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Ibrahim, Maulana
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Journal : Heart Science Journal

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Long term radial artery occlusion following distal or proximal transradial artery access in invasive cardiovascular procedures Saboe, Aninka; Ibrahim, Maulana; Pranata, Raymond; Dewi, Triwedya Indra; Yahya, Achmad Fauzi
Heart Science Journal Vol. 6 No. 2 (2025): The Complexity in the Management of Heart Rhythm Disorder
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.hsj.2025.006.02.10

Abstract

Background: Radial artery occlusion (RAO) is one of the most common consequences of transradial artery access (TRA) in invasive cardiovascular procedures; therefore, alternative approaches, such as distal radial artery access (DRA), emerged. This study compares proximal and distal radial access for long-term RAO. Objectives: This study compares long-term RAO incidence with proximal and distal radial access following invasive cardiovascular procedures. Material and Methods: This is a retrospective cohort study. The subjects comprised patients with heart disease who underwent invasive cardiovascular procedures using radial access at Dr. Hasan Sadikin General Hospital Bandung between July 2017 and December 2020. The patients were categorized into two groups based on their access type: proximal and distal. The incidence of long-term RAO was evaluated through Doppler ultrasound at least one-year post-TRA. Results: The study included 107 patients (proximal = 72 patients; distal = 35 patients). The mean age was 58.2 ± 8.26 years, with a predominance of male patients (79.4%) and smokers (65.4%). The majority of procedures were interventional (58.2%). Baseline characteristics were comparable between the two groups, except for selecting the access side, which was more prevalent on the left side in the distal group. Long-term RAO occurred in 8 patients (7.48%), with 7 cases (9.72%) in the proximal group and 1 case (2.86%) in the distal group (p=0.269). Conclusion: The study findings reveal no significant difference in the incidence of long-term RAO between proximal and distal radial access in invasive cardiovascular procedures.
Co-Authors Achmad Fauzi Yahya, Achmad Fauzi Affandi, Amam Nur Ahmad, Shieva Nur Azizah Ainul Mardiyah, Ainul Akbar, Muhamad Fathoni Amanda, Friska Anjani, Lidia Tamia Apdian, Donny Arbain Tata Arief Wahyudi, Arief Bain, Unan Nur Bangun, Jacklyn Alona Br Beru Perangin-angin, Reh Bungana Br Lumban Batu, Rouli Dadan Zaliluddin Dalimunthe, Reja Daniarti, Yeni DARMANSYAH . Dewi, Triwedya Indra Dicky Harwanto Dinata, Rizki Wangsa Elzani, Rahma Farida, Dida Fauzian, Mardiatul Friana, Danda Gunawan Santoso Hadi Santoso Hadiningrum, Sri Hamdani, Muhammad Habib Herdiansah, Arief Hidayat, Farhan Husin, Muhammad Habib I Ketut Suardika Ilham Adhya Imaman, Rahardian Aulia Indah, Novita Iren Br Bangun Irnawaty Irnawaty, Irnawaty Jaya, Genta Adha Jufri Darma Junaidi Junaidi Kusuma, Erlang Darma Kusuma, Rahiel Rindu Latifa, Ulinnuha Lestari, Dira M. Iqbal Manalu, Vivin Silvia Boang Mandurroh, Resti Sri Maria Laot Kian, Antonius Maulida, Alwi Zulfa Munawar, Azrina Rival Munir, Arham Muthoharoh Muthoharoh, Muthoharoh Nababan, Ramsul Nataria, Popi Nina Herlina Nugraha, Amalia Nurdin Nurdin NURUL AZIZAH PA, Eh Bungana Beru Pakpahan, Lisa Caroline Pangestu, Aistu Nur Cahya Panggabean, Naulita Perangin-angin, Reh Bungana Beru Pranata, Raymond Pratama, Reynaldi Purba, Desriani Ronay Fiona Purba, Viona Francesca Putri Rachmaida, Nabila Rahmah, Nia Ramdhan, Dadan Saepul Ramsul Nababan Razan, Abdullah Richard, Fahri Syach Roland Prawyra Sitorus, Hizkia Rouli br Lumban Batu Saboe, Aninka Saifullah, Ahmad Sari, Yunita Sartika Sherly Asriyani Sihaloho, Oksari Sijabat, Yosua Gabe Maruli Siswandari Noertjahjani Situmorang, Lennai Sri Rejeki Stephanie, Erviana Suli, Suli Supartono, Toto Surya Dharma Suwandi, Deden Winda Suyuti Suyuti Tamba, Relly Thesia, Devi Putri Topo Jers, La Ode Tri Ferga Prasetyo Wijayanti, Rima Rizqi Windayani, Silma Wulandari, Poppy Yayan Hendrayana