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

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.

doi:https://doi.org/10.17116/Cardiobulletin20181303121

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.

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

DOI: 10.17116/Cardiobulletin20181303121

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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 2026 Кардиологический вестник (Russian Cardiology Bulletin)

Использование инфографики авторами научных работ

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Abstract:

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

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