Incidence and risk factors of radial artery spasm during distal radial angiography

Year 2024, , 300 - 304, 30.10.2024

Raif Kılıç , Tuncay Güzel , Murat Demirci

https://doi.org/10.5472/marumj.1573178

Abstract

Objective: Radial artery spasm (RAS) is a common complication of radial coronary angiography. Our aim was to assess how different
risk factors influence the occurrence of RAS during distal radial coronary angiography.
Patients and Methods: A total of 183 consecutive patients undergoing distal radial angiography at 2 centers were included in our study.
RAS was defined clinically. The relationship between the demographic and clinical characteristics of the patients and the development
of RAS was evaluated.
Results: Radial artery spasm developed in 23 (12.5%) of the patients. While the female sex ratio was higher in those who developed
RAS, the mean age was lower (p<0.001). In addition, procedure time, number of punctures, access time and percutaneous coronary
intervention (PCI) rate were found to be higher in patients who developed RAS (p<0.001). Multivariate logistic regression analysis
showed that gender, age, access time and number of punctures were independent predictors. In the ROC analysis, procedure and
access times were found to predict RAS.
Conclusion: Among patients who underwent distal radial angiography, RAS was found to be more common in women and younger
individuals. In addition, prolonged procedure and access times and a high number of punctures increase the possibility of RAS.

Keywords

Distal radial angiography, Radial artery spasm, Number of punctures, Access time, Procedure time

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