Novel oral anticoagulants in the treatment of radial artery occlusion

Roy, Soma; Choxi, Ravi; Wasilewski, M; Jovin, Ion S.

doi:10.1002/ccd.29771

Cited by 3 publications

(2 citation statements)

References 16 publications

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“…In addition to that, the use of novel oral anticoagulation agents and, especially, apixaban has been recently proposed as an alternative and more convenient option to subcutaneous therapy. Nevertheless, its benefit should be further investigated, because the current literature is limited [74].…”

Section: Rao Treatmentmentioning

confidence: 99%

Preventing and Managing Radial Artery Occlusion following Transradial Procedures: Strategies and Considerations

Tsigkas,

Papanikolaou,

Apostolos

et al. 2023

JCDD

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Τransradial artery access has recently gained widespread acceptance as the preferred approach for coronary angiography and interventions, due to its lower incidence of bleeding and vascular complications compared to transfemoral access. However, thrombotic occlusion of the radial artery has emerged as the most common complication of this method, impeding its use in future interventions, and in the creation of arteriovenous fistulae for hemodialysis patients, or as a graft for coronary artery bypasses grafting. In this comprehensive review, we delve into the anatomy of the radial artery, the pathophysiology and diagnosis of radial artery occlusion, the identification of potential risk factors and, finally, prevention and treatment strategies. We acknowledge that distal transradial access provides an effective alternative for coronary angiography and catheterizations, with a reduced incidence of radial artery occlusion.

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Section: Rao Treatmentmentioning

confidence: 99%

Preventing and Managing Radial Artery Occlusion following Transradial Procedures: Strategies and Considerations

Tsigkas,

Papanikolaou,

Apostolos

et al. 2023

JCDD

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“…Female sex, low BMI and presence of diabetes expose a risk for RAO as they are associated with smaller artery size ( 11 ). Additionally, the higher incidence of RAO in women has been associated with their greater sensitivity to vascular spasm ( 13 ). Since an A/S ratio >1 is a risk for RAO, the use of small sheaths is recommended in diagnostic angiography and uncomplicated coronary interventions, especially in female patients.…”

Section: Discussionmentioning

confidence: 99%

Predictive value of CHA2DS2-VASc score in radial artery occlusion after transradial coronary angiography

Nadir

2023

Front. Cardiovasc. Med.

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BackgroundRadial artery occlusion is the most common complication of transradial catheterization. RAO is characterized by thrombus formation due to catheterization and endothelial damage. CHA2DS2-VASc scores are the current scoring systems used to determine the risk of thromboembolism in patients with atrial fibrillation. The aim of this study was to investigate the relationship of CHA2DS2-VASc score with radial artery occlusion.MethodsThis prospectively designed study was included 500 consecutive patients who underwent coronary artery transradial catheterization for diagnostic or interventional procedures. The diagnosis of radial artery occlusion was made by palpation examination and Doppler ultrasound at the twenty-fourth hour after the procedure. Independent predictors of radial artery occlusion were determined by logistic regression analysis.ResultsRadial artery occlusion was observed at a rate of 9%. The CHA2DS2-VASc score was higher in the group of the patients who developed radial artery occlusion (p < 0.001). Arterial spasm (OR: 2.76, 95% CI 1.18–6.45, p: 0.01), catheterization time (OR: 1.03, 95% CI 1.005–1.057, p: 0.01) and CHA2DS2-VASc score ≥ 3 (OR: 1.44, 95% CI 1.17–1.78, p: 0.00) as significant independent predictors of radial artery occlusion. A high CHA2DS2-VASc score was associated with the continuity of the occlusion after the treatment (OR:1.37, 95% CI 1.01–1.85, p: 0.03).ConclusionsAn easily applicable CHA2DS2-VASc score of ≥3 has a predictive value for radial artery occlusion.

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