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Published online: 2019-08-27
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Comparison of long-term radial artery occlusion following trans-radial coronary intervention using 6-french versus 7-french sheaths

Yanming Fan, Qingmin Wei, Junna Cai, Yanbo Wang, Xianghua Fu
DOI: 10.5603/CJ.a2019.0085
·
Pubmed: 31478556

open access

Ahead of print
Original articles
Published online: 2019-08-27

Abstract

Background: The aim of this study was to explore the impact of 6-Fr and 7-Fr sheaths on the incidence of long-term radial artery occlusion (RAO) after trans-radial coronary intervention (TRI).

Methods: From September 2013 to January 2016, patients with ischemic heart disease including acute myocardial infarction and true bifurcation lesions were randomly assigned to 6-Fr group and 7-Fr group immediately after coronary angiography in a 1:1 ratio. The radial artery diameters were observed by ultrasound examination one day prior to TRI as well as at 30 days and one year after TRI. The primary endpoint was the incidence of RAO at 1-year after TRI. The secondary endpoints were the incidence of local vascular complications during hospitalization and changes of radial artery diameters within 1-year after TRI between the two groups. Additionally, multivariate logistic regression analysis was used to explore potential factors related to the incidence of long-term RAO after TRI.

Results: A total of 214 patients were enrolled and randomly assigned to 6-Fr group (n = 105) or 7-Fr group (n = 109). There was no significant difference in the incidence of RAO at 1-year after TRI (8.57% vs. 12.84%, p = 0.313). Moreover, no significant difference was observed in the incidence of local vascular complications during hospitalization (20% vs. 24.77%, p = 0.403). After 1-year follow-up, no significant difference was found in radial artery diameters (2.63 ± 0.31 mm vs. 2.64 ± 0.27 mm, p = 0.802). Multivariate logistic analysis revealed that repeated TRI was an independent risk factor of long-term RAO one year after TRI (OR = 10.316, 95% CI 2.928–36.351, p = 0.001).

Conclusions: Compared to 6-Fr sheath, 7-Fr sheath did not increase short-term or long-term incidence of RAO after TRI.

Abstract

Background: The aim of this study was to explore the impact of 6-Fr and 7-Fr sheaths on the incidence of long-term radial artery occlusion (RAO) after trans-radial coronary intervention (TRI).

Methods: From September 2013 to January 2016, patients with ischemic heart disease including acute myocardial infarction and true bifurcation lesions were randomly assigned to 6-Fr group and 7-Fr group immediately after coronary angiography in a 1:1 ratio. The radial artery diameters were observed by ultrasound examination one day prior to TRI as well as at 30 days and one year after TRI. The primary endpoint was the incidence of RAO at 1-year after TRI. The secondary endpoints were the incidence of local vascular complications during hospitalization and changes of radial artery diameters within 1-year after TRI between the two groups. Additionally, multivariate logistic regression analysis was used to explore potential factors related to the incidence of long-term RAO after TRI.

Results: A total of 214 patients were enrolled and randomly assigned to 6-Fr group (n = 105) or 7-Fr group (n = 109). There was no significant difference in the incidence of RAO at 1-year after TRI (8.57% vs. 12.84%, p = 0.313). Moreover, no significant difference was observed in the incidence of local vascular complications during hospitalization (20% vs. 24.77%, p = 0.403). After 1-year follow-up, no significant difference was found in radial artery diameters (2.63 ± 0.31 mm vs. 2.64 ± 0.27 mm, p = 0.802). Multivariate logistic analysis revealed that repeated TRI was an independent risk factor of long-term RAO one year after TRI (OR = 10.316, 95% CI 2.928–36.351, p = 0.001).

Conclusions: Compared to 6-Fr sheath, 7-Fr sheath did not increase short-term or long-term incidence of RAO after TRI.

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Keywords

radial artery occlusion, trans-radial coronary intervention, radial artery diameter, artery sheath, local vascular complication

About this article
Title

Comparison of long-term radial artery occlusion following trans-radial coronary intervention using 6-french versus 7-french sheaths

Journal

Cardiology Journal

Issue

Ahead of print

Article type

Original Article

Published online

2019-08-27

DOI

10.5603/CJ.a2019.0085

Pubmed

31478556

Keywords

radial artery occlusion
trans-radial coronary intervention
radial artery diameter
artery sheath
local vascular complication

Authors

Yanming Fan
Qingmin Wei
Junna Cai
Yanbo Wang
Xianghua Fu

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