Systematic Reviews
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Jul 26, 2017; 9(7): 609-619
Published online Jul 26, 2017. doi: 10.4330/wjc.v9.i7.609
Hand dysfunction after transradial artery catheterization for coronary procedures
Muhammad Ayyaz Ul Haq, Muhammad Rashid, Chun Shing Kwok, Chun Wai Wong, James Nolan, Mamas A Mamas
Muhammad Ayyaz Ul Haq, Muhammad Rashid, Chun Shing Kwok, Chun Wai Wong, James Nolan, Mamas A Mamas, Keele Cardiovascular Research Group, Keele University, Stoke-on-Trent ST4 7QB, United Kingdom
Muhammad Ayyaz Ul Haq, Chun Wai Wong, James Nolan, Mamas A Mamas, University Hospital of North Midlands, Stoke-on-Trent ST4 7QB, United Kingdom
Author contributions: Nolan J and Mamas MA conceived the idea and designed the study protocol; Kwok CS conducted the literature; Ul Haq MA and Wong CW reviewed search results; Kwok CS analyzed the data; Ul Haq MA and Rashid M wrote the first draft and all authors contributed in final completion of manuscript.
Conflict-of-interest statement: None.
Data sharing statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Muhammad Rashid, MBBS, MRCP, Keele Cardiovascular Research Group, Keele University, Thornburrow Drive, Hartshill, Stoke-on-Trent ST4 7QB, United Kingdom. m.rashid@keele.ac.uk
Telephone: +44-1782-671652 Fax: +44-1782-674467
Received: January 24, 2017
Peer-review started: February 1, 2017
First decision: May 11, 2017
Revised: May 24, 2017
Accepted: June 12, 2017
Article in press: June 13, 2017
Published online: July 26, 2017
Abstract
AIM

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

METHODS

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.

RESULTS

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.

CONCLUSION

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

Keywords: Transradial access, Transfemoral access, Hand dysfunction

Core tip: Transradial access (TRA) is default access site in many countries to perform coronary procedures. Hand function may occur post TRA, however our review shows that its incidence is exceedingly low and most symptoms resolve without any clinical sequel.