Rashid, M, Ayyaz Ul Haq, M, Kwok, C, Wong, C, Nolan, J and Mamas, M (2017) Hand dysfunction after transradial artery catheterization for coronary procedures. World Journal of Cardiology, 9 (7). pp. 609-619. ISSN 1949-8462

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To sythesize the available literature on hand dysfunction after transradial catheterization.

We searched MEDLINE and EMBASE. The search results were reviewed by two independent judicators for studies that met the inclusion criteria and relevant reviews. We included studies that evaluated any transradial procedure and evaluated hand function outcomes post transradial procedure. There were no restrictions based on sample size. There was no restriction on method of assessing hand function which included disability, nerve damage, motor or sensory loss. There was no restriction based on language of study. Data was extracted, these results were narratively synthesized.

Out of 555 total studies 13 studies were finally included in review. A total of 3815 participants with mean age of 62.5 years were included in this review. A variety of methods were used to assess sensory and motor dysfunction of hand. Out of 13 studies included, only 3 studies reported nerve damage with a combined incidence of 0.16%, 5 studies reported sensory loss, tingling and numbness with a pooled incidence of 1.52%. Pain after transradial access was the most common form of hand dysfunction (6.67%) reported in 3 studies. The incidence of hand dysfunction defined as disability, grip strength change, power loss or any other hand complication was incredibly low at 0.26%. Although radial artery occlusion was not our primary end point for this review, it was observed in 2.41% of the participants in total of five studies included.

Hand dysfunction may occur post transradial catheterisation and majority of symptoms resolve without any clinical sequel.

Item Type: Article
Additional Information: This is the final published version of the article (version of record). It first appeared online via Baishideng Publishing Group Co. Limited at https://www.wjgnet.com/1949-8462/full/v9/i7/609.htm - please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: Transradial access, Transfemoral access, Hand dysfunction
Divisions: Faculty of Medicine and Health Sciences > Institute for Science and Technology in Medicine
Depositing User: Symplectic
Date Deposited: 01 Aug 2017 15:51
Last Modified: 22 Jun 2018 15:06
URI: https://eprints.keele.ac.uk/id/eprint/3845

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