open access

Vol 24, No 1 (2017)
Original articles — Interventional Cardiology
Published online: 2016-09-23
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Radial artery ultrasound predicts the success of transradial coronary angiography

Rami M. Abazid, Osama A. Smettei, Mohamed Z. Mohamed, M. Obadah Kattea, Annie Suresh, Yasir Beshir, Haitham Sakr
DOI: 10.5603/CJ.a2016.0072
·
Pubmed: 27665851
·
Cardiol J 2017;24(1):9-14.

open access

Vol 24, No 1 (2017)
Original articles — Interventional Cardiology
Published online: 2016-09-23

Abstract

Background: The transradial approach has become the preferred vascular access during conventional coronary angiography (CCA). Hereby, we evaluated the impact of pre-procedural radial artery diameter (RAD), the cross-sectional area (CSA), and the perimeter on vascular complications (VACs).

Methods: We conducted a single-center prospective analysis of 513 patients who underwent CCA. Radial artery ultrasonography was performed before and after CCA to measure the RAD, CSA, and perimeter.

Results: The average RAD, CSA, and perimeter were 2.60 ± 0.48 mm, 6.2 ± 3.0 mm2, and 8.9 ± 1.7 mm, respectively. Vascular complications were reported in 56 (11%) patients. The RAD, CSA, and perimeter were significantly smaller in patients in whom procedure-related VACs were observed than in those with no complications: 2.3 ± 0.5 vs. 2.70 ± 0.54 mm (p = 0.0001), 4.9 ± 2.1 vs. 6.4 ± 3 mm2 (p = 0.001), and 7.6 ± 2.1 vs. 9.2 ± 1.6 mm (p = 0.0001), respectively. Univariate logistic regression showed that RAD, CSA and perimeter can independently predict VACs (OR 0.833, 95% CI 0.777–0.894, p < 0.0001; OR 0.647, 95% CI 0.541–0.773, p < 0.0001; OR 0.545, 95% CI 0.446–0.665, p < 0.0001, respectively).

Conclusions: Ultrasonographic study of the radial artery before CCA can provide valuable information regarding vascular access.   

Abstract

Background: The transradial approach has become the preferred vascular access during conventional coronary angiography (CCA). Hereby, we evaluated the impact of pre-procedural radial artery diameter (RAD), the cross-sectional area (CSA), and the perimeter on vascular complications (VACs).

Methods: We conducted a single-center prospective analysis of 513 patients who underwent CCA. Radial artery ultrasonography was performed before and after CCA to measure the RAD, CSA, and perimeter.

Results: The average RAD, CSA, and perimeter were 2.60 ± 0.48 mm, 6.2 ± 3.0 mm2, and 8.9 ± 1.7 mm, respectively. Vascular complications were reported in 56 (11%) patients. The RAD, CSA, and perimeter were significantly smaller in patients in whom procedure-related VACs were observed than in those with no complications: 2.3 ± 0.5 vs. 2.70 ± 0.54 mm (p = 0.0001), 4.9 ± 2.1 vs. 6.4 ± 3 mm2 (p = 0.001), and 7.6 ± 2.1 vs. 9.2 ± 1.6 mm (p = 0.0001), respectively. Univariate logistic regression showed that RAD, CSA and perimeter can independently predict VACs (OR 0.833, 95% CI 0.777–0.894, p < 0.0001; OR 0.647, 95% CI 0.541–0.773, p < 0.0001; OR 0.545, 95% CI 0.446–0.665, p < 0.0001, respectively).

Conclusions: Ultrasonographic study of the radial artery before CCA can provide valuable information regarding vascular access.   

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Keywords

transradial approach, vascular access complications, radial artery diameter, radial artery cross-sectional area, radial artery perimeter

About this article
Title

Radial artery ultrasound predicts the success of transradial coronary angiography

Journal

Cardiology Journal

Issue

Vol 24, No 1 (2017)

Pages

9-14

Published online

2016-09-23

DOI

10.5603/CJ.a2016.0072

Pubmed

27665851

Bibliographic record

Cardiol J 2017;24(1):9-14.

Keywords

transradial approach
vascular access complications
radial artery diameter
radial artery cross-sectional area
radial artery perimeter

Authors

Rami M. Abazid
Osama A. Smettei
Mohamed Z. Mohamed
M. Obadah Kattea
Annie Suresh
Yasir Beshir
Haitham Sakr

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