Frequency of Radial Artery Occlusion in Patients Undergoing PCI Through Radial Approach at a Tertiary Care Teaching Hospital in Lahore

Sheikh Muhammad Rehman Zia; Brig Ghulam Rasool Maken; Naresh Kumar Khurana; Namra Noukhaiz; Omar Asghar; Summaira Munir

doi:10.70749/ijbr.v3i3.658

Authors

Sheikh Muhammad Rehman Zia Army Cardiac Hospital, Lahore, Pakistan.
Brig Ghulam Rasool Maken Professor of Cardiology, Army Cardiac Hospital, Lahore, Pakistan.
Naresh Kumar Khurana Avicenna Hospital, Lahore, Pakistan.
Namra Noukhaiz Ittefaq Hospital Lahore, Pakistan.
Omar Asghar Army Cardiac Hospital, Lahore, Pakistan.
Summaira Munir Central Park Teaching Hospital, Lahore, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i3.658

Keywords:

Radial Artery Occlusion, Percutaneous Coronary Intervention, Radial Approach, Tertiary Care Hospital, Lahore

Abstract

Introduction: Percutaneous Coronary Intervention (PCI), also known as coronary angioplasty or balloon angioplasty, is a minimally invasive procedure used to treat coronary artery disease (CAD). Objective: To determine the frequency of radial artery occlusion (RAO) in patients undergoing percutaneous coronary intervention (PCI) through radial approach. Methodology: This cross-sectional was conducted at Army Cardiac Hospital, Lahore from 1^st August to 31^st Jan. A non-probability consecutive sampling method was employed to select participants for the study. The PCI procedures were performed by a consultant radiologist, and the duration of the procedure was recorded. After 24 hours, a consultant cardiologist assessed the patients for the presence of RAO. If RAO was detected, appropriate therapy was provided based on the cardiologist’s recommendations. Results: Data were collected from 145 patients, with a mean age of 58.3 ± 9.7 years, ranging from 18 to 75 years. Among the participants, 58.6% were male and 41.4% were female. The average body mass index (BMI) was 28.4 ± 4.2 kg/m². In terms of smoking status, 34.5% were smokers, while 65.5% were non-smokers. Regarding diabetes status, 27.6% of patients had diabetes, while 72.4% were non-diabetic. These demographic characteristics provide a comprehensive overview of the study population. Out of the 145 patients included in the study, 6 (4.1%) developed radial artery occlusion (RAO) within 24 hours following the PCI procedure. The remaining 139 patients (95.9%) did not experience RAO. This result suggests a relatively low incidence of RAO among patients undergoing PCI via the radial approach in the study population.

Downloads

Download data is not yet available.

References

Hoole SP, Bambrough P. Recent advances in percutaneous coronary intervention. Heart. 2020;106(18):1380-6. https://doi.org/10.1136/heartjnl-2019-315707

Tsoulou V, Vasilopoulos G, Kapadochos T, Pavlatou N, Kalogianni A, Toulia G, et al. Quality of life in patients undergoing percutaneous coronary intervention. Clin Pract. 2023;13(3):621-37. https://doi.org/10.3390/clinpract13030057

Caldonazo T, Kirov H, Riedel LL, Gaudino M, Doenst T. Comparing CABG and PCI across the globe based on current regional registry evidence. Sci Rep. 2022;12(1):22164:1-10. https://doi.org/10.1038/s41598-022-25853-4

Ikuta A, Kubo S, Osakada K, Takamatsu M, Takahashi K, Ohya M, et al. Predictors of success and puncture site complications in the distal radial approach. Heart Vessels. 2023;38(2):147-56. https://doi.org/10.1007/s00380-022-02152-6

Butt UM, Abu Bakar M, Iqbal MK, Shoukat S, Khan RSAT, Ali M. Frequency of radial artery occlusion in patients undergoing percutaneous cardiac catheterization by radial access. Pak Heart J. 2021;54(03):230-4. https://doi.org/10.47144/phj.v54i3.2146

Munir U, Khan R, Nazeer N, Akhter J, Hassan AU, Hanif B. Frequency and predictors of radial artery occlusion in patients undergoing percutaneous coronary intervention. Cureus. 2022;14(5):e25505. https://doi.org/10.7759/cureus.25505

Bukhari SN, Javed I, Usman M. Incidence of radial artery occlusion in patients undergoing percutaneous coronary intervention via trans radial assess. Pak J Med Sci. 2023;39(2):377-9. https://doi.org/10.12669/pjms.39.2.7219

Mohsen A, Alqasrawi M, Shantha GP, DeZorzi C, Panaich S. Comparison of radial artery occlusion following Transradial access for percutaneous coronary intervention using Sheath-based versus Sheathless technique. Sci Rep. 2018;8(1):1–7. https://doi.org/10.1038/s41598-018-30462-1

Sharma AK, Razi MM, Prakash N, Sharma A, Sarraf S, Sinha S, et al. A comparative accessment of Dorsal radial artery access versus classical radial artery access for percutaneous coronary angiography-a randomized control trial (DORA trial) Indian Heart J. 2020;72(5):435–441. https://doi.org/10.1016/j.ihj.2020.06.002

Farooqi MA, Malik BR, Anwar R. Radial Artery Occlusion after Percutaneous Coronary Intervention through Transradial Approach. Pak J Med Health Sci. 2021;15(8):2246–2249. https://doi.org/ 10.53350/pjmhs211582246.

Lee JW, Park SW, Son JW, Ahn SG, Lee SH. Real-world experience of the left distal transradial approach for coronary angiography and percutaneous coronary intervention: a prospective observational study (LeDRA) EuroIntervention. 2018;14(9):e995–1003. doi: 10.4244/EIJ-D-18-00635. https://doi.org/10.4244/EIJ-D-18-00635.

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

Lin CJ, Lee WC, Lee CH, Chung WJ, Hsueh SK, Chen CJ, et al. Feasibility and safety of chronic total occlusion percutaneous coronary intervention via distal transradial access. Front Cardiovasc Med. 2021;8:673858. https://doi.org/10.3389/fcvm.2021.673858.

Scalise RF, et al. Radial artery access for percutaneous cardiovascular interventions: contemporary insights and novel approaches. J Clin Med. 2019;8(10):1727. https://doi.org/10.3390/jcm8101727.

Schlosser J, Herrmann L, Böhme T, Karlheinz B, Nikolaus L, Thomas N, et al. Incidence and predictors of radial artery occlusion following transradial coronary angiography: the proRadial trial. Clin Res Cardiol. 2022:1–1. https://doi.org/10.1007/s00392-022-02094-z.