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

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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