Key result
Radial PCI linked to ~4% incidence of radial artery occlusion within 24 hours.
Why the study?
The frequency of radial artery occlusion after PCI via the radial approach was not well established in the studied population.
Cross-Sectional (n=145)
No
The incidence of radial artery occlusion following PCI via the radial approach is relatively low at 4.1%, supporting the safety of this access route.
Supports routine early radial patency checks after transradial PCI; leaves open prospective studies to define incidence and predictors.
Introduction: Percutaneous Coronary Intervention (PCI), also known as coronary angioplasty or balloon angioplasty, is a minimally invasive procedure used to treat coronary artery disease (CAD). Objective: To determine the frequency of radial artery occlusion (RAO) in patients undergoing percutaneous coronary intervention (PCI) through radial approach. Methodology: This cross-sectional was conducted at Army Cardiac Hospital, Lahore from 1st August to 31st Jan. A non-probability consecutive sampling method was employed to select participants for the study. The PCI procedures were performed by a consultant radiologist, and the duration of the procedure was recorded. After 24 hours, a consultant cardiologist assessed the patients for the presence of RAO. If RAO was detected, appropriate therapy was provided based on the cardiologist’s recommendations. Results: Data were collected from 145 patients, with a mean age of 58.3 ± 9.7 years, ranging from 18 to 75 years. Among the participants, 58.6% were male and 41.4% were female. The average body mass index (BMI) was 28.4 ± 4.2 kg/m². In terms of smoking status, 34.5% were smokers, while 65.5% were non-smokers. Regarding diabetes status, 27.6% of patients had diabetes, while 72.4% were non-diabetic. These demographic characteristics provide a comprehensive overview of the study population. Out of the 145 patients included in the study, 6 (4.1%) developed radial artery occlusion (RAO) within 24 hours following the PCI procedure. The remaining 139 patients (95.9%) did not experience RAO. This result suggests a relatively low incidence of RAO among patients undergoing PCI via the radial approach in the study population.
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Maken et al. (2025) conducted a cross-sectional in Coronary artery disease requiring PCI (n=145). Percutaneous coronary intervention via radial approach was evaluated on Radial artery occlusion (RAO) within 24 hours. Percutaneous coronary intervention via the radial approach was associated with a 4.1% incidence of radial artery occlusion within 24 hours.
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