{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T15:27:13Z","timestamp":1775230033079,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,7,19]],"date-time":"2013-07-19T00:00:00Z","timestamp":1374192000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To report the incidence and predictors of moderate\/severe radial artery spasm (RAS) in patients undergoing cardiovascular percutaneous procedures through a transradial approach (TRA) in centers with TRA expertise.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Data regarding the actual rate of clinically meaningful RAS are limited due to difference in study designs and operator expertise.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The RAS registry, an international (14 centers from Argentina, Chile, India, Indonesia, Macedonia, The Netherlands and United States of America) registry that included 1,868 patients undergoing TRA cardiovascular procedures (63.5% diagnostic and 56.5% therapeutic).All selected centers used TRA as default strategy in the cardiac catheterization laboratory. Throughout 2012, each center included all consecutive TRA cases (during a 2\u2010month period) into a dedicated database covering clinical characteristics as well as procedural topics related to TRA patterns and RAS occurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of moderate\/severe RAS was 2.7%. Only 0.7% of patients required crossover (8 to transfemoral and 5 to contralateral TRA). Patients with moderately\/severe spasm were more frequently females, had a history of dyslipidemia, received more often a 7F sheath and more puncture attempts than patients without spasm. By multivariate analysis, the need for more than one attempt and the use of a 7 F sheath were independent predictors of the development of moderate\/severe RAS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence of moderate\/severe RAS is low in centers with a default TRA. Its development appears to be strongly related to the numbers of puncture attempts and the use of large sheaths. \u00a9 2013 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.25082","type":"journal-article","created":{"date-parts":[[2013,6,19]],"date-time":"2013-06-19T12:03:58Z","timestamp":1371643438000},"source":"Crossref","is-referenced-by-count":47,"title":["Radial artery spasm associated with transradial cardiovascular procedures: Results from the RAS registry"],"prefix":"10.1002","volume":"83","author":[{"given":"Alejandro","family":"Goldsmit","sequence":"first","affiliation":[{"name":"Department of Interventional Cardiology Sanatorio Guemes Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferdinand","family":"Kiemeneij","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology Heart Center, Onze Lieve Vrouwe Gasthuis Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian C","family":"Gilchrist","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology Penn State Hershey Heart and Vascular Institute Hershey Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo","family":"Kantor","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology Sanatorio de la Providencia Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sasko","family":"Kedev","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology University Clinic of Cardiology University St. Cyril &amp; Methodius  Macedonia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tak","family":"Kwan","sequence":"additional","affiliation":[{"name":"Division of Cardiology Beth Israel Medical Center  New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surya","family":"Dharma","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, National Cardiovascular Center Harapan Kita Jakarta Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leon","family":"Valdivieso","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology Hospital Universitario, Fundacion Favaloro Buenos Aires Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard","family":"Wenstemberg","sequence":"additional","affiliation":[{"name":"Department of Interventional Cardiology Hospital Regional Dr. Leonardo Guzman Antofagasta Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tejas","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Sciences Apex Heart Institute Ahmedabad Gujarat India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,7,19]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.23052"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV8I11A192"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12000"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10708"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22978"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2011.11.003"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2011-300524"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.110.960864"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2009.08.027"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2010.07.013"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22840"},{"key":"e_1_2_7_13_1","first-page":"449","article-title":"Severe ischemia of the hand following radial artery catheterization","volume":"80","author":"Baker RJ","year":"1976","journal-title":"Surgery"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1586\/erc.12.16"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22460"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0304(199702)40:2<156::AID-CCD7>3.0.CO;2-A"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.25082","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.25082","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T04:50:04Z","timestamp":1696567804000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.25082"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,19]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,1]]}},"alternative-id":["10.1002\/ccd.25082"],"URL":"https:\/\/doi.org\/10.1002\/ccd.25082","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7,19]]}}}