The effect of transradial coronary catheterization on upper limb function

Abstract

Objectives: The aim of this study was to analyze the change of upper limb function when percutaneous coronary procedures were performed through the radial artery.

Background: It is currently unknown if upper limb function is affected by transradial (TR) catheterization.

Methods: Between January 2013 and February 2014, upper limb function was assessed in a total of 338 patients undergoing coronary catheterization in an ambulatory setting (85% radial approach, 15% femoral approach). Upper limb function was assessed with the self-reported shortened version of the Disabilities of Arm, Shoulder, and Hand questionnaire. The presence and severity of upper extremity cold intolerance was assessed with the self-reported Cold Intolerance Symptom Severity questionnaire. Both questionnaires were completed before the catheterization and at 30-day follow-up. Higher scores represent worse upper limb functionality or symptoms. The nonparametric Wilcoxon signed-rank test was used to assess the change of upper limb function and symptoms over time.

Results: Upper limb function did not change significantly over time when catheterization was performed through the radial artery (p=0.06). The number of procedure-related extremity complaints that persisted during 30-day follow-up were not different between both access groups (TR access 10.5%, transfemoral access 11.5%; p=0.82). The upper extremity was not affected by cold intolerance after TR access at 30-day follow-up (p=0.91).

Conclusions: Upper limb function was not affected when coronary catheterizations and interventions were performed through the radial artery.

Keywords: PCI; catheterization; extremity problems; hand function; transradial.