open access

Vol 25, No 5 (2018)
Technology note — Interventional cardiology
Published online: 2018-10-30
Get Citation

Gender differences in the distal radial artery diameter for the snuffbox approach

Yongcheol Kim, Youngkeun Ahn, Min Chul Kim, Doo Sun Sim, Young Joon Hong, Ju Han Kim, Myung Ho Jeong
DOI: 10.5603/CJ.2018.0128
·
Pubmed: 30394514
·
Cardiol J 2018;25(5):639-641.

open access

Vol 25, No 5 (2018)
Technology note — Interventional cardiology
Published online: 2018-10-30

Abstract

Background: Recently, interventional cardiologists have been increasingly interested in snuffbox approach for coronary angiography (CAG) and percutaneous coronary intervention (PCI). However, there is lack of data regarding distal radial artery (RA) diameter according to gender. Therefore, the aim herein was to investigate gender differences in the diameter of distal RA diameter.

Methods: Left snuffbox approach was done in 117 patients who had planned CAG or PCI for suspected myocardial ischemia between 1 December 2017 and 28 February 2018 at the Chonnam National University Hospital, Gwangju, Korea. Left RA angiography was achieved from 101 patients. Among 101 individuals, 69 (68.3%) men and 32 (31.7%) women were enrolled. There was no significant difference in systolic and diastolic blood pressure, body mass index, left ventricular systolic function, or patients with acute coronary syndrome in either group.

Results: The average diameter of distal RA was 2.57 mm in all patients. Women had a significantly smaller diameter of distal RA than men (2.40 mm vs. 2.65 mm, p = 0.016). Nevertheless, CAG via snuffbox approach by 6 Fr sheath was successfully performed in all 117 patients. Regarding success rate of the distal RA approach, women had a lower success rate (32/38) compared with men (72/79), but not significantly (84.2% vs. 91.1%, p = 0.264).

Conclusions: Females has a significantly smaller distal RA diameter compared to males. Moreover, the success rate of the distal RA approach tends to be higher in men than in women.

Abstract

Background: Recently, interventional cardiologists have been increasingly interested in snuffbox approach for coronary angiography (CAG) and percutaneous coronary intervention (PCI). However, there is lack of data regarding distal radial artery (RA) diameter according to gender. Therefore, the aim herein was to investigate gender differences in the diameter of distal RA diameter.

Methods: Left snuffbox approach was done in 117 patients who had planned CAG or PCI for suspected myocardial ischemia between 1 December 2017 and 28 February 2018 at the Chonnam National University Hospital, Gwangju, Korea. Left RA angiography was achieved from 101 patients. Among 101 individuals, 69 (68.3%) men and 32 (31.7%) women were enrolled. There was no significant difference in systolic and diastolic blood pressure, body mass index, left ventricular systolic function, or patients with acute coronary syndrome in either group.

Results: The average diameter of distal RA was 2.57 mm in all patients. Women had a significantly smaller diameter of distal RA than men (2.40 mm vs. 2.65 mm, p = 0.016). Nevertheless, CAG via snuffbox approach by 6 Fr sheath was successfully performed in all 117 patients. Regarding success rate of the distal RA approach, women had a lower success rate (32/38) compared with men (72/79), but not significantly (84.2% vs. 91.1%, p = 0.264).

Conclusions: Females has a significantly smaller distal RA diameter compared to males. Moreover, the success rate of the distal RA approach tends to be higher in men than in women.

Get Citation

Keywords

distal radial artery; snuffbox approach; coronary angiography; percutaneous coronary intervention

About this article
Title

Gender differences in the distal radial artery diameter for the snuffbox approach

Journal

Cardiology Journal

Issue

Vol 25, No 5 (2018)

Pages

639-641

Published online

2018-10-30

DOI

10.5603/CJ.2018.0128

Pubmed

30394514

Bibliographic record

Cardiol J 2018;25(5):639-641.

Keywords

distal radial artery
snuffbox approach
coronary angiography
percutaneous coronary intervention

Authors

Yongcheol Kim
Youngkeun Ahn
Min Chul Kim
Doo Sun Sim
Young Joon Hong
Ju Han Kim
Myung Ho Jeong

References (9)
  1. Kiemeneij F. Left distal transradial access in the anatomical snuffbox for coronary angiography (ldTRA) and interventions (ldTRI). EuroIntervention. 2017; 13(7): 851–857.
  2. Valsecchi O, Vassileva A, Cereda AF, et al. Early clinical experience with right and left distal transradial access in the anatomical snuffbox in 52 consecutive patients. J Invasive Cardiol. 2018; 30(6): 218–223.
  3. Kim Y, Ahn Y, Kim I, et al. Feasibility of coronary angiography and percutaneous coronary intervention via left snuffbox approach. Korean Circ J. 2018 [Epub ahead of print].
  4. Kim Y, Jeong MHo, Kim I, et al. Intravascular ultrasound-guided percutaneous coronary intervention with drug-eluting stent for unprotected left main disease via left snuffbox approach. Korean Circ J. 2018; 48(6): 532–533.
  5. Berezhnoi K, Kokov L, Vanyukov A, et al. Complete revascularization via left snuffbox approach in a nonagenarian patient with acute myocardial infarction. Cardiol J. 2018; 25(4): 530–531.
  6. Kim Y, Jeong MH, Berezhnoi K, et al. Recannulation of distal radial artery for steged procedure after successful primary percutaneous coronary intervention. J Invasive Cardiol. 2018; 30(10): E105–E106.
  7. Pandie S, Mehta SR, Cantor WJ, et al. Radial versus femoral access for coronary angiography/intervention in women with acute coronary syndromes: insights from the RIVAL trial (radial vs femorAL access for coronary intervention). JACC Cardiovasc Interv. 2015; 8(4): 505–512.
  8. Abazid RM, Smettei OA, Mohamed MZ, et al. Radial artery ultrasound predicts the success of transradial coronary angiography. Cardiol J. 2017; 24(1): 9–14.
  9. Buturak A, Gorgulu S, Norgaz T, et al. The long-term incidence and predictors of radial artery occlusion following a transradial coronary procedure. Cardiol J. 2014; 21(4): 350–356.

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