{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T19:42:03Z","timestamp":1781811723651,"version":"3.54.5"},"reference-count":8,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T00:00:00Z","timestamp":1696982400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The implications of saline flushing of the radial sheath have not been studied in terms of radial artery occlusion. We aimed to investigate radial artery patency outcomes after the saline flush of the radial sheath.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this prospective observational study, patients were selected to receive either radial sheath flushing with 10\u2009mL of saline after pulling the sheath to one-third of its length (Group 1) or standard care (Group 2) after removal of the catheter sheath as per physician discretion. Radial artery patency was assessed by Doppler ultrasound at 24\u2009h and 30\u2009days after the procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 2877 patients were enrolled in the study, with 1340 receiving radial sheath flushing and 1537 receiving standard care. At 24\u2009h after the procedure, the incidence of radial artery occlusion was significantly lower in the radial sheath flushing group compared to the standard care group (4.4% vs 12.6%, p\u2009=\u20090.027). This difference persisted 30\u2009days after the procedure (6.1% vs 15.8%, p\u2009=\u20090.015). Radial sheath flushing was independently associated with a lower risk of radial artery occlusion 30\u2009days after the procedure, after adjusting for potential confounders (OR 0.375, 95% CI 0.18\u20130.77, p\u2009=\u20090.008).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In conclusion, this prospective study provides evidence to support the use of radial sheath flushing after coronary intervention via the radial artery as a simple and effective strategy for reducing the risk of radial artery occlusion without increasing the risk of other adverse outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298231202538","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T03:12:11Z","timestamp":1696993931000},"page":"1996-2000","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Radial artery patency outcomes with saline flushing of the radial sheath after coronary intervention: A prospective cohort study"],"prefix":"10.1177","volume":"25","author":[{"given":"Aatika","family":"Habib","sequence":"first","affiliation":[{"name":"Department of Cardiology, DHQ Nowshera, Nowshera, Khyber Pakhtunkhwa, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waleed","family":"Abbasi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, Punjab, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abair ul","family":"Haq","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Rawalpindi Institute of Cardiology, Rawalpindi, Punjab, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadaf Shabbir","family":"Kiani","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kashmir Institute of Cardiology, Mirpur, Punjab, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parversh","family":"Kumar Rathi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Jinnah Sindh Medical University, Karachi, Sindh, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sidra","family":"Sheikh","sequence":"additional","affiliation":[{"name":"Department of Medicine, Maroof International Hospital, Islamabad, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usha","family":"Rathi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Abbasi Shaheed Hospital, Karachi, Sindh, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amin","family":"Mehmoodi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Ibn e Seena Hospital, Kabul, Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9343-4187","authenticated-orcid":false,"given":"Jahanzeb","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Cardiovascular Analytics Group, Islamabad, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,11]]},"reference":[{"key":"bibr1-11297298231202538","unstructured":"Ahmad M, Mehta P, Reddivari AKR, et al. Percutaneous coronary intervention. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing, 2022."},{"issue":"6","key":"bibr2-11297298231202538","first-page":"402","volume":"25","author":"Malik J","year":"2021","journal-title":"Anatol J Cardiol"},{"key":"bibr3-11297298231202538","doi-asserted-by":"publisher","DOI":"10.1177\/11297298221101784"},{"key":"bibr4-11297298231202538","doi-asserted-by":"publisher","DOI":"10.1177\/11297298221129416"},{"key":"bibr5-11297298231202538","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040296"},{"key":"bibr6-11297298231202538","volume":"5","author":"Robertson-Malt S","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr7-11297298231202538","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181bbd416"},{"key":"bibr8-11297298231202538","doi-asserted-by":"publisher","DOI":"10.1007\/s11883-015-0489-6"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298231202538","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298231202538","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298231202538","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:23:34Z","timestamp":1777692214000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298231202538"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,11]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1177\/11297298231202538"],"URL":"https:\/\/doi.org\/10.1177\/11297298231202538","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,11]]}}}