Frequency of Radial Artery Occlusion after Percutaneous Intervention in patients of Coronary Artery Disease
Background: Radial Artery Occlusion is a complication of transradial access for percutaneous coronary intervention.
Objective: To determine the frequency of radial artery occlusion after percutaneous coronary intervention in patients of coronary artery disease.
Methodology: This was a cross-sectional study conducted at the Department of Interventional Cardiology, Chaudhary Pervaiz Elahi Institute of Cardiology, Multan, from 30th April to 30th October 2019. One hundred and twenty-five patients, who underwent PCI through the Radial artery, were included in the study. Complete history and physical examination was carried out in all the patients and the frequency of Radial artery occlusion was noted after the procedure. SPSS version 23 was used for data analysis.
Results: Mean age of the patients was 65.22±11.54 years, mean weight was 68.81±15.55 kg, mean height of patients was 163.54±9.07 cm, and the mean BMI of the patients was 29.93±4.87 kg/m2. Gender distribution revealed that 109 (87.2%) were males. Hypertension was noted in 84 (67.2%) patients, Diabetes in 40 (32%) patients, and 22 (17.6%) patients smoker, while dyslipidemia was found in 24 (19.2%) patients. Radial Artery Occlusion after 24 hours was found in 5 (4.0%) patients.
Conclusion: Radial Artery Occlusion is not uncommon after percutaneous coronary intervention in patients of coronary artery disease. Shorter compression time in a patent hemostasis setting and higher dose of heparin independently appear to reduce RAO.