Incidence and predictors of early radial artery occlusion associated transradial approach
10.3969/j.issn.1002-0152.2024.06.003
- VernacularTitle:经桡动脉入路行脑血管造影后发生早期桡动脉闭塞危险因素分析
- Author:
Jian WU
1
;
Ranze CAI
;
Biao QI
;
Qiuping LI
Author Information
1. 复旦大学附属中山医院厦门医院神经外科(厦门 361000)
- Keywords:
Digital subtraction angiography(DSA);
Transradial approach(TRA);
Radial artery occlusion(RAO;
Transfemoral approach(TFA);
Radial artery spasm(RAS)
- From:
Chinese Journal of Nervous and Mental Diseases
2024;50(6):332-336
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study was to explore factors related to early radial artery occlusion(RAO)associated transradial approach(TRA).Methods Patients 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.Results A 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.Conclusions Anticoagulation 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.
