TY - JOUR
T1 - The long-term effect of transradial coronary catheterisation on upper limb function
AU - Van Leeuwen, Maarten A.H.
AU - Van Der Heijden, Dirk J.
AU - Hermie, Jailen
AU - Lenzen, Mattie J.
AU - Selles, Ruud W.
AU - Ritt, Marco J.P.F.
AU - Kiemeneij, Ferdinand
AU - Zijlstra, Felix
AU - Van Mieghem, Nicolas M.
AU - Van Royen, Niels
PY - 2017/2/1
Y1 - 2017/2/1
N2 - 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.
AB - 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.
KW - Access-site complications
KW - Coronary artery disease
KW - Hand function
KW - Radial access
UR - http://www.scopus.com/inward/record.url?scp=85016045551&partnerID=8YFLogxK
U2 - https://doi.org/10.4244/EIJ-D-15-00395
DO - https://doi.org/10.4244/EIJ-D-15-00395
M3 - Article
C2 - 28216474
SN - 1774-024X
VL - 12
SP - 1766
EP - 1772
JO - Eurointervention
JF - Eurointervention
IS - 14
ER -