67(51.5%) female patients. Loss of radial pulse was seen in 17(13.1%) patients. The increased frequency of loss of radial pulse was observed in younger age groups. However in the older age groups those who were more than 50 years, none of them had loss of radial pulse. i.e. p-value= 0.000.Gender did not show any statistically significant correlation for loss of radial pulse i.e. p-value=0.151.BMI of the patients was significantly associated with loss of radial pulse. Highest prevalence of loss of radial pulse was seen in patients with normal BMI i.e. p-value= 0.007.

CONCLUSIONS: A low frequency was observed for loss of radial pulse in patients undergoing trans-radial coronary catheterization.

KEY WORDS: Loss of radial pulse, Trans-Radial Coronary catheterization, BMI, Gender

Author Biographies

Asim Iqbal, Punjab Institute of Cardiology, Lahore

Senior Registrar Cardiology

Iftikhar Hussain, Punjab Institute of Cardiology, Lahore, Pakistan

Senior Registrar Cardiology

Nida Tasneem Akbar, Punjab Institute of Cardiology, Lahore, Pakistan

Senior Registrar Cardiology

Salman Ahmad, National Institute of Cardiovascular Diseases, Karachi - Pakistan

Assistant Professor of Cardiology

Ahsan Iqbal, Jinnah Hospital, Lahore - Pakistan

Assistant Professor 

Farhan Riaz, Punjab Institute of Cardiology, Lahore, Pakistan

Senior Registrar Cardiology

References

Smith SC. Risk-Reduction Therapy: The Challenge to Change Presented at the 68th Scientific Sessions of the American Heart Association November 13, 1995 Anaheim, California. Circulation 1996;93(12):2205-11.

Jolly SS, Yusuf S, Cairns J, Niemelä K, Xavier D, Widimsky P, et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. The Lancet 2011;377(9775):1409-20.

Franchi E, Marino P, Biondi-Zoccai GG, De Luca G, Vassanelli C, Agostoni P. Transradial versus transfemoral approach for percutaneous coronary procedures. Current cardiology reports 2009;11(5):391-7.

Rao SV, Cohen MG, Kandzari DE, Bertrand OF, Gilchrist IC. The transradial approach to percutaneous coronary intervention: historical perspective, current concepts, and future directions. Journal of the American College of Cardiology 2010;55(20):2187-95.

Rao SV, Ou F-S, Wang TY, Roe MT, Brindis R, Rumsfeld JS, et al. Trends in the prevalence and outcomes of radial and femoral approaches to percutaneous coronary intervention: a report from the National Cardiovascular Data Registry. JACC: Cardiovascular Interventions 2008;1(4):379-86.

Seshasai SRK, Wijesuriya S, Sivakumaran R, Nethercott S, Erqou S, Sattar N, et al. Effect of aspirin on vascular and nonvascular outcomes: meta-analysis of randomized controlled trials. Archives of internal medicine 2012;172(3):209-16.

Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. New England Journal of Medicine 2009;360(14):1418-28.

Kotowycz MA, Džavík V. Radial artery patency after transradial catheterization. Circulation: Cardiovascular Interventions 2012;5(1):127-33.

Reek S, Geller C, Mahnkopf D, Mittag A, Schildhaus H-U, Mittag J. ABSTRACT SESSION 1: CATHETER ABLATION I: Technological Advances Thursday, May 09, 2002, 8: 45 AM-10: 15 AM. 2002.

Turner S, Sacrinty M, Manogue M, Little W, Gandhi S, Kutcher M, et al. Transitioning to the radial artery as the preferred access site for cardiac catheterization: an academic medical center experience. Catheterization and Cardiovascular Interventions 2012;80(2):247-57.

Zhou Y, Zhao Y, Cao Z, Fu X, Nie B, Liu Y, et al. [Incidence and risk factors of acute radial artery occlusion following transradial percutaneous coronary intervention]. Zhonghua yi xue za zhi 2007;87(22):1531-4.

Zankl A, Andrassy M, Volz C, Ivandic B, Krumsdorf U, Katus H, et al. Radial artery thrombosis following transradial coronary angiography: incidence and rationale for treatment of symptomatic patients with low-molecular-weight heparins. Clinical Research in Cardiology 2010;99(12):841-7.

Pancholy SB. Transradial access in an occluded radial artery: new technique. The Journal of invasive cardiology 2007;19(12):541-4.

Mehta SR, Jolly SS, Cairns J, Niemela K, Rao SV, Cheema AN, et al. Effects of radial versus femoral artery access in patients with acute coronary syndromes with or without ST-segment elevation. Journal of the American College of Cardiology 2012;60(24):2490-9.

Romagnoli E, Biondi-Zoccai G, Sciahbasi A, Politi L, Rigattieri S, Pendenza G, et al. Radial versus femoral randomized investigation in ST-segment elevation acute coronary syndrome: the RIFLE-STEACS (Radial Versus Femoral Randomized Investigation in ST-Elevation Acute Coronary Syndrome) study. Journal of the American College of Cardiology 2012;60(24):2481-9.

Sanmartin M, Gomez M, Rumoroso JR, Sadaba M, Martinez M, Baz JA, et al. Interruption of blood flow during compression and radial artery occlusion after transradial catheterization. Catheterization and cardiovascular interventions 2007;70(2):185-9.

Davis F, Stewart J. RADIAL ARTERY CANNULATION A prospective study in patients undergoing cardiothoracic surgery. British journal of anaesthesia 1980;52(1):41-7.

Yoo B-S, Yoon J, Ko J-Y, Kim J-Y, Lee S-H, Hwang S-O, et al. Anatomical consideration of the radial artery for transradial coronary procedures: arterial diameter, branching anomaly and vessel tortuosity. International journal of cardiology 2005;101(3):421-7.

Cubero JM, Lombardo J, Pedrosa C, Diaz?Bejarano D, Sanchez B, Fernandez V, et al. Radial compression guided by mean artery pressure versus standard compression with a pneumatic device (RACOMAP). Catheterization and cardiovascular interventions 2009;73(4):467-72.

Pancholy SB, Patel TM. Effect of duration of hemostatic compression on radial artery occlusion after transradial access. Catheterization and cardiovascular interventions 2012;79(1):78-81.

Reddy BK, Brewster PS, Walsh T, Burket MW, Thomas WJ, Cooper CJ. Randomized comparison of rapid ambulation using radial, 4 French femoral access, or femoral access with AngioSeal closure. Catheterization and cardiovascular interventions 2004;62(2):143-9.

Valsecchi O, Vassileva A. Radial artery: how many times? Indian heart journal 2009;62(3):226-9.

Published

2021-11-16

Issue

Section

Articles