Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Numbness after Transradial Cardiac Catheterization: the Results from a Nerve Conduction Study of the Superficial Radial Nerve

  • Jang, Ho-Jun (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital) ;
  • Kim, Ji-Young (Department of Neurology, Inje University Seoul Paik Hospital) ;
  • Han, Jae Deok (Department of Rehabilitation, Sejong General Hospital) ;
  • Lee, Hyun Jong (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital) ;
  • Kim, Je Sang (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital) ;
  • Park, Jin Sik (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital) ;
  • Choi, Rak Kyeong (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital) ;
  • Choi, Young Jin (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital) ;
  • Shim, Won-Heum (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital) ;
  • Kwon, Sung Woo (Division of Cardiology, Department of Internal Medicine, Inha University Hospital) ;
  • Kim, Tae-Hoon (Division of Cardiology, Department of Internal Medicine, Sejong General Hospital)
  • Received : 2015.06.09
  • Accepted : 2015.07.28
  • Published : 2016.03.30
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Abstract

Background and Objectives: Numbness on the hand occurs infrequently after a transradial cardiac catheterization (TRC). The symptom resembles that of neuropathy. We, therefore, investigated the prevalence, the predicting factors and the presence of neurological abnormalities of numbness, using a nerve conduction study (NCS). Subjects and Methods: From April to December 2013, all patients who underwent a TRC were prospectively enrolled. From among these, the patients who experienced numbness on the ipsilateral hand were instructed to describe their symptoms using a visual analogue scale; subsequently, NCSs were performed on these patients. Results: Of the total 479 patients in the study sample, numbness occurred in nine (1.8%) following the procedure. The NCS was performed for eight out of the nine patients, four (50%) of which had an abnormal NCS result at the superficial radial nerve. A larger sheath and history of myocardial infarction (p=0.14 and 0.08 respectively) tended towards the occurrence of numbness; however, only the use of size 7 French sheaths was an independent predictor for the occurrence of numbness (odds ratio: 5.50, 95% confidence interval: 1.06-28.58, p=0.042). The symptoms disappeared for all patients but one, within four months. Conclusion: A transient injury of the superficial radial nerve could be one reason for numbness after a TRC. A large sheath size was an independent predictor of numbness; therefore, large sized sheaths should be used with caution when performing a TRC.

Keywords

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