Department of Cardiology, VU University Medical Center, Amsterdam, The Netherlands.
EuroIntervention. 2017 Feb 20;12(14):1766-1772. doi: 10.4244/EIJ-D-15-00395.
Anatomic and physiologic changes that are induced by radial access may lead to a decrease of upper limb function at long-term follow-up; however, this has never been studied. We aimed to study the long-term effect of transradial catheterisation on upper limb function.
Between January 2013 and April 2014, upper limb function was assessed in a total of 348 patients with complete one-year follow-up after coronary catheterisation. Upper limb function was assessed with the self-reported shortened version of the DASH questionnaire. The presence and severity of upper extremity cold intolerance was assessed with the self-reported CISS questionnaire. Both questionnaires were completed before the catheterisation and at one-year follow-up. Higher scores represent worse upper limb functionality or symptoms. The non-parametric Wilcoxon signed-rank test was used to assess the change of upper limb function and symptoms over time. Extremity complaints were reported at one-month and one-year follow-up. At one-year follow-up, upper limb function did not change over time when catheterisation was performed through the radial artery (p-value 0.20). Upper extremity was also not affected by cold intolerance at one-year follow-up (p-value 0.09). Extremity complaints were reported equally in both access groups and diminished significantly over time (p-value <0.001).
Upper limb function was not affected at long-term follow-up after transradial procedures.
桡动脉入路引起的解剖和生理变化可能导致上肢功能在长期随访中下降；然而，这一点从未被研究过。我们旨在研究经桡动脉导管插入术对上肢功能的长期影响。
在 2013 年 1 月至 2014 年 4 月期间，对 348 例经冠状动脉导管插入术且完全随访 1 年的患者进行了上肢功能评估。上肢功能采用自我报告的 DASH 问卷短版进行评估。上肢冷不耐受的存在和严重程度采用自我报告的 CISS 问卷进行评估。这两个问卷都是在导管插入术前和 1 年随访时完成的。分数越高代表上肢功能或症状越差。使用非参数 Wilcoxon 符号秩检验来评估上肢功能和症状随时间的变化。在 1 个月和 1 年随访时报告肢体不适。在 1 年随访时，经桡动脉入路进行导管插入术时上肢功能没有随时间而变化（p 值 0.20）。上肢也不受 1 年随访时冷不耐受的影响（p 值 0.09）。在两种入路组中，肢体不适的报告比例相等，且随时间显著减少（p 值<0.001）。
经桡动脉手术后长期随访上肢功能未受影响。
