{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:59:24Z","timestamp":1777661964596,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T00:00:00Z","timestamp":1646352000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The transradial artery access is the benchmark approach in transradial percutaneous coronary intervention (TR-PCI). The purpose of this study was to evaluate the different complications, treatments, and outcome of upper extremity dysfunction following a TR-PCI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a prospective cohort substudy of patients with access-site complications. The study population consisted of 433 patients treated with TR-PCI. Referral to the hand center was mandated if the patient experienced new-onset or increase of preexistent symptoms in the upper extremity. Patients were followed up to the last control visit (5-7 months after the index procedure) at the hand center. Outcome results were categorized in \u201csymptom-free,\u201d \u201cimprovement of symptoms,\u201d and \u201cno improvement.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty-one (9% of total) patients underwent assessment at the hand center. Most frequent referral indication was pain in the intervention arm. Women, preexisting sensibility disorder, and osteoarthritis in the intervention arm were associated with increased odds of referral. The most common complications diagnosed were carpal tunnel syndrome (n = 18) and osteoarthritis (n = 15). Thirty patients required further medical treatment. Immobilization therapy was most applied. Seventeen (4% of total) patients had persisting symptoms despite medical treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The occurrence of complications in the upper extremity after a TR-PCI is small. Despite medical treatment, symptoms persisted in 4% of all patients treated with TR-PCI. Possible explanations for the persisting symptoms are exacerbation of latent osteoarthritis and carpal tunnel syndrome by trauma-induced edema. Awareness of TR-PCI-induced complications among all specialists is essential to optimize patient care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447211073832","type":"journal-article","created":{"date-parts":[[2022,3,5]],"date-time":"2022-03-05T01:23:38Z","timestamp":1646443418000},"page":"154-162","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Treatment and Management of Upper Extremity Dysfunction Following Transradial Percutaneous Coronary Intervention: A Prospective Cohort Study"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1957-7064","authenticated-orcid":false,"given":"Elena S.","family":"Cheung","sequence":"first","affiliation":[{"name":"University Medical Center Utrecht, Utrecht, The Netherlands"},{"name":"Amphia Hospital, Breda, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva M.","family":"Zwaan","sequence":"additional","affiliation":[{"name":"University Medical Center Utrecht, Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ton A. R.","family":"Schreuders","sequence":"additional","affiliation":[{"name":"Erasmus Medical Center, Rotterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcel J. M.","family":"Kofflard","sequence":"additional","affiliation":[{"name":"Albert Schweitzer Hospital, Dordrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Henk.","family":"Coert","sequence":"additional","affiliation":[{"name":"University Medical Center Utrecht, Utrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Alings","sequence":"additional","affiliation":[{"name":"Amphia Hospital, Breda, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander J. J.","family":"IJsselmuiden","sequence":"additional","affiliation":[{"name":"Amphia Hospital, Breda, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo A. J.","family":"Holtzer","sequence":"additional","affiliation":[{"name":"Albert Schweitzer Hospital, Dordrecht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,3,4]]},"reference":[{"key":"bibr1-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.23052"},{"key":"bibr2-15589447211073832","first-page":"65","volume":"4","author":"Tavakol M","year":"2012","journal-title":"Glob J Health Sci"},{"key":"bibr3-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2008.08.023"},{"key":"bibr4-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1007\/s12471-015-0747-9"},{"key":"bibr5-15589447211073832","first-page":"34","volume":"3","author":"Ijsselmuiden AJJ","year":"2017","journal-title":"J Heart Cardiol"},{"key":"bibr6-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26525"},{"key":"bibr7-15589447211073832","first-page":"169","volume-title":"Rehabilitation of the Hand","author":"Cambridge-Keeling CA","year":"2002"},{"key":"bibr8-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-1130(12)80265-1"},{"key":"bibr9-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-1130(12)80176-1"},{"key":"bibr10-15589447211073832","volume-title":"Clinical Assessment Recommendations","author":"American Society of Hand Therapists","year":"1992","edition":"2"},{"key":"bibr11-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/83.9.806"},{"key":"bibr12-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1186\/2052-1847-6-10"},{"key":"bibr13-15589447211073832","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2004.34.6.335"},{"key":"bibr14-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1016\/S0894-1130(96)80041-X"},{"key":"bibr15-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(86)90228-9"},{"key":"bibr16-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.111.965871"},{"key":"bibr17-15589447211073832","first-page":"1531","volume":"87","author":"Zhou YJ","year":"2007","journal-title":"Zhonghua Yi Xue Za Zhi"},{"key":"bibr18-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-09-0577"},{"key":"bibr19-15589447211073832","first-page":"153","volume":"282","author":"Atroshi I","year":"1999","journal-title":"JAMA Netw Open"},{"key":"bibr20-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(01)00012-9"},{"key":"bibr21-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(82)80175-5"},{"key":"bibr22-15589447211073832","first-page":"315","volume":"61","author":"Lisanti M","year":"1995","journal-title":"Acta Orthop Belg"},{"key":"bibr23-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1002\/art.11009"},{"key":"bibr24-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2019.11.007"},{"issue":"3","key":"bibr25-15589447211073832","first-page":"109","volume":"28","author":"Amoroso G","year":"2016","journal-title":"J Invasive Cardiol"},{"key":"bibr26-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.1307"},{"key":"bibr27-15589447211073832","doi-asserted-by":"publisher","DOI":"10.4244\/EIJY14M09_09"},{"key":"bibr28-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1002\/1522-726X(200102)52:2<181::AID-CCD1044>3.0.CO;2-G"},{"key":"bibr29-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10400"},{"key":"bibr30-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000002170"},{"key":"bibr31-15589447211073832","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2007.136390"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447211073832","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447211073832","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447211073832","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:27:52Z","timestamp":1777447672000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447211073832"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,4]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1177\/15589447211073832"],"URL":"https:\/\/doi.org\/10.1177\/15589447211073832","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,4]]}}}