Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Feb 20;12(14):1766-1772.
doi: 10.4244/EIJ-D-15-00395.

The long-term effect of transradial coronary catheterisation on upper limb function

Maarten A H van Leeuwen  1 , Dirk J van der Heijden, Jailen Hermie, Mattie J Lenzen, Ruud W Selles, Marco J P F Ritt, Ferdinand Kiemeneij, Felix Zijlstra, Nicolas M Van Mieghem, Niels van Royen
Affiliations

The long-term effect of transradial coronary catheterisation on upper limb function

Maarten A H van Leeuwen et al. EuroIntervention. .

Abstract

Aims: Anatomic and physiologic changes that are induced by radial access may lead to a decrease of upper limb function at long-term follow-up; however, this has never been studied. We aimed to study the long-term effect of transradial catheterisation on upper limb function.

Methods and results: Between January 2013 and April 2014, upper limb function was assessed in a total of 348 patients with complete one-year follow-up after coronary catheterisation. Upper limb function was assessed with the self-reported shortened version of the DASH questionnaire. The presence and severity of upper extremity cold intolerance was assessed with the self-reported CISS questionnaire. Both questionnaires were completed before the catheterisation and at one-year follow-up. Higher scores represent worse upper limb functionality or symptoms. The non-parametric Wilcoxon signed-rank test was used to assess the change of upper limb function and symptoms over time. Extremity complaints were reported at one-month and one-year follow-up. At one-year follow-up, upper limb function did not change over time when catheterisation was performed through the radial artery (p-value 0.20). Upper extremity was also not affected by cold intolerance at one-year follow-up (p-value 0.09). Extremity complaints were reported equally in both access groups and diminished significantly over time (p-value <0.001).

Conclusions: Upper limb function was not affected at long-term follow-up after transradial procedures.

PubMed Disclaimer