Radial artery occlusion after transradial procedures: impact on 1-year adverse events.
Minerva Cardiol Angiol
; 71(4): 414-420, 2023 Aug.
Article
en En
| MEDLINE
| ID: mdl-36468762
ABSTRACT
BACKGROUND:
Radial artery occlusion after transradial procedures is a frequent iatrogenic thrombotic process. The impact on prognosis has not been investigated. This study sought to investigate whether radial artery occlusion is related to increased risk of major adverse cardiac and cerebrovascular events, defined as death, myocardial infarction, stroke and coronary revascularization.METHODS:
Eight hundred thirty-seven consecutive patients who underwent a transradial coronary procedure had patency of radial artery checked at 24 hours. Radial artery occlusion occurred in 41 over 837 patients (4.8%); 764 (91.2%) were available for planned follow-up at 1 year and were included in the analysis. Event-free survival rate between patients with and without radial artery occlusion was calculated using Kaplan-Meier estimates, and Cox proportional-hazards models were used to identify independent risk factors.RESULTS:
At a median 370-day follow-up (IQR 366-375 days), adverse events occurred in 37 patients (4.8%), 2 in patients with radial artery occlusion and 35 in patients without. One-year survival rate was 94.9% vs. 95% (unadjusted HR=1.026, 95% CI 0.24 to 4.6, P=0.9). After multivariable modeling, age and coronary artery disease extension was associated with increased risk of adverse events.CONCLUSIONS:
Age and coronary artery disease extension were independent predictors of adverse events at follow-up. RAO had no prognostic impact.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Arteriopatías Oclusivas
/
Enfermedad de la Arteria Coronaria
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Minerva Cardiol Angiol
Año:
2023
Tipo del documento:
Article