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CHA2DS2-VASC Score and this score components in predicting radial artery complications of among patients who underwent elective transradial coronary angiogram

Mehmet Timur Selcuk, Hatice Selcuk, Orhan Maden, Ozge Cakmak Karaaslan Muharrem Tola, Habibe Kafes, Elif Hande Cetin, Kevser Gulcihan Balci, Mustafa Mucahit Balci



Transradial approach (TRA) has been more and more accepted for cardiovascular operations. TRA uncommonly leads to hemorrhagic and ascular complications. CHA2DS2-VASc score is utilized to estimation the risk of thrombosis in patients with atrial fibrillation. We intended to assess the relationship between the CHA2DS2-VASc score or components of this score and radial artery complications after transradial coronary ngiography. A total of 412 consecutive patients who underwent a TRA were evaluated in this study. Patients were divided into two groups as total complications (n= 73) and no-complications (n= 339) groups. The CHA2DS2-VASc score was higher in patients who had total complications group yet it was not statistically significant (p=.149). Total complication group were older compared to control group (p=.017). As the radial artery diameter decreased, and sheath/radial artery diameter increased, the risk of the total complication group higher significantly (for all; p<.001). Known coronary artery disease (OR: 2.230, 95% CI: 1.007- 4.975, p= .048) was independent risk factors for predictor of radial artery thrombosis, DM was an independent predictor of radial artery pseudoaneurysm (OR: 4.746, 95% CI: 1.269- 17.747, p= .021), age was an independent predictor of radial artery hematoma (OR: 1.054, 95% CI: 1.005- 1.106, p= .029) and radial artery total complications (OR: 1.047, 95% CI: 1.005- 1.087, p= .015). The CHA2DS2-VASc score alone is not connected with the risk of radial artery complications after transradial catheterization but CHA2DS2-VASc score components may help to predict complications the risk of in radial interventions.

Key words: CHA2DS2-VASC, radial artery complications, transradial coronary angiogram

Med-Science. 2021; 10(1): 1-6
Medicine Science Vol:10 Issue:1 Year:2021 PP:1–271
Posted in Vol: 10 Issue: 1 Year: 2021 March pp:1–271

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