Association Between Radial Artery Intervention and Development of Neuropathy in the Hand - A Prospective Study - The ACCESS IV Study

What this Trial Is About

Researchers are evaluating the possible nerve damage that may occur after radial artery catheterization (CAG) or percutaneous coronary intervention (PCI) in patients with ischemic heart disease. This prospective study aims to assess whether accessing the radial artery increases the risk of nerve injury, particularly affecting the median nerve at the carpal tunnel or the ulnar nerve at Guyon's canal. The study is conducted by Aarhus University Hospital Skejby and focuses on sensory and motor nerve function in the hands. Participants scheduled for radial CAG or PCI will have their sensory and motor nerve functions tested in both wrists and hands before the procedure. The study groups include patients with neurophysiological measurements taken on the same hand as the intervention (ipsilateral) and those measured on the opposite hand (contralateral). Patients will complete questionnaires about hand and arm symptoms, and their ability to perform certain activities will be assessed before and one month after the procedure using tools such as the Katz chart. During the study, participants will undergo neurophysiological nerve measurements lasting about one hour before and one month after the procedure. Researchers will also evaluate the severity of hand symptoms and dysfunction through short questionnaires. This study helps monitor hand function changes over time and aims to identify any increased nerve damage related to radial artery interventions. The total participation involves initial testing, the procedure, and follow-up assessments approximately one month later.

Association Between Radial Artery Intervention and Development of Neuropathy in the Hand - A Prospective Study