Analysis of radial artery occlusion causes and methods of its prevention after interventions using radial access. Results of the APRIORI study
Aim. To study predictors of radial artery occlusion (RAO) and ways to prevent it after interventions using radial access.Material and methods. The study consisted of prospective and retrospective parts. The total number of included patients was 2284. Patients undergoing interventions by radial acces...
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«FIRMA «SILICEA» LLC
2022-01-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/4695 |
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| author | D. V. Ognerubov S. I. Provatorov E. V. Merkulov A. S. Merkulov K. I. Kupina O. A. Pogorelova M. I. Tripoten T. V. Balakhonova D. M. Kairaliev A. E. Grossman A. K. Osokina A. V. Potekhina A. N. Samko |
| author_facet | D. V. Ognerubov S. I. Provatorov E. V. Merkulov A. S. Merkulov K. I. Kupina O. A. Pogorelova M. I. Tripoten T. V. Balakhonova D. M. Kairaliev A. E. Grossman A. K. Osokina A. V. Potekhina A. N. Samko |
| author_sort | D. V. Ognerubov |
| collection | DOAJ |
| description | Aim. To study predictors of radial artery occlusion (RAO) and ways to prevent it after interventions using radial access.Material and methods. The study consisted of prospective and retrospective parts. The total number of included patients was 2284. Patients undergoing interventions by radial access in various medical organizations were retrospectively considered. The prospective study included 1284 patients who were subject to interventional treatment. Patients were randomized into two groups as follows: in group 1, hemostasis was performed within 4 hours, in group 2 — >6 hours. All patients underwent a bedside Barbeau test with a pulse oximeter and an ultrasound of access arteries to determine the radial artery patency/occlusion.Results. The RAO rate in the retrospective part was 21,8%, while in the prospective one — 10,1% with long-term hemostasis and 1,4% with short-term hemostasis (p<0,001). Predictors of RAO were type 2 diabetes (odds ratio (OR), 1,9, 95% confidence interval (CI), 1,1-3,4, p=0,03) and an increase in hemostasis duration by 1 hour (OR, 1,2, 95% CI, 1,1-1,3, p<0,001). When analyzing the retrospective part, the predictors of RAO were body mass index (OR, 1,06, 95% CI, 1,02-1,09, p=0,002), female sex (OR, 0,6, 95% CI, 0,4-0,9, p=0,02), smoking (OR, 1,38, 95% CI, 1-1,91, p=0,047). The administration of statins in different dosages, as well as antihypertensive and anti-ischemic agents, did not have a significant effect on the RAO rate.Conclusion. The main predictors of RAO were type 2 diabetes, an increase in hemostasis duration, female sex, smoking, and the artery-to-introducer diameter ratio. Taking statins, anti-ischemic and antihypertensive agents does not have a protective effect on RAO rate. |
| format | Article |
| id | doaj-art-e0cc1fda19734e37b2c32ec1db89ecba |
| institution | Kabale University |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2022-01-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj-art-e0cc1fda19734e37b2c32ec1db89ecba2025-08-20T03:43:37Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202022-01-01261210.15829/1560-4071-2021-46953413Analysis of radial artery occlusion causes and methods of its prevention after interventions using radial access. Results of the APRIORI studyD. V. Ognerubov0S. I. Provatorov1E. V. Merkulov2A. S. Merkulov3K. I. Kupina4O. A. Pogorelova5M. I. Tripoten6T. V. Balakhonova7D. M. Kairaliev8A. E. Grossman9A. K. Osokina10A. V. Potekhina11A. N. Samko12National Medical Research Center of CardiologyNational Medical Research Center of CardiologyNational Medical Research Center of CardiologyNational Medical Research Center of CardiologyFederal Research and Clinical Center for Sports Medicine and Rehabilitation of Federal Medical Biological AgencyNational Medical Research Center of CardiologyNational Medical Research Center of CardiologyNational Medical Research Center of CardiologyCity Clinical Hospital № 7Reutov Central City Clinical HospitalNational Medical Research Center of CardiologyNational Medical Research Center of CardiologyNational Medical Research Center of CardiologyAim. To study predictors of radial artery occlusion (RAO) and ways to prevent it after interventions using radial access.Material and methods. The study consisted of prospective and retrospective parts. The total number of included patients was 2284. Patients undergoing interventions by radial access in various medical organizations were retrospectively considered. The prospective study included 1284 patients who were subject to interventional treatment. Patients were randomized into two groups as follows: in group 1, hemostasis was performed within 4 hours, in group 2 — >6 hours. All patients underwent a bedside Barbeau test with a pulse oximeter and an ultrasound of access arteries to determine the radial artery patency/occlusion.Results. The RAO rate in the retrospective part was 21,8%, while in the prospective one — 10,1% with long-term hemostasis and 1,4% with short-term hemostasis (p<0,001). Predictors of RAO were type 2 diabetes (odds ratio (OR), 1,9, 95% confidence interval (CI), 1,1-3,4, p=0,03) and an increase in hemostasis duration by 1 hour (OR, 1,2, 95% CI, 1,1-1,3, p<0,001). When analyzing the retrospective part, the predictors of RAO were body mass index (OR, 1,06, 95% CI, 1,02-1,09, p=0,002), female sex (OR, 0,6, 95% CI, 0,4-0,9, p=0,02), smoking (OR, 1,38, 95% CI, 1-1,91, p=0,047). The administration of statins in different dosages, as well as antihypertensive and anti-ischemic agents, did not have a significant effect on the RAO rate.Conclusion. The main predictors of RAO were type 2 diabetes, an increase in hemostasis duration, female sex, smoking, and the artery-to-introducer diameter ratio. Taking statins, anti-ischemic and antihypertensive agents does not have a protective effect on RAO rate.https://russjcardiol.elpub.ru/jour/article/view/4695radial accessradial artery occlusioncomplicationscoronary artery diseasecoronary angiographypercutaneous coronary intervention |
| spellingShingle | D. V. Ognerubov S. I. Provatorov E. V. Merkulov A. S. Merkulov K. I. Kupina O. A. Pogorelova M. I. Tripoten T. V. Balakhonova D. M. Kairaliev A. E. Grossman A. K. Osokina A. V. Potekhina A. N. Samko Analysis of radial artery occlusion causes and methods of its prevention after interventions using radial access. Results of the APRIORI study Российский кардиологический журнал radial access radial artery occlusion complications coronary artery disease coronary angiography percutaneous coronary intervention |
| title | Analysis of radial artery occlusion causes and methods of its prevention after interventions using radial access. Results of the APRIORI study |
| title_full | Analysis of radial artery occlusion causes and methods of its prevention after interventions using radial access. Results of the APRIORI study |
| title_fullStr | Analysis of radial artery occlusion causes and methods of its prevention after interventions using radial access. Results of the APRIORI study |
| title_full_unstemmed | Analysis of radial artery occlusion causes and methods of its prevention after interventions using radial access. Results of the APRIORI study |
| title_short | Analysis of radial artery occlusion causes and methods of its prevention after interventions using radial access. Results of the APRIORI study |
| title_sort | analysis of radial artery occlusion causes and methods of its prevention after interventions using radial access results of the apriori study |
| topic | radial access radial artery occlusion complications coronary artery disease coronary angiography percutaneous coronary intervention |
| url | https://russjcardiol.elpub.ru/jour/article/view/4695 |
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