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05-10-2015 | Review Article | Uitgave 11/2015 Open Access

Netherlands Heart Journal 11/2015

Revealing the impact of local access-site complications and upper extremity dysfunction post transradial percutaneous coronary procedures

Tijdschrift:
Netherlands Heart Journal > Uitgave 11/2015
Auteurs:
E.M. Zwaan, A.G.M.M. Koopman, C.A.J. Holtzer, F. Zijlstra, M.J.P.F. Ritt, G. Amoroso, E. Moerman, M.J.M. Kofflard, A.A.J. IJsselmuiden
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (doi: 10.​1007/​s12471-015-0747-9) contains supplementary material, which is available to authorized users. This supplementary file contains References 51–202.

Abstract

Objectives

Little is known about local access-site complications and upper extremity dysfunction after transradial percutaneous coronary procedures (TR-PCP). This systematic review study aimed to summarise the current knowledge on the incidences of access-site complications and upper extremity dysfunction after TR-PCP.

Methods

Two independent, trained investigators searched MEDLINE, EMBASE and CENTRAL for eligible studies published before 1 January 2015. Also, they hand-searched the conference proceedings of the annual scientific sessions of the American College of Cardiology, the American Heart Association, European Society of Cardiology, and the Trans-catheter Cardiovascular Therapeutics. Inclusion criteria were cohort studies and clinical trials discussing the incidence of access-site complications and upper extremity function after transradial percutaneous coronary intervention (TR-PCI) and/or transradial coronary angiography (TR-CAG) as endpoints.

Results

176 articles described access-site complications. The incidence is up to 9.6 %. Fourteen articles described upper extremity dysfunction, with an incidence of up to 1.7 %. Upper extremity dysfunction was rarely investigated, hardly ever as primary endpoint, and if investigated not thoroughly enough.

Conclusion

Upper extremity dysfunction in TR-PCP has never been properly investigated and is therefore underestimated. Further studies are needed to investigate the magnitude, prevention and best treatment of upper extremity dysfunction. Optimising TR-PCP might be achieved by using slender techniques, detection of upper extremity dysfunction and early referral to a hand rehabilitation centre.

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

Extra materiaal
A table with the remaining references, with in the first column the reference number corresponding with the references in the text. (PDF 167 KB)
12471_2015_747_MOESM1_ESM.pdf
Literatuur
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