The Use of Acetylsalicylic Acid As A Measure of Prevention of Radial Artery Occlusion in Patients Who Perform Coronary Angiography with Tra Technique

Author(s): Dousi M, Sotirakou K, Fatsi A

Purpose: Τo investigate via ultrasound whether the prophylactic use of acetylsalicylic acid 9 days after coronary angiography with transradial access reduces the incidence of radial occlusion.

Material and Methods: Between March 2016 to September 2017 we studied 100 patients (64 male, 36 females and mean age of 60.5 years) who underwent coronary angiography with transradial (TRA) access. Patients after coronary angiography were divided into 2 equal groups with similar characteristics (mean age, mean BMI) were the Group A received for 9 days acetylsalicylic acid 100 mg while the Group B was untreated. All patients were tested with Doppler ultrasound 1 month after coronary angiography. Statistical analysis was performed with SPSS (Version 25).

Results: Statistical analysis of ultrasound data showed that there is a statistically significant difference between patients receiving acetylsalicylic acid as a precautionary measure for radial artery occlusion after catheterization for coronary angiography and non-treated patients X2 (2, N=100) 24.04, p < 0.05).

Conclusion: The results of the study suggest that use of acetylsalicylic acid following coronary artery angiography with TRA technique may reduce the risk of the radial artery occlusion and its complications. Doppler ultrasound is an easy and reliable method for assessing the flow of the radial artery.