Key result
Transradial and transulnar coronary angiography shows a low ~0.4% incidence of major vascular complications.
Cohort (n=1,600)
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Prospective study finds a 0.44% incidence of major complications following forearm coronary procedures, highlighting the need for vigilant surveillance.
BACKGROUND: Major, noncoronary complications are rarely encountered following transradial coronary procedures. METHODS AND RESULTS: Among 1600 prospectively studied patients with complete follow-up, 7 patients experienced major complications following coronary forearm procedures corresponding to an incidence of 0.44%. We found inadvertent symptomatic intramyocardial contrast medium injection, 2 cases with compartment syndrome of which 1 was managed surgically, exertional hand ischemia due to radial artery occlusion, a large ulnar artery pseudoaneurysm, an ulnar arteriovenous fistula, and 1 critical hand ischemia due to late occlusion of the distal brachial artery. CONCLUSIONS: Although infrequent, surveillance for major complications should be encouraged after forearm coronary procedures.
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Hahalis et al. (2015) conducted a cohort in Patients undergoing transradial and transulnar coronary angiography (n=1,600). Transradial and transulnar coronary angiography was evaluated on Major noncoronary vascular complications. Transradial and transulnar coronary angiography was associated with a 0.44% incidence (7 of 1,600 patients) of major vascular complications.
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