{"id":4741,"date":"2025-06-04T15:12:48","date_gmt":"2025-06-04T13:12:48","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=4741"},"modified":"2025-06-09T18:20:19","modified_gmt":"2025-06-09T16:20:19","slug":"cvja-2025-001","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2025-001\/","title":{"rendered":"Periprocedural intermittent contralateral arm ischaemia facilitates radial artery puncture and prevents radial artery spasm"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            Ahmet Korkmaz, Can Ozkan, Ozgul Ucar Elalmis, Umit Guray                                                                                                        \r\n        <\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                            \r\n        <strong>Background:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n        Transradial access (TRA) is a common technique used for diagnostic and interventional cardiac procedures. However, there are some challenges and risks of complications. This study aimed to evaluate the impact of periprocedural intermittent ischaemia of the contralateral arm on TRA and radial artery spasm.                                                                                                                    \r\n                <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n        <strong>Methods:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n        We enrolled 80 patients with an indication for coronary angiography between December 2017 and June 2018. The patients were randomly grouped into two cohorts: intermittent contralateral arm ischaemia (n = 40) and control (n = 40) groups.                                                                                                                    \r\n                <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n        <strong>Results:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n        The radial artery puncture success ratio was higher in the intermittent contralateral arm ischaemia group than in the control group (p = 0.025). In multivariable logistic regression analysis, intermittent contralateral arm ischaemia was significantly associated with radial artery puncture success (hazard ratio: 8.261, 95% confidence interval: 1.427\u201347.823, p = 0.018).                                                                                                                    \r\n                <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n        <strong>Conclusion:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n         Periprocedural intermittent contralateral arm ischaemia increased the radial intervention success due to the remote ischaemic preconditioning, vasodilator factors and autonomic nervous system role.                                                                                                                    \r\n                <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>intermittent arm ischaemia, radial artery puncture, radial artery spasm<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> May 13, 2024; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> July 17, 2024; <!--Month day, year; -->        \r\n    <strong>Published Online First:<\/strong> April 30, 2025; <!--Month day, year; -->                                                                        \r\n    <strong>Published:<\/strong> June 4, 2025<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>36<\/b>: 28-30<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 36, Issue 1<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2025-001<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n                                                                                                                                        \r\n            <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Department of Cardiology, Ankara City Hospital, Ankara, Turkey<\/strong>    <br \/>                                                                            \r\n                                                                                                                                        \r\n                Ahmet Korkmaz, MD<br \/>\r\nOzgul Ucar Elalmis, MD<br \/>\r\nUmit Guray, MD<br \/>                                                                                                \r\n                                                                                                                                        \r\n            <\/div>                                                                                                                        \r\n                                                                                                                                        \r\n            <div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Department of Cardiology, Bursa City Hospital, Bursa, Turkey<\/strong>    <br \/>                                                                            \r\n                                                                                                                                        \r\n                Can Ozkan, MD <br \/><br \/>\r\n\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Transradial access (TRA) is a common technique used for diagnostic and interventional cardiac procedures. However, there are some challenges and risks of complications. This study aimed to evaluate the impact of periprocedural intermittent ischaemia of the contralateral arm on TRA and radial artery spasm.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[44,100],"tags":[],"class_list":["post-4741","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-topics","category-volume-36-issue-1"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Periprocedural intermittent contralateral arm ischaemia facilitates radial artery puncture and prevents radial artery spasm - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"Transradial access (TRA) is a common technique used for diagnostic and interventional cardiac procedures. However, there are some challenges and risks of complications. This study aimed to evaluate the impact of periprocedural intermittent ischaemia of the contralateral arm on TRA and radial artery spasm.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cvja.co.za\/journal\/cvja-2025-001\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Periprocedural intermittent contralateral arm ischaemia facilitates radial artery puncture and prevents radial artery spasm - Cardiovascular Journal of Africa\" \/>\n<meta property=\"og:description\" content=\"Transradial access (TRA) is a common technique used for diagnostic and interventional cardiac procedures. However, there are some challenges and risks of complications. 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