Incidence and risk factors of radial artery spasm during distal radial angiography
Marmara Medical Journal, cilt.37, sa.3, ss.300-304, 2024 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 37 Sayı: 3
- Basım Tarihi: 2024
- Doi Numarası: 10.5472/marumj.1573178
- Dergi Adı: Marmara Medical Journal
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
- Sayfa Sayıları: ss.300-304
- Anahtar Kelimeler: Distal radial angiography, Radial artery spasm, Number of punctures, Access time, Procedure time
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Radial artery spasm (RAS) is a common complication of radial coronary angiography. Our aim was to assess how different risk factors influence the occurrence of RAS during distal radial coronary angiography. Patients and Methods: A total of 183 consecutive patients undergoing distal radial angiography at 2 centers were included in our study. RAS was defined clinically. The relationship between the demographic and clinical characteristics of the patients and the development of RAS was evaluated. Results: Radial artery spasm developed in 23 (12.5%) of the patients. While the female sex ratio was higher in those who developed RAS, the mean age was lower (p<0.001). In addition, procedure time, number of punctures, access time and percutaneous coronary intervention (PCI) rate were found to be higher in patients who developed RAS (p<0.001). Multivariate logistic regression analysis showed that gender, age, access time and number of punctures were independent predictors. In the ROC analysis, procedure and access times were found to predict RAS. Conclusion: Among patients who underwent distal radial angiography, RAS was found to be more common in women and younger individuals. In addition, prolonged procedure and access times and a high number of punctures increase the possibility of RAS.