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. 2015 Oct 5;23(11):514–524. doi: 10.1007/s12471-015-0747-9

Table 1.

Pooled incidence of complications. Pooled incidence in percentages and range in brackets of reported access-site complications after TR-PCP, TR-PCI and TR-CAG

Complication Mean incidence after TR-PCP (%) Mean incidence after TR-PCI (%) Mean incidence after TR-CAG (%) Mean incidence after pooled procedures (%) References
Upper extremity dysfunction 0.32 % (0.07–1.51) 0.81 % (0.16–3.91) 0.12 % (0.02–0.72) 0.32 % (0.10–1.01) [2033]
Upper extremity ischaemia 0.14 % (0.04–0.57) 0.29 % (0.16–0.53) 0.19 % (0.04–0.99) 0.21 % (0.10–0.43) [8, 21, 22, 24, 2931, 33–66]
Pain 8.03 % (3.97–15.55) 4.49 % (0.64–25.43) 9.57 % (7.52–12.11) 7.65 % (4.51–12.67) [25, 28, 34, 35, 49, 67–75]
Radial artery spasm 8.7 % (5.8–12.7) 4.24 % (2.47–7.17) 7.25 % (4.01–12.77) 0.5 % (0.01–2.75) [26, 30, 31, 34, 35, 55, 56, 67, 71, 73, 76–98]
Severe radial artery spasm 1.82 % (1.07–3.06) 1.13 % (0.68–1.87) 1.58 % (0.85–2.93) 1.45 % (1.07–1.96) [3, 8, 22, 24, 34, 35, 37, 44, 46, 53, 55, 65, 66, 71, 72, 76, 78, 79, 81–85, 89, 93, 94, 95, 99–113]
Early radial artery occlusion 4.0 % (2.67–5.94) 2.59 % (1.81–3.69) 4.98 % (2.34–10.31) 3.45 % (2.59–4.58) [8, 21, 22, 24, 26, 27, 2931, 33, 35, 38, 4347, 49, 50, 52, 54, 55, 57, 59, 61, 62, 69, 70, 72, 74, 79, 96, 97, 100, 101, 104, 115–140]
Late radial artery occlusion 3.23 % (2.01–5.15) 3.21 % (2.10–4.87) 3.30 % (1.98–5.46) 3.34 % (2.57–4.32) [20, 21, 2327, 31, 36, 44, 46, 48, 53, 55–57, 61, 65, 67, 71, 72, 76, 86, 89, 93, 103–105, 115, 125, 130, 133, 136, 140–143]
Minor access-site bleeding 4.30 % (2.35–7.75) 1.93 % (0.61–5.96) 1.56 % (0.93–2.61) 2.49 % (1.29–4.75) [6, 24, 26, 29, 34, 36, 4749, 55, 59, 64, 76, 78, 80, 107, 108, 116, 119, 121, 127, 131, 132, 136–138, 144–150]
Major access-site bleeding 0.34 % (0.12–0.97) 0.79 % (0.50–1.23) 0.22 % (0.03–1.57) 0.66 % (0.44–0.99) [25, 36, 40, 43, 45, 46, 56, 60–62, 64, 65, 74, 79, 101–103, 106, 112, 118, 123, 130, 136–138, 144, 147, 148, 151–166]
Minor access-site haematoma 3.89 % (2.40–6.25) 3.34 % (2.49–4.47) 1.54 % (0.54–4.32) 3.22 (2.42–4.28) [8, 23, 26, 27, 2931, 33, 36, 37, 39, 44, 45, 47, 57, 58, 68, 71, 72, 76, 80, 86, 89, 92, 95–97, 100, 103, 107, 108, 115, 116, 118, 119, 122, 124, 130, 132, 138, 146, 152, 157, 167–175]
Major access-site haematoma 0.87 % (0.56–1.36) 1.07 % (0.67–1.71) 0.45 % (0.24–0.82) 0.89 % (0.65–1.21) [6, 8, 23, 25, 27, 30, 33, 34, 37, 3941, 43, 45, 49–55, 68–70, 72–74, 76, 80, 86, 9 0, 100, 101, 105, 107, 108, 110–113, 116–119, 123–125, 127, 129, 130, 132, 134, 136, 139, 142, 145, 146, 150, 152, 153, 155–159, 162, 163, 165, 168, 169, 172, 174–189]
Perforation 0.28 % (0.08–0.90) 0.64 % (0.12–3.22) 0.48 (0.16–1.49) 0.40 % (0.20–0.80) [37, 47, 65, 66, 67, 90, 93, 95, 113, 136, 150, 177, 184, 190, 191]
Dissection 0.40 % (0.10–1.59) 0.48 % (0.09–2.39) 0.72 % (0.15–3.43) 0.49 % (0.19–1.27) [8, 20, 22, 24, 26, 27, 37, 41, 50, 51, 73, 90, 101, 102, 186, 190, 192]
Swelling 2.4 % (1.1–5.3) 3.5 % (0.5–20.6) 1.0 (0.1–6.6) 2.76 % (1.36–5.5) [28, 34, 35, 80, 154]
Compartment syndrome 0.01 % (0.0–0.02) 0.14 % (0.03–0.71) 0.0 % (0.0–0.11) 0.0 % (0.01–0.07) [8, 32, 37, 45, 51, 56, 173, 184]
Pseudo-aneurysm 038 % (0.20–0.73) 0.32 % (0.18–0.58) 0.18 % (0.05–0.73) 0.32 % (0.21–0.49) [20, 22, 24, 25, 27, 30, 31, 3638, 40, 41, 4345, 50, 51, 55–57, 60–62, 69, 73, 96, 103, 112, 122, 124, 137–139, 144–146, 148, 155, 157, 166, 171–173, 180, 181, 183, 184, 188, 192]
Arteriovenous fistula 0.20 % (0.09–0.48) 0.22 % (0.11–0.43) 0.19 % (0.05–0.74) 0.21 % (0.13–0.35) [2527, 30, 31, 3638, 40, 41, 4345, 50, 51, 56, 57, 60–62, 95, 112, 113, 117, 136–138, 142, 144, 155, 166, 179, 184, 188, 191]
Infection/Inflammation 0.83 % (0.34–1.99) 1.06 % (0.15–7.17) Not applicable 0.86 % (0.38–1.93) [22, 28, 37, 73, 137, 171, 193]

TR-CAG transradial catheterisation, TR-PCI transradial percutaneous coronary intervention, TR-PCP transradial percutaneous coronary procedures.