Evaluation of early radial artery occlusion by Doppler ultrasound following conventional transradial coronary procedures

Q2 Medicine

Medical Journal Armed Forces India Pub Date : 2026-07-01 Epub Date: 2025-04-07 DOI:10.1016/j.mjafi.2025.02.003

Mohamed Mousa, Adel Gamal, Haitham Badran, Ahmed Koraa, Hesham Abushouk

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引用次数: 0

Abstract

Background

Radial artery occlusion (RAO) remains a prevalent complication of the transradial approach (TRA) for coronary procedures, yet specific predictors and risk factors remain inadequately defined. This study aimed to assess the frequency of RAO and associated risk factors following TRA coronary procedures, particularly through early Doppler ultrasound evaluation.

Methods

This prospective observational study included 250 patients undergoing diagnostic coronary angiography or percutaneous coronary intervention via TRA at a tertiary hospital. Patient data on demographics, clinical profiles, and procedural details, including hemostasis methods, were collected. RAO and other complications were assessed by Doppler ultrasonography within 24 h post procedure. Statistical analysis used chi-squared tests, t-tests, and logistic regression with SPSS (version 28).

Results

RAO was the most frequent complication, occurring in 20% of patients. Higher complication rates were significantly associated with age ≥60 years (p < 0.001), female sex (p = 0.001), and a lower body mass index (p < 0.001). Procedural factors contributing to higher RAO rates included longer procedure duration, use of wrap closure with gauze, and delayed compression release (p < 0.001). Multivariate regression analysis identified older age (odds ratio [OR] = 265.33, p < 0.001), female sex (OR = 31.42, p = 0.001), and delayed compression release (OR = 2.02, p = 0.007) as significant predictors.

Conclusion

Older age, female sex, and delayed compression release significantly increase the risk of RAO following TRA procedures. Enhanced patient selection and tailored procedural protocols may mitigate these risks.

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常规经桡动脉冠状动脉手术后早期桡动脉闭塞的多普勒超声评价

背景桡动脉闭塞（RAO）仍然是冠状动脉手术经桡动脉入路（TRA）的常见并发症，但具体的预测因素和危险因素仍然没有充分的定义。本研究旨在通过早期多普勒超声评估，评估TRA冠状动脉手术后RAO的发生频率及相关危险因素。方法本前瞻性观察研究纳入250例在三级医院行诊断性冠状动脉造影或经TRA经皮冠状动脉介入治疗的患者。收集了患者的人口统计资料、临床资料和手术细节，包括止血方法。术后24 h行多普勒超声检查RAO及其他并发症。统计分析采用卡方检验、t检验和logistic回归，使用SPSS（版本28）。结果rao是最常见的并发症，发生率为20%。较高的并发症发生率与年龄≥60岁（p < 0.001）、女性（p = 0.001）和较低的体重指数（p < 0.001）显著相关。导致较高RAO率的手术因素包括较长的手术时间、使用纱布包扎和延迟的压迫释放（p < 0.001）。多因素回归分析发现，年龄较大（比值比[OR] = 265.33, p < 0.001）、女性（OR = 31.42, p = 0.001）和延迟压力释放（OR = 2.02, p = 0.007）是显著的预测因素。结论老年、女性、延迟压力释放明显增加TRA术后发生RAO的风险。加强患者选择和量身定制的手术方案可以减轻这些风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medical Journal Armed Forces India Medicine-Medicine (all)

CiteScore

3.40

自引率

0.00%

发文量

206

期刊介绍： This journal was conceived in 1945 as the Journal of Indian Army Medical Corps. Col DR Thapar was the first Editor who published it on behalf of Lt. Gen Gordon Wilson, the then Director of Medical Services in India. Over the years the journal has achieved various milestones. Presently it is published in Vancouver style, printed on offset, and has a distribution exceeding 5000 per issue. It is published in January, April, July and October each year.