Trial reportClinical research in cardiology : official journal of the German Cardiac Society2023
Incidence and predictors of radial artery occlusion following transradial coronary angiography: the proRadial trial.
Trial report in Clinical research in cardiology : official journal of the German Cardiac Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 21 citations in OpenAlex.
- Topical lidocaine effectively mitigates radial pain, spasm, and sympathetic response following trans-radial coronary angiography: A randomized, double-blind, placebo-controlled clinical trial.Naunyn-Schmiedeberg's archives of pharmacology · 2026Trial
- Relationship Between the Systemic Coagulation-Inflammation Index and Radial Artery Occlusion After Transradial Coronary Angiography.Cardiology research · 2026Article
- Sedation Strategy, Procedural Comfort, and Clinically Detected Radial Artery Spasm During Transradial Coronary Angiography: A Prospective Observational Study.Journal of clinical medicine · 2026Article
- Optimal radial artery diameter for predicting radial artery occlusion after transradial coronary catheterization.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- Original Article--Evaluation of Radial Artery Anatomy With Various Anatomical Variants in Patients Undergoing Transradial Catheterization.Journal of the Saudi Heart Association · 2026Article
- Biomarker-based prediction of radial artery occlusion after cardiac catheterization.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026Article
- Incidence, classification, healing patterns, and vascular remodeling of radial artery dissection assessed by OCT.Frontiers in cardiovascular medicine · 2026Article
- High Radial Artery Puncture Reduces CRPS Risk for Women: A Retrospective Case Series.Journal of clinical medicine · 2025Article
- Distal Radial Access and Women: Implications for Access Site Outcomes in Coronary Procedures.Journal of the American Heart Association · 2025Article
- Rivaroxaban versus Enoxaparin in Patients with Radial Artery Occlusion after Transradial Coronary Catheterization: A Pilot Randomization Trial.Vascular specialist international · 2025Article
- Predictors and clinical outcomes of incomplete hemostasis following transradial coronary intervention: the role of activated clotting time and procedural factors.Frontiers in medicine · 2025Article
- Incidence and Predictors of Early and Late Radial Artery Occlusion after Percutaneous Coronary Intervention and Coronary Angiography: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2024Review
- Incidence and Prognostic Factors of Radial Artery Occlusion in Transradial Coronary Catheterization.Journal of clinical medicine · 2024Article
- The clinical application of transarterial embolization via radial artery in hemorrhagic diseases in obstetrics and gynecology.Frontiers in medicine · 2023Article
- Incidence of Radial Artery Occlusion in Patients Undergoing Percutaneous Coronary Intervention via Trans Radial Access.Pakistan journal of medical sciencesArticle
- Apixaban, a Novel Oral Anticoagulant, Use to Resolute Arterial Patency in Radial Artery Occlusion Due to Cardiac Catheterization; A Pilot Randomized Clinical Trial.ARYA atherosclerosisArticle
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study investigated the contemporary incidence and predictors of radial artery occlusion as well as the effectiveness of antithrombotic treatment for radial artery occlusion following transradial coronary angiography.
backgroundThe radial artery is the standard access for coronary angiography and even complex interventions. Postprocedural radial artery occlusion is still a common and significant complication.
methodsThis prospective study enrolled 2004 patients following transradial coronary angiography. After sheath removal, hemostasis was obtained in a standardized fashion. Radial artery patency was evaluated by duplex ultrasonography in all patients. In case of occlusion, oral anticoagulation was recommended and patients were scheduled for a 30-day follow-up including Doppler ultrasonography.
resultsA new-diagnosed radial occlusion was found in 4.6% of patients. The strongest independent predictors of radial occlusion were female sex and active smoking status. In the subgroup of patients with percutaneous coronary interventions, female sex followed by sheath size > 6 French were the strongest predictors of radial occlusion. 76 of 93 patients with radial occlusion received an oral anticoagulation for 30 days. However, reperfusion at 30 days was found in 32% of patients on oral anticoagulation.
conclusionThe incidence of radial artery occlusion following coronary angiography in contemporary practice appears with 4.6% to be lower as compared to previous cohorts. Female sex and smoking status are the strongest independent predictors of radial occlusion followed by procedural variables. The limited effectiveness of oral anticoagulation for treatment of radial artery occlusion suggests a primarily traumatic than thrombotic mechanism of this complication.
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