Incidence and clinical course of limb dysfunction post cardiac catheterization

A systematic review

Muhammad Ayyaz Ul Haq, Muhammad Rashid, Ian Gilchrist, Olivier Bertrand, Chun Shing Kwok, Chun Wai Wong, Hossam M. Mansour, Yasser Baghdaddy, James Nolan, Maarten A.H. van Leeuwen, Mamas A. Mamas

Research output: Contribution to journalArticle

Abstract

Background: We systematically reviewed the available literature on limb dysfunction after transradial access (TRA) or transfemoral access (TFA) cardiac catheterization. Methods and Results: MEDLINE and EMBASE were searched for studies evaluating any transradial or transfemoral procedures and limb function outcomes. Data were extracted and results were narratively synthesized with similar treatment arms. The TRA group included 15 studies with 3,616 participants and of these 3 reported nerve damage with a combined incidence of 0.16% and 4 reported sensory loss, tingling and numbness with a pooled incidence of 1.61%. Pain after TRA was the most common form of limb dysfunction (7.77%) reported in 3 studies. The incidence of hand dysfunction defined as disability, grip strength change, power loss or neuropathy was low at 0.49%. Although radial artery occlusion (RAO) was not a primary endpoint for this review, it was observed in 3.57% of the participants in a total of 8 studies included. The TFA group included 4 studies with 15,903,894 participants; the rates of peripheral neuropathy were 0.004%, sensory neuropathy caused by local groin injury and retroperitoneal hematomas were 0.04% and 0.17%, respectively, and motor deficit caused by femoral and obturator nerve damage was 0.13%. Conclusions: Limb dysfunction post cardiac catheterization is rare, but patients may have nonspecific sensory and motor complaints that resolve over a period of time.

Original languageEnglish (US)
Pages (from-to)2736-2744
Number of pages9
JournalCirculation Journal
Volume82
Issue number11
DOIs
StatePublished - Jan 1 2018

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Cardiac Catheterization
Extremities
Incidence
Obturator Nerve
Femoral Nerve
Radial Artery
Hypesthesia
Groin
Hand Strength
Peripheral Nervous System Diseases
MEDLINE
Hematoma
Arm
Hand
Pain
Wounds and Injuries
Therapeutics

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Ul Haq, Muhammad Ayyaz ; Rashid, Muhammad ; Gilchrist, Ian ; Bertrand, Olivier ; Kwok, Chun Shing ; Wong, Chun Wai ; Mansour, Hossam M. ; Baghdaddy, Yasser ; Nolan, James ; van Leeuwen, Maarten A.H. ; Mamas, Mamas A. / Incidence and clinical course of limb dysfunction post cardiac catheterization : A systematic review. In: Circulation Journal. 2018 ; Vol. 82, No. 11. pp. 2736-2744.
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abstract = "Background: We systematically reviewed the available literature on limb dysfunction after transradial access (TRA) or transfemoral access (TFA) cardiac catheterization. Methods and Results: MEDLINE and EMBASE were searched for studies evaluating any transradial or transfemoral procedures and limb function outcomes. Data were extracted and results were narratively synthesized with similar treatment arms. The TRA group included 15 studies with 3,616 participants and of these 3 reported nerve damage with a combined incidence of 0.16{\%} and 4 reported sensory loss, tingling and numbness with a pooled incidence of 1.61{\%}. Pain after TRA was the most common form of limb dysfunction (7.77{\%}) reported in 3 studies. The incidence of hand dysfunction defined as disability, grip strength change, power loss or neuropathy was low at 0.49{\%}. Although radial artery occlusion (RAO) was not a primary endpoint for this review, it was observed in 3.57{\%} of the participants in a total of 8 studies included. The TFA group included 4 studies with 15,903,894 participants; the rates of peripheral neuropathy were 0.004{\%}, sensory neuropathy caused by local groin injury and retroperitoneal hematomas were 0.04{\%} and 0.17{\%}, respectively, and motor deficit caused by femoral and obturator nerve damage was 0.13{\%}. Conclusions: Limb dysfunction post cardiac catheterization is rare, but patients may have nonspecific sensory and motor complaints that resolve over a period of time.",
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Ul Haq, MA, Rashid, M, Gilchrist, I, Bertrand, O, Kwok, CS, Wong, CW, Mansour, HM, Baghdaddy, Y, Nolan, J, van Leeuwen, MAH & Mamas, MA 2018, 'Incidence and clinical course of limb dysfunction post cardiac catheterization: A systematic review', Circulation Journal, vol. 82, no. 11, pp. 2736-2744. https://doi.org/10.1253/circj.CJ-18-0389

Incidence and clinical course of limb dysfunction post cardiac catheterization : A systematic review. / Ul Haq, Muhammad Ayyaz; Rashid, Muhammad; Gilchrist, Ian; Bertrand, Olivier; Kwok, Chun Shing; Wong, Chun Wai; Mansour, Hossam M.; Baghdaddy, Yasser; Nolan, James; van Leeuwen, Maarten A.H.; Mamas, Mamas A.

In: Circulation Journal, Vol. 82, No. 11, 01.01.2018, p. 2736-2744.

Research output: Contribution to journalArticle

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T2 - A systematic review

AU - Ul Haq, Muhammad Ayyaz

AU - Rashid, Muhammad

AU - Gilchrist, Ian

AU - Bertrand, Olivier

AU - Kwok, Chun Shing

AU - Wong, Chun Wai

AU - Mansour, Hossam M.

AU - Baghdaddy, Yasser

AU - Nolan, James

AU - van Leeuwen, Maarten A.H.

AU - Mamas, Mamas A.

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Y1 - 2018/1/1

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