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- Title
CHA2DS2-VASC Score and this score components in predicting radial artery complications of among patients who underwent elective transradial coronary angiogram.
- Authors
Selcuk, Mehmet Timur; Selcuk, Hatice; Maden, Orhan; Karaaslan, Ozge Cakmak; Tola, Muharrem; Kafes, Habibe; Cetin, Elif Hande; Balci, Kevser Gulcihan; Balci, Mustafa Mucahit
- Abstract
Transradial approach (TRA) has been more and more accepted for cardiovascular operations. TRA uncommonly leads to hemorrhagic and vascular complications. CHA2DS2-VASc score is utilized to estimation the risk of thrombosis in patients with atrial fibrillation. We intended to assess the relationship between the CHA2DS2-VASc score or components of this score and radial artery complications after transradial coronary angiography. A total of 412 consecutive patients who underwent a TRA were evaluated in this study. Patients were divided into two groups as total complications (n= 73) and no-complications (n= 339) groups. The CHA2DS2-VASc score was higher in patients who had total complications group yet it was not statistically significant (p=.149). Total complication group were older compared to control group (p=.017). As the radial artery diameter decreased, and sheath/radial artery diameter increased, the risk of the total complication group higher significantly (for all; p<.001). Known coronary artery disease (OR: 2.230, 95% CI: 1.007-4.975, p= .048) was independent risk factors for predictor of radial artery thrombosis, DM was an independent predictor of radial artery pseudoaneurysm (OR: 4.746, 95% CI: 1.269-17.747, p= .021), age was an independent predictor of radial artery hematoma (OR: 1.054, 95% CI: 1.005-1.106, p= .029) and radial artery total complications (OR: 1.047, 95% CI: 1.005-1.087, p= .015). The CHA2DS2-VASc score alone is not connected with the risk of radial artery complications after transradial catheterization but CHA2DS2-VASc score components may help to predict complications the risk of in radial interventions.
- Subjects
RADIAL artery; CORONARY angiography; THROMBOSIS complications; VASCULAR diseases; ATRIAL fibrillation diagnosis; AORTIC aneurysms
- Publication
Medicine Science, 2021, Vol 10, Issue 1, p1
- ISSN
2147-0634
- Publication type
Article
- DOI
10.5455/medscience.2020.07.149