Table 1.
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) | [20–33] |
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, 29–31, 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, 29–31, 33, 35, 38, 43–47, 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, 23–27, 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, 47–49, 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, 29–31, 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, 39–41, 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, 36–38, 40, 41, 43–45, 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) | [25–27, 30, 31, 36–38, 40, 41, 43–45, 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.