Introduction
Complication | Mean incidence after TR-PCP (%) | Mean incidence after TR-PCI (%) | Mean incidence after TR-CAG (%) | Mean incidence after pooled procedures (%) | References |
---|---|---|---|---|---|
Upper extremity dysfunction | 0.32 % (0.07–1.51) | 0.81 % (0.16–3.91) | 0.12 % (0.02–0.72) | 0.32 % (0.10–1.01) | |
Upper extremity ischaemia | 0.14 % (0.04–0.57) | 0.29 % (0.16–0.53) | 0.19 % (0.04–0.99) | 0.21 % (0.10–0.43) | |
Pain | 8.03 % (3.97–15.55) | 4.49 % (0.64–25.43) | 9.57 % (7.52–12.11) | 7.65 % (4.51–12.67) | |
Radial artery spasm | 8.7 % (5.8–12.7) | 4.24 % (2.47–7.17) | 7.25 % (4.01–12.77) | 0.5 % (0.01–2.75) | |
Severe radial artery spasm | 1.82 % (1.07–3.06) | 1.13 % (0.68–1.87) | 1.58 % (0.85–2.93) | 1.45 % (1.07–1.96) | |
Early radial artery occlusion | 4.0 % (2.67–5.94) | 2.59 % (1.81–3.69) | 4.98 % (2.34–10.31) | 3.45 % (2.59–4.58) | |
Late radial artery occlusion | 3.23 % (2.01–5.15) | 3.21 % (2.10–4.87) | 3.30 % (1.98–5.46) | 3.34 % (2.57–4.32) | |
Minor access-site bleeding | 4.30 % (2.35–7.75) | 1.93 % (0.61–5.96) | 1.56 % (0.93–2.61) | 2.49 % (1.29–4.75) | |
Major access-site bleeding | 0.34 % (0.12–0.97) | 0.79 % (0.50–1.23) | 0.22 % (0.03–1.57) | 0.66 % (0.44–0.99) | |
Minor access-site haematoma | 3.89 % (2.40–6.25) | 3.34 % (2.49–4.47) | 1.54 % (0.54–4.32) | 3.22 (2.42–4.28) | |
Major access-site haematoma | 0.87 % (0.56–1.36) | 1.07 % (0.67–1.71) | 0.45 % (0.24–0.82) | 0.89 % (0.65–1.21) | |
Perforation | 0.28 % (0.08–0.90) | 0.64 % (0.12–3.22) | 0.48 (0.16–1.49) | 0.40 % (0.20–0.80) | |
Dissection | 0.40 % (0.10–1.59) | 0.48 % (0.09–2.39) | 0.72 % (0.15–3.43) | 0.49 % (0.19–1.27) | |
Swelling | 2.4 % (1.1–5.3) | 3.5 % (0.5–20.6) | 1.0 (0.1–6.6) | 2.76 % (1.36–5.5) | |
Compartment syndrome | 0.01 % (0.0–0.02) | 0.14 % (0.03–0.71) | 0.0 % (0.0–0.11) | 0.0 % (0.01–0.07) | |
Pseudo-aneurysm | 038 % (0.20–0.73) | 0.32 % (0.18–0.58) | 0.18 % (0.05–0.73) | 0.32 % (0.21–0.49) | |
Arteriovenous fistula | 0.20 % (0.09–0.48) | 0.22 % (0.11–0.43) | 0.19 % (0.05–0.74) | 0.21 % (0.13–0.35) | |
Infection/Inflammation | 0.83 % (0.34–1.99) | 1.06 % (0.15–7.17) | Not applicable | 0.86 % (0.38–1.93) |
Methods
Selection criteria
Endpoint definitions
Data analysis and synthesis
Results
Upper extremity dysfunction
Upper extremity ischaemia
Pain
Radial artery spasm
Radial artery occlusion
Access-site bleeding
Access-site haematoma
Perforation
Dissection
Swelling
Compartment syndrome
Pseudo-aneurysm
Arteriovenous fistula
Infection/Inflammation
Meta-regression analysis
Complication | Qm | df |
P-value |
---|---|---|---|
Upper extremity dysfunction | 1.0262 | 2 | 0.5986 |
Upper extremity ischaemia | 0.7596 | 2 | 0.6840 |
Pain | 0.4701 | 2 | 0.7905 |
Radial artery spasm | 3.2052 | 2 | 0.2014 |
Severe radial artery spasm | 1.6600 | 2 | 0.4360 |
Early radial artery occlusion | 5.0693 | 2 | 0.0605 |
Late radial artery occlusion | 0.9621 | 3 | 0.8104 |
Minor access-site bleeding | 1.6248 | 2 | 0.4438 |
Major access-site bleeding | 2.9380 | 2 | 0.2302 |
Minor access-site haematoma | 3.4631 | 2 | 0.1770 |
Major access-site haematoma | 4.1858 | 2 | 0.1233 |
Perforation | 0.8900 | 2 | 0.6408 |
Dissection | 0.2113 | 2 | 0.8997 |
Swelling | 1.7717 | 2 | 0.4124 |
Compartment syndrome | 8.4838 | 2 | 0.0144a
|
Pseudo-aneurysm | 1.0197 | 2 | 0.6006 |
Arteriovenous fistula | 0.0378 | 2 | 0.9813 |
Infection/Inflammation | 0.0380 | 1 | 0.8454 |