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

Zwaan EM, Koopman AG, Holtzer CA, Zijlstra F, Ritt MJ, Amoroso G, Moerman E, Kofflard MJ, IJsselmuiden AA - Neth Heart J (2015)

Bottom Line: 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.Optimising TR-PCP might be achieved by using slender techniques, detection of upper extremity dysfunction and early referral to a hand rehabilitation centre.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Albert Schweitzer Hospital, Dordrecht, the Netherlands.

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.

No MeSH data available.


Related in: MedlinePlus

Inclusion flow diagram. Using MEDLINE, EMBASE and CENTRAL 869 articles were obtained concerning access-site complications after trans radial percutaneous coronary procedures (TR-PCP). There were 376 cohort studies and clinical trials. After careful selection 176 articles were included based on the inclusion criteria as described in the methods
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Related In: Results  -  Collection


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Fig3: Inclusion flow diagram. Using MEDLINE, EMBASE and CENTRAL 869 articles were obtained concerning access-site complications after trans radial percutaneous coronary procedures (TR-PCP). There were 376 cohort studies and clinical trials. After careful selection 176 articles were included based on the inclusion criteria as described in the methods

Mentions: A total of 869 citations were evaluated. After careful selection 176 papers were eligible (Fig. 3). The pooled incidence rates of upper extremity complications after TR-PCP, TR-PCI and TR-CAG are shown in Table 1. We did produce funnel and forest plots, but because of the extent of all the results, we do not show these in this article.Fig. 3


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

Zwaan EM, Koopman AG, Holtzer CA, Zijlstra F, Ritt MJ, Amoroso G, Moerman E, Kofflard MJ, IJsselmuiden AA - Neth Heart J (2015)

Inclusion flow diagram. Using MEDLINE, EMBASE and CENTRAL 869 articles were obtained concerning access-site complications after trans radial percutaneous coronary procedures (TR-PCP). There were 376 cohort studies and clinical trials. After careful selection 176 articles were included based on the inclusion criteria as described in the methods
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4608927&req=5

Fig3: Inclusion flow diagram. Using MEDLINE, EMBASE and CENTRAL 869 articles were obtained concerning access-site complications after trans radial percutaneous coronary procedures (TR-PCP). There were 376 cohort studies and clinical trials. After careful selection 176 articles were included based on the inclusion criteria as described in the methods
Mentions: A total of 869 citations were evaluated. After careful selection 176 papers were eligible (Fig. 3). The pooled incidence rates of upper extremity complications after TR-PCP, TR-PCI and TR-CAG are shown in Table 1. We did produce funnel and forest plots, but because of the extent of all the results, we do not show these in this article.Fig. 3

Bottom Line: 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.Optimising TR-PCP might be achieved by using slender techniques, detection of upper extremity dysfunction and early referral to a hand rehabilitation centre.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Albert Schweitzer Hospital, Dordrecht, the Netherlands.

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.

No MeSH data available.


Related in: MedlinePlus