Effect of Hand Dominance on Radial Artery Spasm and Occlusion: A Prospective Observational Study.

Autor: Toprak K; Department of Cardiology, Harran University Faculty of Medicine, Sanliurfa, Turkey., Inanır M; Cardiology Department, Bolu Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkey., Memioğlu T; Cardiology Department, Bolu Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkey., Palice A; Sanliurfa Mehmet Akif İnan Training and Research Hospital, Sanlıurfa, Turkey., Kaplangoray M; Sanliurfa Mehmet Akif İnan Training and Research Hospital, Sanlıurfa, Turkey., Yesilay AB; Department of Cardiology, Harran University Faculty of Medicine, Sanliurfa, Turkey., Tascanov MB; Department of Cardiology, Harran University Faculty of Medicine, Sanliurfa, Turkey., Altıparmak İH; Department of Cardiology, Harran University Faculty of Medicine, Sanliurfa, Turkey., Demirbağ R; Department of Cardiology, Harran University Faculty of Medicine, Sanliurfa, Turkey.
Jazyk: angličtina
Zdroj: Angiology [Angiology] 2024 Apr; Vol. 75 (4), pp. 340-348. Date of Electronic Publication: 2023 Feb 06.
DOI: 10.1177/00033197231155599
Abstrakt: Transradial access has become the most commonly used method for cardiac catheterization. Many medical and technical applications have been proposed to reduce TRA complications. The aim of this study is to examine the effect of hand dominance on radial artery spasm and radial artery occlusionin subjects undergoing CC via TRA. Between April 2020 and August 2022, 1713 subjects who underwent CC via TRA were included in the study. Patient data were obtained in terms of hand dominance of the catheterized side and RAS and RAO during a 1-month follow-up period. RAS was seen in 9.6% of the subjects. The RAS in patients catheterized by the dominant hand was significantly higher than that performed by the non-dominant hand (12 vs 7.8%; P = .004). RAO was seen in 1% of the subjects. RAO was significantly higher in the spasm side than in the no-spasm side (3 vs .8%; P = .009). Hand dominance was determined as an independent predictor of radial artery spasm (P = .006). In our study, RAS and RAO were more common on the dominant hand side than on the non-dominant side. Choosing the non-dominant hand for TRA for CC may reduce the incidence of RAS and RAO.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE