TY - JOUR
T1 - Hand Sensibility after Transradial Arterial Access: An Observational Study in Patients with and without Radial Artery Occlusion
AU - van der Heijden, Dirk J.
AU - van Leeuwen, Maarten A. H.
AU - Ritt, Marco J. P. F.
AU - Dapper, Matti M. L.
AU - Boer, Karin
AU - Teerenstra, Steven
AU - van Royen, Niels
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Purpose: To evaluate hand sensibility after transradial access (TRA) in patients with and without radial artery occlusion (RAO). Materials and Methods: In this study, 71 patients with and without RAO after TRA for a coronary intervention were studied (79% male, mean age 65 y ± 9). Sensibility testing of both hands was performed with the Semmes-Weinstein monofilaments test. The primary endpoint was abnormal sensibility, defined as diminished sensibility in at least 1 radial nerve–supplied dermatome. The contralateral hand served as control. The influence of TRA, RAO, and clinical characteristics on hand sensibility was evaluated. Results: In patients with RAO, more abnormal sensibility was observed on the RAO side compared with the control hand (72% vs 17%, P < .01). In patients without RAO, more abnormal sensibility was observed in the TRA hand compared with the control hand (43% vs 10%, P < .01). When analyzing all hands separately, TRA, RAO, and diabetes were independent predictors for abnormal hand sensibility in a multivariate model (odds ratio 3.8, 95% confidence interval 1.4–9.8, P < .01; odds ratio 3.0, 95% confidence interval 1.1–8.5, P = .03; odds ratio 3.5, 95% confidence interval 1.4–8.6, P < .01). Conclusions: TRA and RAO are associated with diminished hand sensibility.
AB - Purpose: To evaluate hand sensibility after transradial access (TRA) in patients with and without radial artery occlusion (RAO). Materials and Methods: In this study, 71 patients with and without RAO after TRA for a coronary intervention were studied (79% male, mean age 65 y ± 9). Sensibility testing of both hands was performed with the Semmes-Weinstein monofilaments test. The primary endpoint was abnormal sensibility, defined as diminished sensibility in at least 1 radial nerve–supplied dermatome. The contralateral hand served as control. The influence of TRA, RAO, and clinical characteristics on hand sensibility was evaluated. Results: In patients with RAO, more abnormal sensibility was observed on the RAO side compared with the control hand (72% vs 17%, P < .01). In patients without RAO, more abnormal sensibility was observed in the TRA hand compared with the control hand (43% vs 10%, P < .01). When analyzing all hands separately, TRA, RAO, and diabetes were independent predictors for abnormal hand sensibility in a multivariate model (odds ratio 3.8, 95% confidence interval 1.4–9.8, P < .01; odds ratio 3.0, 95% confidence interval 1.1–8.5, P = .03; odds ratio 3.5, 95% confidence interval 1.4–8.6, P < .01). Conclusions: TRA and RAO are associated with diminished hand sensibility.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85067432588&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31235411
U2 - https://doi.org/10.1016/j.jvir.2019.04.010
DO - https://doi.org/10.1016/j.jvir.2019.04.010
M3 - Article
C2 - 31235411
SN - 1051-0443
VL - 30
SP - 1832
EP - 1839
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
IS - 11
ER -