Incidence and Outcomes of Radial Artery Loop in Patient Undergoing Coronary Angiography
DOI:
https://doi.org/10.70749/ijbr.v3i2.735Keywords:
Radial Artery Loop, Procedural Success, Recovery TimeAbstract
Objective: The primary objective of this study was to determine the incidence and outcomes of radial artery loops in patients undergoing coronary angiography (CAG) at Hayatabad Medical Complex, Peshawar, focusing on procedural time, complications, recovery time, radial artery occlusion, and procedural success. Methodology: This retrospective study included 150 patients, divided into two groups: 75 patients with radial artery loops and 75 with normal radial anatomy. Data were collected from patient records between January 2023 and December 2023. Procedural outcomes, complications, and recovery were analyzed, and statistical comparisons were made using t-tests. Results: The average procedure time for the "Normal Radial Artery" group was 76.93 minutes, while in the "Radial Artery Loop" group, it was 73.25 minutes (p = 0.39). Post-procedural complications occurred in 53.3% of the normal group and 45.3% in the loop group (p = 0.62). Recovery time was 7.53 days in the normal group and 7.85 days in the loop group (p = 0.62). Radial artery occlusion rates were 49.3% for the normal group and 56.0% for the loop group (p = 0.62). Procedural success rates were 49.3% for the normal group and 53.3% for the loop group (p = 0.62). Conclusion: The presence of radial artery loops does not significantly affect the procedural outcomes of CAG, including procedural time, complications, recovery, and success rates. The study provides valuable insights for managing radial artery loops in clinical practice.
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Zheng, D., Zhang, L., Yang, M. D., & Wu, J. (2022). Use of radial artery grafts for coronary artery bypass grafting. The Heart Surgery Forum, 25(3), E385-E390. https://doi.org/10.1532/hsf.4697
Yan, W., Eikelboom, R., Muller Moran, H. R., & Arora, R. C. (2022). It's not all about ischemia: The case for coronary artery bypass grafting in stable coronary artery disease. Current Opinion in Cardiology. https://doi.org/10.1097/hco.0000000000000994
Maqsood, M. H., Yong, C. M., Rao, S. V., Cohen, M. G., Pancholy, S., & Bangalore, S. (2024). Procedural outcomes with femoral, radial, distal radial, and ulnar access for coronary angiography: A network meta-analysis. Circulation: Cardiovascular Interventions, 17(9). https://doi.org/10.1161/circinterventions.124.014186
Didagelos, M., Pagiantza, A., Papazoglou, A. S., Moysidis, D. V., Petroglou, D., Daios, S., Anastasiou, V., Theodoropoulos, K. C., Kouparanis, A., Zegkos, T., Kamperidis, V., Kassimis, G., & Ziakas, A. (2024). Incidence and prognostic factors of radial artery occlusion in Transradial coronary catheterization. Journal of Clinical Medicine, 13(11), 3276. https://doi.org/10.3390/jcm13113276
Hassan, A. K., Abdelmegid, M. A., Hassan Ali, H., Warda, H. M., Mahfouz, R. A., & Tammam Alkhateeb, A. A. (2016). Radial artery anomalies in patients undergoing transradial coronary procedures – An Egyptian multicenter experience. The Egyptian Heart Journal, 68(1), 31-36. https://doi.org/10.1016/j.ehj.2015.07.001
Saha, P. P., Choudhury, A. K., Ahsan, S. A., Momen, A., Patwary, S. R., Alam, N., Uddin, K., Sarkar, P., & Amin, H. A. (2022). Effect of intravenous fentanyl to prevent radial artery spasm during trans radial intervention. University Heart Journal, 18(1), 54-60. https://doi.org/10.3329/uhj.v18i1.57881
Lo, T. S., Nolan, J., Fountzopoulos, E., Behan, M., Butler, R., Hetherington, S. L., Vijayalakshmi, K., Rajagopal, R., Fraser, D., Zaman, A., & Hildick-Smith, D. (2008). Radial artery anomaly and its influence on transradial coronary procedural outcome. Heart, 95(5), 410-415. https://doi.org/10.1136/hrt.2008.150474
Zafirovska, B., Jovkovski, A., Vasilev, I., Taravari, H., Kitanoski, D., Petkoska, D., Kostov, J., Ho, K. K., & Kedev, S. (2024). Sex differences in transradial access failure in ST segment elevation myocardial infarction. Catheterization and Cardiovascular Interventions, 104(6), 1139-1147. https://doi.org/10.1002/ccd.31247
Nakajima, H., Momose, T., & Misawa, T. (2023). A possible mechanism and predictors of forming looped guidewire between the right subclavian and brachiocephalic artery during coronary angiography with right radial artery access: An original paper. Science Progress, 106(4). https://doi.org/10.1177/00368504231213801
Bernat, I., Horak, D., Stasek, J., Mates, M., Pesek, J., Ostadal, P., Hrabos, V., Dusek, J., Koza, J., Sembera, Z., Brtko, M., Aschermann, O., Smid, M., Polansky, P., Al Mawiri, A., Vojacek, J., Bis, J., Costerousse, O., Bertrand, O. F., … Rokyta, R. (2014). ST-segment elevation myocardial infarction treated by radial or femoral approach in a multicenter randomized clinical trial. Journal of the American College of Cardiology, 63(10), 964-972. https://doi.org/10.1016/j.jacc.2013.08.1651
Sinha, S. K., Jha, M. J., Mishra, V., Thakur, R., Goel, A., Kumar, A., Singh, A. K., Sachan, M., Varma, C. M., & Krishna, V. (2017). Radial artery occlusion – Incidence, predictors and long-term outcome after TRAnsradial catheterization: Clinico-Doppler ultrasound-based study (RAIL-TRAC study). Acta Cardiologica, 72(3), 318-327. https://doi.org/10.1080/00015385.2017.1305158
Khalid, A., Mautong, H., Ahmed, K., Aloul, Z., Montero-Cabezas, J., & Marasco, S. (2024). Incidence and predictors of early and late radial artery occlusion after percutaneous coronary intervention and coronary angiography: A systematic review and meta-analysis. Journal of Clinical Medicine, 13(19), 5882. https://doi.org/10.3390/jcm13195882
Garg, N., Sagar, P., Kapoor, A., Tewari, S., Dandu, R., Kumar, S., & Goel, P. (2019). TCT-793 arterial anomalies of upper limb and its influence on Transradial coronary procedures. Journal of the American College of Cardiology, 74(13), B777. https://doi.org/10.1016/j.jacc.2019.08.939
Zafirovska, B., Petkoska, D., Antov, S., Vasilev, I., Jovkovski, A., Kalpak, O., Kostov, J., Spiroski, I., Pejkov, H., Bosev, M., Taravari, H., Kitanoski, D., & Kedev, S. (2016). Radial artery anomalies in the Macedonian population during transradial angiography procedures. SANAMED, 11(2), 87-92. https://doi.org/10.5937/sanamed1602087z
Munir, U., Khan, R., Nazeer, N., Akhter, J., Hassan, A. ul, & Hanif, B. (2022). Frequency and Predictors of Radial Artery Occlusion in Patients Undergoing Percutaneous Coronary Intervention. Cureus. https://doi.org/10.7759/cureus.25505
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