Incidence, classification, healing patterns, and vascular remodeling of radial artery dissection assessed by OCT - Takeaways - MDSpire

Incidence, classification, healing patterns, and vascular remodeling of radial artery dissection assessed by OCT

  • By

  • Hao Liu

  • Jia Zhou

  • Saiying He

  • Senhu Wang

  • Haotian Wang

  • Zixuan Li

  • Rui Yan

  • Jincheng Guo

  • June 3, 2026

  • 0 min

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  • 1

    Radial artery dissection (RAD) occurred in 13.3% of patients undergoing transradial coronary intervention, with 325 lesions identified.

  • 2

    RAD lesions were classified as Type I (flap) or Type II (cavity), with Type I–E1 being the most frequent subtype at 33.8%.

  • 3

    Factors associated with RAD included older age, female sex, longer procedure duration, radial artery spasm, and smaller artery diameter.

  • 4

    In the repeat-OCT cohort, lesions assessed ≥30 days showed complete healing, primarily through intimal hyperplasia or fibrous plaque.

  • 5

    The mean remodeling index was 0.94 ± 0.11, indicating mild negative remodeling in the healing process of RAD lesions.

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