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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2022, Cilt 36, Sayı 3, Sayfa(lar) 236-241
[ Turkish ] [ Tam Metin ] [ PDF ]
The Relationship between Radial Arterial Occlusion and Systemic Inflammation in Patients who Performed Elective Transradial Coronary Angiography
Nail Burak ÖZBEYAZ, Gökhan GÖKALP
TC Sağlık Bakanlığı, Pursaklar Devlet Hastanesi, Kardiyoloji Kliniği, Ankara, TÜRKİYE
Keywords: Radial artery, occlusion, inflammation, thrombosis

Objective: Transradial angiography (TRA) is one of the most commonly used vascular access routes to diagnose and treat atherosclerotic diseases. Radial artery occlusion (RAO) is a common complication of this intervention. Increased inflammation causes poor prognosis and increased thrombus load in thrombotic diseases. Our study aims to determine the relationship between inflammatory markers and RAO.

Materials and Methods: The study was conducted by retrospectively examining the data of 103 patients who underwent TRA between July 2018 and August 2020.

Results: The mean age of the patients was 55.7±11.2. 48.5% (n=50) were male. RAO was developed in 23 (22.3%) patients. In patients who developed RAO, platelet count (274(188-391)109 /L vs. 266 (185-386)109 /L, p =0.036), platelet-lymphocyte ratio (PLR) (109 (55-201) vs. 94 (32-158), p=0.014), Systemic immune-inflammatory index (SII) (511 (246-871) vs. 472 (218-724), p=0.031) and CRP-albumin ratio (CAR) (0.18±0.09 vs. 0.13±0.07, p<0.001) were higher, albumin (2.3±0.8 vs. 2.8±0.6, p=0.046) was lower. According to multivariate regression analysis, CAR (95%CI 1.247 (1.133-1.468), p=0.032) and albumin (95% CI 0.853 (0.743-0.931), p=0.038) were independent risk factors for RAO. The cut-off value of CAR estimate the development of RAO was found to be 0.1283, with a sensitivity of 68.2% and a specificity of 62.3% (p=0.013).

Conclusion: PLR, SII, and CAR were higher in patients with RAO. CAR and albumin are independent ris k factors for RAO. Risky groups can be determined by using these markers. Thus, different vascular access routes can be preferred, or RAO detection can be early in risky patients.

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