Rationale and design of the ARCUS: Effects of trAnsRadial perCUtaneouS coronary intervention on upper extremity function

Catheter Cardiovasc Interv. 2016 Dec;88(7):1036-1043. doi: 10.1002/ccd.26525. Epub 2016 Apr 1.

Abstract

Objective: The aim of this study is to provide a complete insight in the access-site morbidity and upper extremity function after Transradial Percutaneous Coronary Intervention (TR-PCI).

Background: In percutaneous coronary intervention the Transradial Approach (TRA) is gaining popularity as a default technique. It is a very promising technique with respect to post-procedure complications, but the exact effects of TRA on upper extremity function are unknown.

Methods and results: The effects of trAnsRadial perCUtaneouS coronary intervention on upper extremity function (ARCUS) trial is a multicenter prospective cohort study that will be conducted in all patients admitted for TR-PCI. Clinical outcomes will be monitored during a follow-up of 6 months, with its primary endpoint at two weeks of follow-up. To investigate the complete upper extremity function, a combination of physical examinations and validated questionnaires will be used to provide information on anatomical integrity, strength, range of motion (ROM), coordination, sensibility, pain, and functioning in everyday life. Procedural and material specifications will be registered in order to include all possible aspects influencing upper extremity function.

Conclusions: Results from this study will elucidate the effect of TR-PCI on upper extremity function. This creates the opportunity to further optimize TR-PCI, to make improvements in functional outcome and to prevent morbidity regarding full upper extremity function. © 2016 Wiley Periodicals, Inc.

Keywords: percutaneous coronary intervention; transradial; upper extremity dysfunction.

Publication types

  • Multicenter Study

MeSH terms

  • Activities of Daily Living
  • Biomechanical Phenomena
  • Catheterization, Peripheral / adverse effects
  • Catheterization, Peripheral / methods*
  • Clinical Protocols
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / therapy*
  • Humans
  • Muscle Strength
  • Netherlands
  • Pain / etiology
  • Percutaneous Coronary Intervention / adverse effects
  • Percutaneous Coronary Intervention / instrumentation
  • Percutaneous Coronary Intervention / methods*
  • Physical Examination
  • Prospective Studies
  • Punctures
  • Radial Artery* / diagnostic imaging
  • Range of Motion, Articular
  • Research Design
  • Stents
  • Surveys and Questionnaires
  • Time Factors
  • Treatment Outcome
  • Upper Extremity / blood supply*
  • Upper Extremity / physiopathology*