Impact of sheath size and hemostasis time on radial artery patency after transradial coronary angiography and intervention in Japanese and non‐Japanese patients: A substudy from RAP and BEAT (Radial Artery Patency and Bleeding, Efficacy, Adverse evenT) randomized multicenter trial
Background During transradial (TR) access, it remains unclear whether differences in baseline patients characteristics and hemostasis care impact the rate of radial artery occlusion (RAO). We sought to compare the rate of RAO after TR access with the 6 French(Fr) Glidesheath Slender (GSS6Fr, Terumo,...
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| Veröffentlicht in: | Catheterization and cardiovascular interventions 2018-11, Vol.92 (5), p.844-851 |
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| creator | Aminian, Adel Saito, Shigeru Takahashi, Akihiko Bernat, Ivo Jobe, Robert Lee Kajiya, Takashi Gilchrist, Ian C. Louvard, Yves Kiemeneij, Ferdinand van Royen, Niels van Leeuwen, Maarten Yamazaki, Seiji Matsukage, Takashi Iglesias, Juan F. Rao, Sunil V. |
| description | Background
During transradial (TR) access, it remains unclear whether differences in baseline patients characteristics and hemostasis care impact the rate of radial artery occlusion (RAO). We sought to compare the rate of RAO after TR access with the 6 French(Fr) Glidesheath Slender (GSS6Fr, Terumo, Japan) or a standard 5 Fr sheath in Japanese and non‐Japanese patients.
Methods and Results
The Radial Artery Patency and Bleeding, Efficacy, Adverse evenT (RAP and BEAT) trial randomized 1,836 patients undergoing TR coronary angiography and/or interventions to receive the GSS6Fr or the standard 5 Fr Glidesheath (GS5Fr, Terumo, Japan). Out of this study population, 1,087 were Japanese patients and 751 non‐Japanese patients. The overall incidence of RAO was significantly higher in Japanese patients (3.6% vs. 1.2%, P = 0.002). Use of GSS6Fr was associated with higher rates of RAO than GS5Fr in Japanese patients (5% vs. 2.2%, P = 0.02) and with similar RAO rates in non‐Japanese patients (1.3 vs. 1.1%, P = 1). The mean hemostasis time was significantly longer in Japanese patients (378 ± 253 vs. 159 ± 136 min, P |
| doi_str_mv | 10.1002/ccd.27526 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6282571</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2135033786</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4436-c3f70d3c2608d3caf68f8e70e0121e10ca30ba44fe10052c0c99da102cc1b1203</originalsourceid><addsrcrecordid>eNp1kl1rFDEUhkdRbK1eeC1IwJsWum2S-fZCGNdVKwVLWcG7cDaT2U2ZScZkZmV61Z_gb_SXeHZnu6jgVb6ePHlPOEHwgtEzRik_l7I842nMk4fBIYs5n6Q8-fZoN2d5lBwET72_oZTmCc-fBAc8j2Lczw8fvLxoWpAdsRXxKwXdinh9qwiYkqxUY30HXnvS6UYRa4iDUkNNwHXKDaSFThk5EKhwSToHxu8AaZ01gAiYpbZLB-1q2Dq1QXStTKfRpg35DC0Y5ccHjTW_7n7ut1CvkfRvSEF8v_BdXw6kcrYh18XV9sK7WTEnx9fjm8UY6uo-1Oa8VqrUZnlKZlWlJcjhlBTlWjm0K0wxP8GKTGkbLLkkTV93WiozFoPKZ8HjCmqvnu_Go-Drh9l8-mly-eXjxbS4nMgoCpOJDKuUlqHkCc1wgCrJqkylVFHGmWJUQkgXEEUVzmnMJZV5XgKjXEq2YJyGR8Hb0dv2i0aVmwgOatE63eAfCgta_H1i9Eos7VokPONxylBwvBM4-71XvhON9lLVNX6k7b3glIY0ysIsQ_T1P-iN7Z3B8gRnYUzDMM0SpE5GSjrrvVPVPgyjYtNyAltObFsO2Vd_pt-T9z2GwPkI_NC1Gv5vEtPp-1H5Gy155vg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2135033786</pqid></control><display><type>article</type><title>Impact of sheath size and hemostasis time on radial artery patency after transradial coronary angiography and intervention in Japanese and non‐Japanese patients: A substudy from RAP and BEAT (Radial Artery Patency and Bleeding, Efficacy, Adverse evenT) randomized multicenter trial</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Aminian, Adel ; Saito, Shigeru ; Takahashi, Akihiko ; Bernat, Ivo ; Jobe, Robert Lee ; Kajiya, Takashi ; Gilchrist, Ian C. ; Louvard, Yves ; Kiemeneij, Ferdinand ; van Royen, Niels ; van Leeuwen, Maarten ; Yamazaki, Seiji ; Matsukage, Takashi ; Iglesias, Juan F. ; Rao, Sunil V.</creator><creatorcontrib>Aminian, Adel ; Saito, Shigeru ; Takahashi, Akihiko ; Bernat, Ivo ; Jobe, Robert Lee ; Kajiya, Takashi ; Gilchrist, Ian C. ; Louvard, Yves ; Kiemeneij, Ferdinand ; van Royen, Niels ; van Leeuwen, Maarten ; Yamazaki, Seiji ; Matsukage, Takashi ; Iglesias, Juan F. ; Rao, Sunil V.</creatorcontrib><description>Background
During transradial (TR) access, it remains unclear whether differences in baseline patients characteristics and hemostasis care impact the rate of radial artery occlusion (RAO). We sought to compare the rate of RAO after TR access with the 6 French(Fr) Glidesheath Slender (GSS6Fr, Terumo, Japan) or a standard 5 Fr sheath in Japanese and non‐Japanese patients.
Methods and Results
The Radial Artery Patency and Bleeding, Efficacy, Adverse evenT (RAP and BEAT) trial randomized 1,836 patients undergoing TR coronary angiography and/or interventions to receive the GSS6Fr or the standard 5 Fr Glidesheath (GS5Fr, Terumo, Japan). Out of this study population, 1,087 were Japanese patients and 751 non‐Japanese patients. The overall incidence of RAO was significantly higher in Japanese patients (3.6% vs. 1.2%, P = 0.002). Use of GSS6Fr was associated with higher rates of RAO than GS5Fr in Japanese patients (5% vs. 2.2%, P = 0.02) and with similar RAO rates in non‐Japanese patients (1.3 vs. 1.1%, P = 1). The mean hemostasis time was significantly longer in Japanese patients (378 ± 253 vs. 159 ± 136 min, P < 0.001) and more Japanese patients had a hemostasis time of more than 6 hr (16.2% vs. 4.9%, P < 0.0001). Longer hemostasis time was an independent predictor of RAO (OR per additional hour 1.070, 95% CI 1.008–1.136, P = 0.03).
Conclusions
Use of GSS6Fr was associated with a higher rate of RAO than a standard 5 Fr sheath in Japanese patients but not in non‐Japanese patients. Whether improvement in post‐procedural care and reduced hemostasis time could impact the incidence of RAO in Japanese patients should be further assessed.</description><identifier>ISSN: 1522-1946</identifier><identifier>EISSN: 1522-726X</identifier><identifier>DOI: 10.1002/ccd.27526</identifier><identifier>PMID: 29451949</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; Aged, 80 and over ; Angiography ; Arterial Occlusive Diseases - diagnostic imaging ; Arterial Occlusive Diseases - ethnology ; Arterial Occlusive Diseases - physiopathology ; Asian Continental Ancestry Group ; Bleeding ; Cardiac Catheters ; Catheterization, Peripheral - adverse effects ; Catheterization, Peripheral - instrumentation ; Cornea ; Coronary Angiography - adverse effects ; Coronary Angiography - instrumentation ; Coronary Artery Disease ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - ethnology ; Coronary Artery Disease - physiopathology ; Coronary Artery Disease - therapy ; Equipment Design ; Female ; Hemorrhage - ethnology ; Hemostasis ; Hemostatics ; Humans ; Incidence ; Japan - epidemiology ; Male ; Medical imaging ; Middle Aged ; Occlusion ; Percutaneous Coronary Intervention - adverse effects ; Percutaneous Coronary Intervention - instrumentation ; Population studies ; Prospective Studies ; Radial Artery - diagnostic imaging ; Radial Artery - physiopathology ; radial artery occlusion ; Randomization ; Risk Factors ; Single-Blind Method ; slender sheath ; Time Factors ; transradial ; Treatment Outcome ; United States - epidemiology ; Vascular Patency</subject><ispartof>Catheterization and cardiovascular interventions, 2018-11, Vol.92 (5), p.844-851</ispartof><rights>2018 The Authors Catheterization and Cardiovascular Interventions Published by Wiley Periodicals, Inc.</rights><rights>2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4436-c3f70d3c2608d3caf68f8e70e0121e10ca30ba44fe10052c0c99da102cc1b1203</citedby><cites>FETCH-LOGICAL-c4436-c3f70d3c2608d3caf68f8e70e0121e10ca30ba44fe10052c0c99da102cc1b1203</cites><orcidid>0000-0001-7353-1206 ; 0000-0002-4667-9181 ; 0000-0001-9560-1228 ; 0000-0001-8525-8454</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fccd.27526$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fccd.27526$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,315,782,786,887,1419,27931,27932,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29451949$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aminian, Adel</creatorcontrib><creatorcontrib>Saito, Shigeru</creatorcontrib><creatorcontrib>Takahashi, Akihiko</creatorcontrib><creatorcontrib>Bernat, Ivo</creatorcontrib><creatorcontrib>Jobe, Robert Lee</creatorcontrib><creatorcontrib>Kajiya, Takashi</creatorcontrib><creatorcontrib>Gilchrist, Ian C.</creatorcontrib><creatorcontrib>Louvard, Yves</creatorcontrib><creatorcontrib>Kiemeneij, Ferdinand</creatorcontrib><creatorcontrib>van Royen, Niels</creatorcontrib><creatorcontrib>van Leeuwen, Maarten</creatorcontrib><creatorcontrib>Yamazaki, Seiji</creatorcontrib><creatorcontrib>Matsukage, Takashi</creatorcontrib><creatorcontrib>Iglesias, Juan F.</creatorcontrib><creatorcontrib>Rao, Sunil V.</creatorcontrib><title>Impact of sheath size and hemostasis time on radial artery patency after transradial coronary angiography and intervention in Japanese and non‐Japanese patients: A substudy from RAP and BEAT (Radial Artery Patency and Bleeding, Efficacy, Adverse evenT) randomized multicenter trial</title><title>Catheterization and cardiovascular interventions</title><addtitle>Catheter Cardiovasc Interv</addtitle><description>Background
During transradial (TR) access, it remains unclear whether differences in baseline patients characteristics and hemostasis care impact the rate of radial artery occlusion (RAO). We sought to compare the rate of RAO after TR access with the 6 French(Fr) Glidesheath Slender (GSS6Fr, Terumo, Japan) or a standard 5 Fr sheath in Japanese and non‐Japanese patients.
Methods and Results
The Radial Artery Patency and Bleeding, Efficacy, Adverse evenT (RAP and BEAT) trial randomized 1,836 patients undergoing TR coronary angiography and/or interventions to receive the GSS6Fr or the standard 5 Fr Glidesheath (GS5Fr, Terumo, Japan). Out of this study population, 1,087 were Japanese patients and 751 non‐Japanese patients. The overall incidence of RAO was significantly higher in Japanese patients (3.6% vs. 1.2%, P = 0.002). Use of GSS6Fr was associated with higher rates of RAO than GS5Fr in Japanese patients (5% vs. 2.2%, P = 0.02) and with similar RAO rates in non‐Japanese patients (1.3 vs. 1.1%, P = 1). The mean hemostasis time was significantly longer in Japanese patients (378 ± 253 vs. 159 ± 136 min, P < 0.001) and more Japanese patients had a hemostasis time of more than 6 hr (16.2% vs. 4.9%, P < 0.0001). Longer hemostasis time was an independent predictor of RAO (OR per additional hour 1.070, 95% CI 1.008–1.136, P = 0.03).
Conclusions
Use of GSS6Fr was associated with a higher rate of RAO than a standard 5 Fr sheath in Japanese patients but not in non‐Japanese patients. Whether improvement in post‐procedural care and reduced hemostasis time could impact the incidence of RAO in Japanese patients should be further assessed.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angiography</subject><subject>Arterial Occlusive Diseases - diagnostic imaging</subject><subject>Arterial Occlusive Diseases - ethnology</subject><subject>Arterial Occlusive Diseases - physiopathology</subject><subject>Asian Continental Ancestry Group</subject><subject>Bleeding</subject><subject>Cardiac Catheters</subject><subject>Catheterization, Peripheral - adverse effects</subject><subject>Catheterization, Peripheral - instrumentation</subject><subject>Cornea</subject><subject>Coronary Angiography - adverse effects</subject><subject>Coronary Angiography - instrumentation</subject><subject>Coronary Artery Disease</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - ethnology</subject><subject>Coronary Artery Disease - physiopathology</subject><subject>Coronary Artery Disease - therapy</subject><subject>Equipment Design</subject><subject>Female</subject><subject>Hemorrhage - ethnology</subject><subject>Hemostasis</subject><subject>Hemostatics</subject><subject>Humans</subject><subject>Incidence</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Occlusion</subject><subject>Percutaneous Coronary Intervention - adverse effects</subject><subject>Percutaneous Coronary Intervention - instrumentation</subject><subject>Population studies</subject><subject>Prospective Studies</subject><subject>Radial Artery - diagnostic imaging</subject><subject>Radial Artery - physiopathology</subject><subject>radial artery occlusion</subject><subject>Randomization</subject><subject>Risk Factors</subject><subject>Single-Blind Method</subject><subject>slender sheath</subject><subject>Time Factors</subject><subject>transradial</subject><subject>Treatment Outcome</subject><subject>United States - epidemiology</subject><subject>Vascular Patency</subject><issn>1522-1946</issn><issn>1522-726X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kl1rFDEUhkdRbK1eeC1IwJsWum2S-fZCGNdVKwVLWcG7cDaT2U2ZScZkZmV61Z_gb_SXeHZnu6jgVb6ePHlPOEHwgtEzRik_l7I842nMk4fBIYs5n6Q8-fZoN2d5lBwET72_oZTmCc-fBAc8j2Lczw8fvLxoWpAdsRXxKwXdinh9qwiYkqxUY30HXnvS6UYRa4iDUkNNwHXKDaSFThk5EKhwSToHxu8AaZ01gAiYpbZLB-1q2Dq1QXStTKfRpg35DC0Y5ccHjTW_7n7ut1CvkfRvSEF8v_BdXw6kcrYh18XV9sK7WTEnx9fjm8UY6uo-1Oa8VqrUZnlKZlWlJcjhlBTlWjm0K0wxP8GKTGkbLLkkTV93WiozFoPKZ8HjCmqvnu_Go-Drh9l8-mly-eXjxbS4nMgoCpOJDKuUlqHkCc1wgCrJqkylVFHGmWJUQkgXEEUVzmnMJZV5XgKjXEq2YJyGR8Hb0dv2i0aVmwgOatE63eAfCgta_H1i9Eos7VokPONxylBwvBM4-71XvhON9lLVNX6k7b3glIY0ysIsQ_T1P-iN7Z3B8gRnYUzDMM0SpE5GSjrrvVPVPgyjYtNyAltObFsO2Vd_pt-T9z2GwPkI_NC1Gv5vEtPp-1H5Gy155vg</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Aminian, Adel</creator><creator>Saito, Shigeru</creator><creator>Takahashi, Akihiko</creator><creator>Bernat, Ivo</creator><creator>Jobe, Robert Lee</creator><creator>Kajiya, Takashi</creator><creator>Gilchrist, Ian C.</creator><creator>Louvard, Yves</creator><creator>Kiemeneij, Ferdinand</creator><creator>van Royen, Niels</creator><creator>van Leeuwen, Maarten</creator><creator>Yamazaki, Seiji</creator><creator>Matsukage, Takashi</creator><creator>Iglesias, Juan F.</creator><creator>Rao, Sunil V.</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7353-1206</orcidid><orcidid>https://orcid.org/0000-0002-4667-9181</orcidid><orcidid>https://orcid.org/0000-0001-9560-1228</orcidid><orcidid>https://orcid.org/0000-0001-8525-8454</orcidid></search><sort><creationdate>20181101</creationdate><title>Impact of sheath size and hemostasis time on radial artery patency after transradial coronary angiography and intervention in Japanese and non‐Japanese patients: A substudy from RAP and BEAT (Radial Artery Patency and Bleeding, Efficacy, Adverse evenT) randomized multicenter trial</title><author>Aminian, Adel ; Saito, Shigeru ; Takahashi, Akihiko ; Bernat, Ivo ; Jobe, Robert Lee ; Kajiya, Takashi ; Gilchrist, Ian C. ; Louvard, Yves ; Kiemeneij, Ferdinand ; van Royen, Niels ; van Leeuwen, Maarten ; Yamazaki, Seiji ; Matsukage, Takashi ; Iglesias, Juan F. ; Rao, Sunil V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4436-c3f70d3c2608d3caf68f8e70e0121e10ca30ba44fe10052c0c99da102cc1b1203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angiography</topic><topic>Arterial Occlusive Diseases - diagnostic imaging</topic><topic>Arterial Occlusive Diseases - ethnology</topic><topic>Arterial Occlusive Diseases - physiopathology</topic><topic>Asian Continental Ancestry Group</topic><topic>Bleeding</topic><topic>Cardiac Catheters</topic><topic>Catheterization, Peripheral - adverse effects</topic><topic>Catheterization, Peripheral - instrumentation</topic><topic>Cornea</topic><topic>Coronary Angiography - adverse effects</topic><topic>Coronary Angiography - instrumentation</topic><topic>Coronary Artery Disease</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - ethnology</topic><topic>Coronary Artery Disease - physiopathology</topic><topic>Coronary Artery Disease - therapy</topic><topic>Equipment Design</topic><topic>Female</topic><topic>Hemorrhage - ethnology</topic><topic>Hemostasis</topic><topic>Hemostatics</topic><topic>Humans</topic><topic>Incidence</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Middle Aged</topic><topic>Occlusion</topic><topic>Percutaneous Coronary Intervention - adverse effects</topic><topic>Percutaneous Coronary Intervention - instrumentation</topic><topic>Population studies</topic><topic>Prospective Studies</topic><topic>Radial Artery - diagnostic imaging</topic><topic>Radial Artery - physiopathology</topic><topic>radial artery occlusion</topic><topic>Randomization</topic><topic>Risk Factors</topic><topic>Single-Blind Method</topic><topic>slender sheath</topic><topic>Time Factors</topic><topic>transradial</topic><topic>Treatment Outcome</topic><topic>United States - epidemiology</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aminian, Adel</creatorcontrib><creatorcontrib>Saito, Shigeru</creatorcontrib><creatorcontrib>Takahashi, Akihiko</creatorcontrib><creatorcontrib>Bernat, Ivo</creatorcontrib><creatorcontrib>Jobe, Robert Lee</creatorcontrib><creatorcontrib>Kajiya, Takashi</creatorcontrib><creatorcontrib>Gilchrist, Ian C.</creatorcontrib><creatorcontrib>Louvard, Yves</creatorcontrib><creatorcontrib>Kiemeneij, Ferdinand</creatorcontrib><creatorcontrib>van Royen, Niels</creatorcontrib><creatorcontrib>van Leeuwen, Maarten</creatorcontrib><creatorcontrib>Yamazaki, Seiji</creatorcontrib><creatorcontrib>Matsukage, Takashi</creatorcontrib><creatorcontrib>Iglesias, Juan F.</creatorcontrib><creatorcontrib>Rao, Sunil V.</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Catheterization and cardiovascular interventions</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aminian, Adel</au><au>Saito, Shigeru</au><au>Takahashi, Akihiko</au><au>Bernat, Ivo</au><au>Jobe, Robert Lee</au><au>Kajiya, Takashi</au><au>Gilchrist, Ian C.</au><au>Louvard, Yves</au><au>Kiemeneij, Ferdinand</au><au>van Royen, Niels</au><au>van Leeuwen, Maarten</au><au>Yamazaki, Seiji</au><au>Matsukage, Takashi</au><au>Iglesias, Juan F.</au><au>Rao, Sunil V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of sheath size and hemostasis time on radial artery patency after transradial coronary angiography and intervention in Japanese and non‐Japanese patients: A substudy from RAP and BEAT (Radial Artery Patency and Bleeding, Efficacy, Adverse evenT) randomized multicenter trial</atitle><jtitle>Catheterization and cardiovascular interventions</jtitle><addtitle>Catheter Cardiovasc Interv</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>92</volume><issue>5</issue><spage>844</spage><epage>851</epage><pages>844-851</pages><issn>1522-1946</issn><eissn>1522-726X</eissn><abstract>Background
During transradial (TR) access, it remains unclear whether differences in baseline patients characteristics and hemostasis care impact the rate of radial artery occlusion (RAO). We sought to compare the rate of RAO after TR access with the 6 French(Fr) Glidesheath Slender (GSS6Fr, Terumo, Japan) or a standard 5 Fr sheath in Japanese and non‐Japanese patients.
Methods and Results
The Radial Artery Patency and Bleeding, Efficacy, Adverse evenT (RAP and BEAT) trial randomized 1,836 patients undergoing TR coronary angiography and/or interventions to receive the GSS6Fr or the standard 5 Fr Glidesheath (GS5Fr, Terumo, Japan). Out of this study population, 1,087 were Japanese patients and 751 non‐Japanese patients. The overall incidence of RAO was significantly higher in Japanese patients (3.6% vs. 1.2%, P = 0.002). Use of GSS6Fr was associated with higher rates of RAO than GS5Fr in Japanese patients (5% vs. 2.2%, P = 0.02) and with similar RAO rates in non‐Japanese patients (1.3 vs. 1.1%, P = 1). The mean hemostasis time was significantly longer in Japanese patients (378 ± 253 vs. 159 ± 136 min, P < 0.001) and more Japanese patients had a hemostasis time of more than 6 hr (16.2% vs. 4.9%, P < 0.0001). Longer hemostasis time was an independent predictor of RAO (OR per additional hour 1.070, 95% CI 1.008–1.136, P = 0.03).
Conclusions
Use of GSS6Fr was associated with a higher rate of RAO than a standard 5 Fr sheath in Japanese patients but not in non‐Japanese patients. Whether improvement in post‐procedural care and reduced hemostasis time could impact the incidence of RAO in Japanese patients should be further assessed.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29451949</pmid><doi>10.1002/ccd.27526</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7353-1206</orcidid><orcidid>https://orcid.org/0000-0002-4667-9181</orcidid><orcidid>https://orcid.org/0000-0001-9560-1228</orcidid><orcidid>https://orcid.org/0000-0001-8525-8454</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Catheterization and cardiovascular interventions, 2018-11, Vol.92 (5), p.844-851 |
| issn | 1522-1946 1522-726X |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Aged Aged, 80 and over Angiography Arterial Occlusive Diseases - diagnostic imaging Arterial Occlusive Diseases - ethnology Arterial Occlusive Diseases - physiopathology Asian Continental Ancestry Group Bleeding Cardiac Catheters Catheterization, Peripheral - adverse effects Catheterization, Peripheral - instrumentation Cornea Coronary Angiography - adverse effects Coronary Angiography - instrumentation Coronary Artery Disease Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - ethnology Coronary Artery Disease - physiopathology Coronary Artery Disease - therapy Equipment Design Female Hemorrhage - ethnology Hemostasis Hemostatics Humans Incidence Japan - epidemiology Male Medical imaging Middle Aged Occlusion Percutaneous Coronary Intervention - adverse effects Percutaneous Coronary Intervention - instrumentation Population studies Prospective Studies Radial Artery - diagnostic imaging Radial Artery - physiopathology radial artery occlusion Randomization Risk Factors Single-Blind Method slender sheath Time Factors transradial Treatment Outcome United States - epidemiology Vascular Patency |
| title | Impact of sheath size and hemostasis time on radial artery patency after transradial coronary angiography and intervention in Japanese and non‐Japanese patients: A substudy from RAP and BEAT (Radial Artery Patency and Bleeding, Efficacy, Adverse evenT) randomized multicenter trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-08T03%3A07%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20sheath%20size%20and%20hemostasis%20time%20on%20radial%20artery%20patency%20after%20transradial%20coronary%20angiography%20and%20intervention%20in%20Japanese%20and%20non%E2%80%90Japanese%20patients:%20A%20substudy%20from%20RAP%20and%20BEAT%20(Radial%20Artery%20Patency%20and%20Bleeding,%20Efficacy,%20Adverse%20evenT)%20randomized%20multicenter%20trial&rft.jtitle=Catheterization%20and%20cardiovascular%20interventions&rft.au=Aminian,%20Adel&rft.date=2018-11-01&rft.volume=92&rft.issue=5&rft.spage=844&rft.epage=851&rft.pages=844-851&rft.issn=1522-1946&rft.eissn=1522-726X&rft_id=info:doi/10.1002/ccd.27526&rft_dat=%3Cproquest_pubme%3E2135033786%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2135033786&rft_id=info:pmid/29451949&rfr_iscdi=true |