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Comparison of Radial Artery Occlussion Incidence Post Transradial Access Between Seldinger Technique with Modified Seldinger Technique

Author : M. H. Gailani, M. Syukri, M. Fadil
Upload Date : 19-04-2018

Background: Transradial access is the first choice for cardiac catheterization procedure. Although transradial access has many advantages, but it still has complication of its own. Radial artery occlusion (RAO) is major complication of transradial access. Two techniques exist for accessing radial artery, Seldinger and modified Seldinger technique. Data regarding how these techniques affected RAO complication is still limited.

Methods: This study was comparative study with cohort design using consecutive technique to obtain sample, and to assess RAO complication 30 days after transradial access. The assessment of RAO was using Doppler vascular.

Results: Total 50 patients were divided into two groups, Seldinger technique group (n=25) and modified Seldinger technique group (n=25). No difference in patient’s baseline characteristic between two groups. Access time was significantly better in Seldinger technique group (3,72±1,1 minutes vs. 5±2,9 minutes, p=0,048). Although not statistically significant, this study also showed number of attempts, first attempt access, and crossover were better in Seldinger technique group (1,12±0,69 vs. 1,44±1,02, p=0,12; 22 (88%) vs. 17 (68%), p=0,17; 1 (4%) vs. 5 (20%), p=0,18, respectively). No incidence of RAO was observed in two groups with Doppler vascular examination.

Conclusions: RAO complication is not affected by the choice of the access techniques. Seldinger technique is significantly better in the term of access time compared to modified Seldinger technique.

KEYWORDS : transradial access, radial artery occlusion, Seldinger technique.


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