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NGHIÊN CỨU LÂM SÀNG Issue: Số 123 - 2026 TIM MẠCH CAN THIỆP

Assessment of Hematoma at the Radial Artery Puncture Site in Patients after Coronary Angiography and Percutaneous Coronary Intervention at E Hospital in 2026

Published: October 30, 2026
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Abstract

Objectives: (1) To describe hematoma at the radial artery puncture site in patients after percutaneous coronary angiography and intervention at E Hospital in 2026. (2) To investigate factors associated with hematoma at the radial artery puncture site in this patient population. Subjects and Methods: A descriptive cross-sectional study was conducted in 250 inpatients who underwent clinical assessment of the radial artery puncture site after percutaneous coronary angiography and intervention at E Hospital from May 14 to September 18, 2026. Results: The incidence of hematoma at the radial artery puncture site was 2.0%. Of these cases, 2 were classified as EASY grade II (0.8%) and 3 as EASY grade III (1.2%). A statistically significant association was found between sex and hematoma occurrence, with a higher proportion of hematoma observed in female patients than in male patients (Fisher’s exact test, p = 0.032). Conclusions: The incidence of hematoma at the radial artery puncture site was 2.0%, including 2 cases of EASY grade II (0.8%) and 3 cases of EASY grade III (1.2%). These findings indicate that hematoma can still occur at the radial artery puncture site, highlighting the importance of nursing surveillance and early detection of complications immediately after the procedure.

Keywords
Hematoma EASY classification radial artery percutaneous coronary intervention

References

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American Heart Association. 2025 Heart Disease and Stroke Statistics Update: Global Burden of Disease Fact Sheet. American Heart Association; 2025.
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Ministry of Health of Vietnam. Cardiovascular disease is increasingly affecting younger people, causing 200,000 deaths annually in Vietnam. 2024.
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Naveen G, Koneru LU, Aditya K, et al. Incidence and predictors of forearm hematoma during the transradial approach for percutaneous coronary interventions. Indian Heart J. 2019;71(2):136-142. doi:10.1016/j.ihj.2019.04.014
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Nguyen CH, Nguyen VS, Le HG. Outcomes of transradial percutaneous coronary intervention at Hanoi Heart Hospital. Vietnam Med J. 2025;549(3).
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Seema NK, Abid U, Muhammad W, et al. Prevalence and risk factors of forearm hematoma following radial access cardiac catheterization: a cross-sectional study. Pak Heart J. 2025;58(2). doi:10.47144/phj.v58i2.2891
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Sudhanshu KD, Gyanaranjan N, Akhil KS, et al. Forearm hematoma as a complication of transradial coronary intervention: Indian single-center experience. Am J Cardiovasc Dis. 2021;11(4):462-470.

Tác giả

Hoàng Thị Kim Lan: Bệnh viện E; Trần Hồng Vân: Bệnh viện E; Hà Thị Thu Huyền: Bệnh viện E;
Assessment of Hematoma at the Radial Artery Puncture Site in Patients after Coronary Angiography and Percutaneous Coronary Intervention at E Hospital in 2026

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Section NGHIÊN CỨU LÂM SÀNG
Category TIM MẠCH CAN THIỆP
Pages 170-176
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