The long-term effect of transradial coronary catheterisation on upper limb function

Maarten A.H. Van Leeuwen, Dirk J. Van Der Heijden, Jailen Hermie, Mattie J. Lenzen, Ruud W. Selles, Marco J.P.F. Ritt, Ferdinand Kiemeneij, Felix Zijlstra, Nicolas M. Van Mieghem, Niels Van Royen

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Aims: Anatomic and physiologic changes that are induced by radial access may lead to a decrease of upper limb function at long-term follow-up; however, this has never been studied. We aimed to study the longterm effect of transradial catheterisation on upper limb function. Methods and results: Between January 2013 and April 2014, upper limb function was assessed in a total of 348 patients with complete one-year follow-up after coronary catheterisation. Upper limb function was assessed with the self-reported shortened version of the DASH questionnaire. The presence and severity of upper extremity cold intolerance was assessed with the self-reported CISS questionnaire. Both questionnaires were completed before the catheterisation and at one-year follow-up. Higher scores represent worse upper limb functionality or symptoms. The non-parametric Wilcoxon signed-rank test was used to assess the change of upper limb function and symptoms over time. Extremity complaints were reported at one-month and one-year follow-up. At one-year follow-up, upper limb function did not change over time when catheterisation was performed through the radial artery (p-value 0.20). Upper extremity was also not affected by cold intolerance at one-year follow-up (p-value 0.09). Extremity complaints were reported equally in both access groups and diminished significantly over time (p-value <0.001). Conclusions: Upper limb function was not affected at long-term follow-up after transradial procedures.

Original languageEnglish
Pages (from-to)1766-1772
Number of pages7
Issue number14
Publication statusPublished - 1 Feb 2017


  • Access-site complications
  • Coronary artery disease
  • Hand function
  • Radial access

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