Complications Associated with Transradial Access in Coronary Angiography and Intervention

Fahad Khalid; Bakht Umar Khan; Nayyar Arif

doi:10.70749/ijbr.v2i02.172

Authors

Fahad Khalid Department of Interventional Cardiology, AFIC, Rawalpindi, Punjab, Pakistan.
Bakht Umar Khan Department of Interventional Cardiology, AFIC, Rawalpindi, Punjab, Pakistan.
Nayyar Arif Department of Interventional Cardiology, AFIC, Rawalpindi, Punjab, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v2i02.172

Keywords:

Transradial Access, Coronary Angiography, Percutaneous Coronary Intervention, Complications, Distal Approach

Abstract

Objectives: The study's goal is to compare distal and traditional methods in order to investigate the complications related to transradial access in coronary angiography and intervention. Materials and Methods: This study was conducted at the Department of Cardiology, AFIC, Rawalpindi, Pakistan in the period from January 2022 to December 2023 in patients with the age of 18 years and more who underwent coronary angiography or percutaneous coronary intervention via radial artery. Inclusion required the participant to sign an informed consent form and for data capture a complete record review. Results: The study conducted among 300 patients showed that the complication rate of the procedure was 10%. In particular, there was a significant and highly statistically significant difference to complications where distal transradial intervention had a rate of 5% and conventional approach had 15%. The most frequent complication documented was radial artery spasm which was managed using appropriate medications. Conclusion: Transradial access for coronary procedures are safe particularly with the distal located access which can potentially add more value to the improvement of the patient. These studies underscore the importance of technical improvement involving general and procedural aspects of care to prevent complications during cardiology procedures.

Downloads

Download data is not yet available.

References

Mhanna, M., Beran, A., Nazir, S., Al-Abdouh, A., Barbarawi, M., Sajdeya, O., Ayesh, H., Nesheiwat, Z., Malhas, S.-E., & Eltahawy, E. A. (2021). Outcomes of distal versus conventional transradial access for coronary angiography and intervention: An updated systematic review and meta-analysis. International Journal of Cardiology, 344, 47–53. https://doi.org/10.1016/j.ijcard.2021.10.003

Roy, S., Kabach, M., Patel, D. B., Guzman, L. A., & Jovin, I. S. (2021). Radial artery access complications: Prevention, diagnosis and management. Cardiovascular Revascularization Medicine, 40. https://doi.org/10.1016/j.carrev.2021.12.007

Xie, L., Wei, X., Xie, Z., Jia, S., Xu, S., & Wang, K. (2021). Feasibility of Distal Radial Access for Coronary Angiography and Percutaneous Coronary Intervention: A Single Center Experience. Cardiology, 146(5), 531–537. https://doi.org/10.1159/000517076

Bajraktari, G., Rexhaj, Z., Elezi, S., Zhubi-Bakija, F., Bajraktari, A., Bytyçi, I., Batalli, A., & Henein, M. Y. (2021). Radial Access for Coronary Angiography Carries Fewer Complications Compared with Femoral Access: A Meta-Analysis of Randomized Controlled Trials. Journal of Clinical Medicine, 10(10), 2163. https://doi.org/10.3390/jcm10102163

Hamandi, M., Saad, M., Hasan, R., Megaly, M., Abbott, J. D., Dib, C., Szerlip, M., Potluri, S., Lotfi, A., Kiemeneij, F., & Al-Azizi, K. M. (2020). Distal Versus Conventional Transradial Artery Access for Coronary Angiography and Intervention: A Meta-Analysis. Cardiovascular Revascularization Medicine, 21(10), 1209–1213. https://doi.org/10.1016/j.carrev.2020.03.020

Hirzallah, H., Amro, A., Kusmic, D., Curtis, Z., Leigh, E. C., Numan, Y., Parsons, J., Amro, M., Akpanudo, S., Sayyed, R., & Elhamdani, M. (2019). Comparison of transradial and transfemoral approaches for coronary angiography and percutaneous intervention in patients with coronary bypass grafts. Cardiovascular Revascularization Medicine, 21(1). https://doi.org/10.1016/j.carrev.2019.03.002

Ferrante, G., Condello, F., Rao, S. V., Maurina, M., Jolly, S., Stefanini, G. G., Reimers, B., Condorelli, G., Lefèvre, T., Pancholy, S. B., Bertrand, O., & Valgimigli, M. (2022). Distal vs Conventional Radial Access for Coronary Angiography and/or Intervention. КАРДИОЛОГИЯ УЗБЕКИСТАНА, 15(22), 2297–2311. https://doi.org/10.1016/j.jcin.2022.09.006

Sedhom, R., Megaly, M., Abraham, B., George, J. C., Kalra, S., & Janzer, S. (2021). Transulnar Versus Transradial Access for Coronary Angiography and Percutaneous Coronary Intervention: A Meta-Analysis of Randomized Controlled Trials. Cardiovascular Revascularization Medicine, 26, 39–45. https://doi.org/10.1016/j.carrev.2020.11.001

Cai, G., Huang, H.-M., Feng, L., Shi, G., Yu, X., & Liu, Y. (2020). Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention. BMC Cardiovascular Disorders, 20(1). https://doi.org/10.1186/s12872-020-01625-8

Rentiya, Z., Kühn, A. L., Hutnik, R., Shazeeb, M. S., Leacy, R. D., Goldman, D., Singh, J., & Puri, A. S. (2022). Transradial access for cerebral angiography and neurointerventional procedures: A meta-analysis and systematic review. Interventional Neuroradiology, 30(3), 404–411. https://doi.org/10.1177/15910199221112200

Apostolos, A., Papanikolaou, A., Papageorgiou, A., Moulias, A., Vasilagkos, G., Pappelis, K., Aminian, A., Sgueglia, G. A., Iglesias, J. F., Davlouros, P., & Tsigkas, G. (2024). Distal radial artery palpability and successful arterial access for coronary angiography: A post-hoc analysis from two randomized trials. The Journal of Vascular Access, 14(3). https://doi.org/10.1177/11297298241296570

Mizuguchi, Y., Izumikawa, T., Hashimoto, S., Yamada, T., Taniguchi, N., Nakajima, S., Hata, T., & Takahashi, A. (2019). Efficacy and safety of the distal transradial approach in coronary angiography and percutaneous coronary intervention: a Japanese multicenter experience. Cardiovascular Intervention and Therapeutics, 35(2), 162–167. https://doi.org/10.1007/s12928-019-00590-0

Mori, S., Hirano, K., Yamawaki, M., Kobayashi, N., Sakamoto, Y., Tsutsumi, M., Honda, Y., Momose, K., Shirai, S., & Ito, Y. (2020). A Comparative Analysis between Ultrasound-Guided and Conventional Distal Transradial Access for Coronary Angiography and Intervention. Journal of Interventional Cardiology, 2020, 1–8. https://doi.org/10.1155/2020/7342732

Schenke, K., Viertel, A., Joghetaei, N., Prog, R., Matthiesen, T., Ohm, S., Dill, T., Bott-Flügel, L., & Grönefeld, G. (2021). Distal Transradial Access for Coronary Angiography and Interventions in Everyday Practice: Data From the TRIANGLE Registry (TwitteR Initiated registry for coronary ANgiography in Germany via distaL radial accEss). Cardiology and Therapy, 10(1), 241–253. https://doi.org/10.1007/s40119-021-00218-6

Cao, G., Cai, H.-X., & Cao, J. (2022). Advancement in Coronary Angiography or Percutaneous Coronary Intervention Using the Distal Transradial Artery Access in Acute Coronary Syndrome and Complex Coronary Artery Disease. The Anatolian Journal of Cardiology, 26(3), 163–171. https://doi.org/10.5152/anatoljcardiol.2021.933

Krittanawong, C., Uppalapati, L., Virk, H., Qadeer, Y. K., Irshad, U., Wang, Z., Sharma, S., & Jneid, H. (2024). Complications of Radial vs Femoral Access For Coronary Angiography and Intervention: What Do The Data Tell Us? The American Journal of Medicine. https://doi.org/10.1016/j.amjmed.2024.02.022