Open Radial Artery Study

Ibrahim H. Inanc, Deniz Mutlu, Zeynep N. Efe, Sibel Kulaksızoglu, Kostas Marmagkiolis, Cezar Iliescu, Ismail Ates, Marc D. Feldman, Mehmet Cilingiroglu

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Radial artery occlusion (RAO) has been the most common postprocedural complication of transradial artery access. The optimal method of prevention of RAO is still lacking. In our study, we aimed to evaluate the effect of patent hemostasis on early (24 hours) and late (2 weeks) RAO prevention. The Open Radial Artery Study was a single-arm, prospective, and multicenter study. The primary end points were early and late RAO at the vascular access site after transradial coronary procedures. Secondary end points were access site hematoma, pseudoaneurysm formation, arteriovenous fistula, and nerve injury. A total of 2,181 patients were analyzed (67% male, mean age 68 years). The mean interventional duration and hemostatic times were 75.6 ± 55.6 and 60 ± 5.6 minutes, respectively. Radial artery spasm occurred in 10% of patients (n = 218). Catheter kinking, radial artery rupture, or dissection were not observed during the procedure. RAO, hematoma, pseudoaneurysm, arteriovenous fistula, or nerve damage was not observed in any of the patients in the early or late period. In patients who undergo coronary diagnostic or interventional procedures through transradial artery access, the patent hemostasis method seems a critical step in the prevention of early and late RAO.

Original languageEnglish
Pages (from-to)130-136
Number of pages7
JournalAmerican Journal of Cardiology
Volume211
DOIs
Publication statusPublished - 15 Jan 2024
Externally publishedYes

Keywords

  • patent hemostasis
  • radial artery occlusion
  • transradial artery access

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