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- Title
The Effect Of Hand Dominance On Radial Artery Spasm And Occlusion: A Prospective Observational Study.
- Authors
Toprak, Kenan; Omar, Muhammed Bahadır; İnanır, Mehmet; Memioğlu, Tolga; Palice, Ali; Kaplangoray, Mustafa; Biçer, Asuman; Taşcanov, Mustafa Begenç; Altıparmak, İbrahim Halil; Demirbağ, Recep
- Abstract
Transradial access (TRA) has become the most commonly used method for cardiac catheterization (CC) today. Many medical and technical applications have been proposed to reduce these complications. The aim of this study is to examine the effect of hand dominance on radial artery spasm (RAS) and radial artery occlusion (RAO) in subjects undergoing CC via TRA. Between April 2020 and August 2022, 1713 subjects who underwent CC via TRA were included in the study. Patient data were obtained in terms of hand dominance of the catheterized side and RAS and RAO during a 1-month follow-up period. RAS was seen in 9.6% of the subjects. The RAS in patients catheterized by the dominant hand was significantly higher than that performed by the non-dominant hand (12% vs 7.8%; p=0.004). RAO was seen in 1% of the subjects. RAO was significantly higher in the spasm side than in the no-spasm side (3% vs. 0.8%; p=0.009). Hand dominance was determined as independent predictor of radial artery spasm (p=0.006). In our study, RAS and RAO were more common on the dominant hand side than on the non-dominant side. Choosing the non-dominant hand for TRA for CC may reduce the incidence of RAS and RAO.
- Subjects
RADIAL artery; ARTERIAL occlusions; CARDIAC catheterization; SURGICAL complications; MEDICAL care
- Publication
E Journal of Cardiovascular Medicine, 2023, Vol 11, p1
- ISSN
2147-1924
- Publication type
Article