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Prospective Study of Radial Artery Occlusion Following Transradial Arterial Access during IR Procedures.

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Citation: Journal of Vascular & Interventional Radiology. 33(2):130-135, 2022 02.PMID: 34718097Institution: MedStar Medical Group | MedStar Washington Hospital CenterDepartment: Internal Medicine Residency | RadiologyForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Arterial Occlusive Diseases | *Carcinoma, Hepatocellular | *Chemoembolization, Therapeutic | *Liver Neoplasms | Adult | Aged | Aged, 80 and over | Arterial Occlusive Diseases/dg [Diagnostic Imaging] | Arterial Occlusive Diseases/et [Etiology] | Arterial Occlusive Diseases/th [Therapy] | Carcinoma, Hepatocellular/co [Complications] | Cardiac Catheterization/ae [Adverse Effects] | Cardiac Catheterization/mt [Methods] | Chemoembolization, Therapeutic/ae [Adverse Effects] | Humans | Liver Neoplasms/co [Complications] | Male | Middle Aged | Prospective Studies | Radial Artery/dg [Diagnostic Imaging]Year: 2022 Local holdings: Available online through MWHC library: 2002 - 2006, Available in print through MWHC library: 1999 - 2006ISSN:

1051-0443

Name of journal: Journal of vascular and interventional radiology : JVIRAbstract: CONCLUSIONS: Transradial access resulted in a <1% rate of RAO. Copyright (c) 2021 SIR. Published by Elsevier Inc. All rights reserved.MATERIALS AND METHODS: Seventy-seven patients undergoing transradial access from August 2019 to March 2021 for 120 intra-arterial procedures (yttrium-90 mapping [n = 39] and radioembolization [n = 38], uterine artery embolization [n = 19], transarterial chemoembolization [n = 10], active bleed embolization [n = 8], angiomyolipoma embolization [n = 4], and other [n = 2]) were enrolled. The average patient age was 59 years +/- 13.1 (range, 30-90 years), and 43 (55.8%) of the 77 patients were men. The patients underwent radial artery (RA) palpation, ultrasound evaluation, the Barbeau test, and the reverse Barbeau test prior to and following the intervention. Verapamil, nitroglycerin, and heparin were administered in a total of 114 (95%) of the 120 procedures prior to starting the procedure. The incidence of RAO and radial artery spasm (RAS) was calculated, and univariate logistic regression was performed to analyze the predictors of RAS.PURPOSE: To prospectively determine the rate of radial artery occlusion (RAO) in patients undergoing transradial access for intra-arterial interventions.RESULTS: The preprocedural RA diameter (3.0 mm +/- 0.67) was not significantly different from the postprocedural RA diameter (3.0 mm +/- 0.65, P = .904). The RAO rate was determined to be 0.8% (1/120), and this artery recanalized within 1 week. Due to the small number of occlusions, statistical analysis of predictors of RAO was not performed. The rate of RAS was 22.7% (27/119). None of the variables tested-including age, sex, RA diameter, initial versus repeat access, operator experience, and artery puncture technique-showed significant prediction for RAS. Patients were seen for follow-up after 111 (92.5%) of the 120 procedures.All authors: Horton KM, Restrepo CR, Sabri SS, Sivananthan G, Tabori NEOriginally published: Journal of Vascular & Interventional Radiology. 2021 Oct 27Fiscal year: FY2022 Digital Object Identifier:

https://dx.doi.org/10.1016/j.jvir.2021.10.017

Date added to catalog: 2022-01-25

Holdings ( 1 )
Title notes ( 6 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	34718097	Available		34718097

Available online through MWHC library: 2002 - 2006, Available in print through MWHC library: 1999 - 2006

MATERIALS AND METHODS: Seventy-seven patients undergoing transradial access from August 2019 to March 2021 for 120 intra-arterial procedures (yttrium-90 mapping [n = 39] and radioembolization [n = 38], uterine artery embolization [n = 19], transarterial chemoembolization [n = 10], active bleed embolization [n = 8], angiomyolipoma embolization [n = 4], and other [n = 2]) were enrolled. The average patient age was 59 years +/- 13.1 (range, 30-90 years), and 43 (55.8%) of the 77 patients were men. The patients underwent radial artery (RA) palpation, ultrasound evaluation, the Barbeau test, and the reverse Barbeau test prior to and following the intervention. Verapamil, nitroglycerin, and heparin were administered in a total of 114 (95%) of the 120 procedures prior to starting the procedure. The incidence of RAO and radial artery spasm (RAS) was calculated, and univariate logistic regression was performed to analyze the predictors of RAS.

PURPOSE: To prospectively determine the rate of radial artery occlusion (RAO) in patients undergoing transradial access for intra-arterial interventions.

RESULTS: The preprocedural RA diameter (3.0 mm +/- 0.67) was not significantly different from the postprocedural RA diameter (3.0 mm +/- 0.65, P = .904). The RAO rate was determined to be 0.8% (1/120), and this artery recanalized within 1 week. Due to the small number of occlusions, statistical analysis of predictors of RAO was not performed. The rate of RAS was 22.7% (27/119). None of the variables tested-including age, sex, RA diameter, initial versus repeat access, operator experience, and artery puncture technique-showed significant prediction for RAS. Patients were seen for follow-up after 111 (92.5%) of the 120 procedures.

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