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Ognerubov D.V.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Provatorov S.I.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Merkulov E.V.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Tereshchenko A.S.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Arutyunyan G.K.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Pogorelova O.A.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Tripoten’ M.I.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Balakhonova T.V.

Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia RF, Moskva

Samko A.N.

Russian Cardiology Research and Production Complex of the Ministry of Healthcare, Moscow, Russian Federation

Comparison of the complications rate in short time and traditional hemostasis after transluminal balloon coronary angioplasty via transradial access

Authors:

Ognerubov D.V., Provatorov S.I., Merkulov E.V., Tereshchenko A.S., Arutyunyan G.K., Pogorelova O.A., Tripoten’ M.I., Balakhonova T.V., Samko A.N.

More about the authors

Journal: Russian Cardiology Bulletin. 2018;13(3): 21‑25

DOI: 10.17116/Cardiobulletin20181303121

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Table of contents

COMPARISON OF THE COMPLICATIONS RATE IN SHORT TIME AND TRADITIONAL HEMOSTASIS AFTER TRANSLUMINAL BALLOON CORONARY ANGIOPLASTY VIA TRANSRADIAL ACCESS
COMPARISON OF THE COMPLICATIONS RATE IN SHORT TIME AND TRADITIONAL HEMOSTASIS AFTER TRANSLUMINAL BALLOON CORONARY ANGIOPLASTY VIA TRANSRADIAL ACCESS

To cite this article:

Ognerubov DV, Provatorov SI, Merkulov EV, et al. . Comparison of the complications rate in short time and traditional hemostasis after transluminal balloon coronary angioplasty via transradial access. Russian Cardiology Bulletin. 2018;13(3):21‑25. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20181303121

Подписка 2025-2 (Russian Cardiology Bulletin)
 
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Radial artery occlusion (RAO) is infrequent, and usually asymptomatic complication of transradial PCI, which limits future utility of the radial access. Objective: The objective of this study was to compare the frequency of radial artery occlusion after percutaneous coronary intervention (PCI) via transradial access in patients with short duration (4 h) and long duration (24 h) hemostasis. Bandage compression at the puncture site was used. Material and methods. The study included 400 patients (age 61.5±9.4 years, 78% men) who underwent transradial PCI from 2015 to 2017 years. Patients were divided in two groups: in group I (n=200) the compression bandage was applied to the puncture site for 24 hours, followed by a check of the patency of the radial artery; in group II (n=200) the compression bandage was applied for 4 hours followed by pulse oximetry control of radial artery patency when elbow artery was clamped (reverse Barbaeu’s test). Compression of the ipsilateral ulnar artery was performed within 1 hour for the patient with RAO. Results. 19 (9.5%) patients in group I had RAO. After ipsilateral ulnar artery compression, patency of the arteries wasn’t restored. In group II 11 (5.5%) patients had RAO. Compression of ipsilateral ulnar artery within an hour led to restoration of blood flow in 4 patients. 7 (3.5%) patients from group II had persistent RAO (p=0.015). There were no differences in the rate of access complications. Conclusion. Short duration hemostasis after PCI via radial access reduces the rate of RAO. Compression of ipsilateral ulnar artery allows to recanalize of occlusion in some patients after short duration hemostasis.

Keywords:

transradial approach
radial artery occlusion
PCI
complication of PCI
transradial approach
radial artery occlusion
PCI
complication of PCI

Authors:

Ognerubov D.V.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Provatorov S.I.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Merkulov E.V.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Tereshchenko A.S.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Arutyunyan G.K.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Pogorelova O.A.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Tripoten’ M.I.

National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia

Balakhonova T.V.

Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia RF, Moskva

Samko A.N.

Russian Cardiology Research and Production Complex of the Ministry of Healthcare, Moscow, Russian Federation

List of references:

  1. Campeau L. Percutaneous radial artery approach for coronary angiography. Catheterization and Cardiovascular Diagnosis. 1989;16(1):3-7. https://doi.org/10.1002/ccd.1810160103
  2. Kiemeneij F, Laarman GJ. Percutaneous transradial artery approach for coronary stent implantation. Catheterization and Cardiovascular Diagnosis. 1993;30(2):173-178. https://doi.org/10.1016/0002-8703(94)90023-x
  3. Amoroso G, Kiemeneij F. Transradial access for primary percutaneous coronary intervention: the next standard of care? Heart. 2010;96(17):1341-1344. https://doi.org/10.1136/hrt.2010.196824
  4. Pancholy MS, Skelding K, Scott T, Blankenship J, Pancholy S. Effect of access site choice on acute kidney injury after percutaneous coronary intervention. The American Journal of Cardiology. 2017;120(12):2141-2145. https://doi.org/10.1016/j.amjcard.2017.08.039
  5. Anjum I, Khan MA, Aadil M, Faraz A, Farooqui M, Hashmi A. Transradial vs. transfemoral approach in cardiac catheterization: a literature review. Cureus. 2017;9(6):1309. https://doi.org/10.7759/cureus.1309
  6. 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):2187-2195. https://doi.org/10.1016/j.jacc.2010.01.039
  7. Mamas MA, Anderson SG, Carr M, Fraser D, Belder M, Ludman P, Nolan J. Baseline bleeding risk and arterial access site practice in relation to procedural outcomes following percutaneous coronary intervention. Journal of the American College of Cardiology. 2014;64(15):1554-1564. https://doi.org/10.1016/j.jacc.2013.08.771
  8. Mamas MA, Anderson SG, Ratib K, Routledge H, Neyses L, Fraser D, Buchan I, Belder M, Ludman P, Nolan J. Arterial access site utilization in cardiogenic shock in the United Kingdom: is radial access feasible? American Heart Journal. 2014;167(6):900-908. https://doi.org/10.1016/j.ahj.2014.03.007
  9. Mamas MA, Fraser DG, Ratib K, Fath-Ordoubadi F, El-Omar M, Nolan J, Neyses L. Minimising radial injury: prevention is better than cure. EuroIntervention. 2014;10(7):824-832. https://doi.org/10.4244/eijv10i7a142
  10. Abdelaal E, Brousseau-Provencher C, Montminy S, Plourde G, MacHaalany J, Bataille Y, Molin P, Déry J, Barbeau G, Roy L, Larose E, Larochellière R, Nguyen C, Proulx G, Costerousse O, Bertrand OF. Risk score, causes, and clinical impact of failure of transradial approach for percutaneous coronary interventions. JACC. Cardiovascular Interventions. 2013;6(11):1129-1137. https://doi.org/10.1016/j.jcin.2013.05.019
  11. Bertrand OF, Rao SV, Pancholy S, Jolly S, Rodés-Cabau J, Larose É, Costerousse O, Hamon M, Mann T. Transradial approach for coronary angiography and interventions: results of the first international transradial practice survey. JACC. Cardiovascular Interventions. 2010;3(10):1022-1031. https://doi.org/10.1016/j.jcin.2010.07.013
  12. Ognerubov D,Provatorov S , Merkulov E, Tereshenko A, Arutyunyan G,Tripoten M, Pogorelova O, Balahonova T, Samko A. P2475 Method of non-pharmacological recanalization of acute radial artery occlusion after coronary angiography via transradial access. European Heart Journal, 39, Issue suppl 1, 2018. https://doi.org/10.1093/eurheartj/ehy565.P2475.
  13. Pancholy S, Coppola J, Patel T, Roke-Thomas M. Prevention of radial artery occlusion-patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization. Catheterization and Cardiovascular Interventions. 2008;72(3):335-340. https://doi.org/10.1002/ccd.21639
  14. Chugh SK, Chugh S, Chugh Y, Rao SV. Feasibility and utility of preprocedural ultrasound imaging of the arm to facilitate transradial coronary diagnostic and interventional procedures (PRIMAFACIE-TRI). Catheterization and Cardiovascular Interventions. 2013;82(1):64-73. https://doi.org/10.1002/ccd.24585
  15. Uhlemann M, Gielen S, Linke A, Erbs S, Moebius-Winkler S, Thiele H, Schuler GC. The Leipzig prospective vascular ultrasound registry in radial artery catheterization: impact of sheath size on vascular complications. JACC. Cardiovascular Interventions. 2012;5(1):36-43. https://doi.org/10.1016/j.jcin.2011.08.011
  16. Garg N, Madan BK, Khanna R, Sinha A, Kapoor A, Tewari S, Kumar S, Goel PK. Incidence and predictors of radial artery occlusion after transradial coronary angioplasty: Doppler-guided follow-up study. The Journal of Invasive Cardiology. 2015;27(2):106-112.
  17. Pancholy SB. Comparison of the effect of intra-arterial versus intravenous heparin on radial artery occlusion after transradial catheterization. The American Journal of Cardiology. 2009;104(8):1083-1085. https://doi.org/10.1016/j.amjcard.2009.05.057
  18. Chiam TP, Liu B, Wong AS, Wong PE, Lim ST, Koh TH, Lim VY. Comparison of novel 6.5 Fr sheathless guiding catheters versus 5 Fr guiding catheters for transradial coronary intervention. EuroIntervention. 2011;7(8):930-935. https://doi.org/10.4244/eijv7i8a147
  19. Bernat I, Bertrand OF, Rokyta R, Kacer M, Pesek J, Koza J, Smid M, Bruhova H, Sterbakova G, Stepankova L, Costerousse O. Efficacy and safety of transient ulnar artery compression to recanalize acute radial artery occlusion after transradial catheterization. The American Journal of Cardiology. 2011;107(11):1698-1701. https://doi.org/10.1016/j.amjcard.2011.01.056
  20. Barbeau GR, Arsenault F, Dugas L, Simard S, Lariviere MM. Evaluation of the ulnopalmar arterial arches with pulseoximetry and plethysmography: Comparison with the Allen’s test in 1010 patients. American Heart Journal. 2004;147(3):489-493. https://doi.org/10.1016/j.ahj.2003.10.038
  21. Merkulov EV, Mironov VM, Samko AN. Coronary angiography, ventriculography, graft angiography in illustrations and schemes. M.: Media Medic; 2011. (In Russ.)
  22. Bertrand OF, Rao SV, Pancholy S, Jolly SS, Rodés-Cabau J, Larose É, Costerousse O, Hamon M, Mann T. Transradial approach for coronary angiography and interventions: results of the first international transradial practice survey. JACC. Cardiovascular Interventions. 2010;3(10):1022-1031. https://doi.org/10.1016/j.jcin.2010.07.013
  23. Yonetsu T, Kakuta T, Lee T, Takayama K, Kakita, Iwamoto, Kawaguchi N, Takahashi K, Yamamoto G, Iesaka Y, Fujiwara H, Isobe M. Assessment of acute injuries and chronic intimal thickening of the radial artery after transradial coronary intervention by optical coherence tomography. European Heart Journal. 2010;31(13):1608-1615. https://doi.org/10.1093/eurheartj/ehq102
  24. Rathore S, Stables RH, Pauriah M, Hakeem A, Mills JD, Palmer ND, Perry RA, Morris JL. Impact of length and hydrophilic coating of the introducer sheath on radial artery spasm during transradial coronary intervention: A randomized study. JACC. Cardiovascular Interventions. 2010;3(5):475-483. https://doi.org/10.1136/hrt.2010.195958.6
  25. Dharma S, Kedev S, Patel T, Kiemeneij F, Gilchrist IC. A novel approach to reduce radial artery occlusion after transradial catheterization: postprocedural/ prehemostasis intra-arterial nitroglycerin. Catheterization and Cardiovascular Interventions. 2015;85(5):818-825. https://doi.org/10.1002/ccd.25661
  26. Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, Caforio ALP, Crea F, Goudevenos JA, Halvorsen S, Hindricks G, Kastrati A, Lenzen MJ, Prescott E, Roffi M, Valgimigli M, Varenhorst C, Vranckx P, Widimský P. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). European Heart Journal. 2018;39(2):119-177. https://https://doi.org/ 10.1093/eurheartj/ehx393.
  27. Kerawala CJ, Martin IC. Palmar arch backflow following radial forearm free flap harvest. British Journal of Oral and Maxillofacial Surgery. 2003;41(3):157-160. https://doi.org/10.1016/s0266-4356(03)00023-8
  28. Saito S, Ikei H, Hosokawa G, Tanaka S. Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention. Catheterization and Cardiovascular Interventions. 1999;46(2):173-178.
  29. Stella PR, Kiemeneij F, Laarman GJ, Odekerken D, Slagboom T, van der Wieken R. Incidence and outcome of radial artery occlusion following transradial artery coronary angioplasty. Catheterization and Cardiovascular Diagnosis. 1997;40(2):156-158.
  30. Hirsh J, Raschke R. Heparin and low-molecular-weight heparin: the Seventh ACCP conference on antithrombotic and thrombolytic therapy. Chest. 2004;126(3 suppl):188-203. https://doi.org/10.1378/chest.126.3_suppl.188S

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