open access

Vol 79, No 2 (2020)
Original article
Submitted: 2019-04-30
Accepted: 2019-06-14
Published online: 2019-07-02
Get Citation

Anatomical features of the radial artery in the Xinjiang population in China and its impact on the transradial coronary intervention procedure

T. Naman1, G. Q Li2, H. Cheng2, B. Hu3
·
Pubmed: 31282553
·
Folia Morphol 2020;79(2):226-235.
Affiliations
  1. People’s Hospital of Yakan County in Xinjiang China, Yakan in Xinjiang China, Yakan in Xinjiang China, 844700 Yakan, China
  2. Department of Cardiology, People’s Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, China, China
  3. Department of Cardiology, East Hospital, Tongji University School of Medicine, Shanghai China, 200000 Shanghai, China

open access

Vol 79, No 2 (2020)
ORIGINAL ARTICLES
Submitted: 2019-04-30
Accepted: 2019-06-14
Published online: 2019-07-02

Abstract

Background: The anatomical features of the radial artery (RA) influence the transradial coronary intervention. The aim of this study is to discuss the anatomical features of the RA in the Xinjiang population and to guide interventionists in decreasing complications and improving success rates.

Materials and methods: We enrolled 1731 patients in this study. All relevant basic information was recorded in detail, and the RA diameter was examined. Patients were divided into a RA variation group and a RA non-variation group; univariate and multivariate factor analyses were performed to evaluate the relevant factors for RA diameter and the predictive value of the variable factors in RA variations.

Results: The mean RA diameter for all patients was 3.01 ± 0.14 mm. The multi-factorial analysis showed that height, gender, and occupation are significantly associated with RA diameter (p < 0.05). The incidence of RA variation was 4.97% (86/1731). Multi-factorial analysis showed that: gender (OR 2.72, 95% CI 1.469–5.037, p < 0.01), occupation (OR 2.228, 95% CI 1.0.000–0.012, p < 0.001) and RA inner diameter (OR 0.002, 95% CI 0.000–0.012, p < 0.001) are significantly associated with the incidence of RA variation.

Conclusions: The mean RA diameter in the Xinjiang population was 3.01 ± 0.14 mm, height, gender, occupation are associated with RA diameter, gender, farmer, RA diameter are associated with RA variation. These factors can guide the interventionists to choose the appropriate equipment before the operation then can increase the efficiency of operation and prevent from the complications.

Abstract

Background: The anatomical features of the radial artery (RA) influence the transradial coronary intervention. The aim of this study is to discuss the anatomical features of the RA in the Xinjiang population and to guide interventionists in decreasing complications and improving success rates.

Materials and methods: We enrolled 1731 patients in this study. All relevant basic information was recorded in detail, and the RA diameter was examined. Patients were divided into a RA variation group and a RA non-variation group; univariate and multivariate factor analyses were performed to evaluate the relevant factors for RA diameter and the predictive value of the variable factors in RA variations.

Results: The mean RA diameter for all patients was 3.01 ± 0.14 mm. The multi-factorial analysis showed that height, gender, and occupation are significantly associated with RA diameter (p < 0.05). The incidence of RA variation was 4.97% (86/1731). Multi-factorial analysis showed that: gender (OR 2.72, 95% CI 1.469–5.037, p < 0.01), occupation (OR 2.228, 95% CI 1.0.000–0.012, p < 0.001) and RA inner diameter (OR 0.002, 95% CI 0.000–0.012, p < 0.001) are significantly associated with the incidence of RA variation.

Conclusions: The mean RA diameter in the Xinjiang population was 3.01 ± 0.14 mm, height, gender, occupation are associated with RA diameter, gender, farmer, RA diameter are associated with RA variation. These factors can guide the interventionists to choose the appropriate equipment before the operation then can increase the efficiency of operation and prevent from the complications.

Get Citation

Keywords

radial artery, predictive factors, transradial coronary intervention

About this article
Title

Anatomical features of the radial artery in the Xinjiang population in China and its impact on the transradial coronary intervention procedure

Journal

Folia Morphologica

Issue

Vol 79, No 2 (2020)

Article type

Original article

Pages

226-235

Published online

2019-07-02

Page views

1459

Article views/downloads

450

DOI

10.5603/FM.a2019.0074

Pubmed

31282553

Bibliographic record

Folia Morphol 2020;79(2):226-235.

Keywords

radial artery
predictive factors
transradial coronary intervention

Authors

T. Naman
G. Q Li
H. Cheng
B. Hu

References (23)
  1. Agostoni P, Biondi-Zoccai GGL, de Benedictis ML, et al. Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures; Systematic overview and meta-analysis of randomized trials. J Am Coll Cardiol. 2004; 44(2): 349–356.
  2. Bertrand OF, De Larochellière R, Rodés-Cabau J, et al. A randomized study comparing same-day home discharge and abciximab bolus only to overnight hospitalization and abciximab bolus and infusion after transradial coronary stent implantation. Circulation. 2006; 114(24): 2636–2643.
  3. Bi XL, Fu XH, Gu XS, et al. Influence of puncture site on radial artery occlusion after transradial coronary intervention. Chin Med J (Engl). 2016; 129(8): 898–902.
  4. Cantor WJ, Mahaffey KW, Huang Z, et al. Bleeding complications in patients with acute coronary syndrome undergoing early invasive management can be reduced with radial access, smaller sheath sizes, and timely sheath removal. Catheter Cardiovasc Interv. 2007; 69(1): 73–83.
  5. Chase AJ, Fretz EB, Warburton WP, et al. Association of the arterial access site at angioplasty with transfusion and mortality: the M.O.R.T.A.L study (Mortality benefit Of Reduced Transfusion after percutaneous coronary intervention via the Arm or Leg). Heart. 2008; 94(8): 1019–1025.
  6. Dandekar VK, Vidovich MI, Shroff AR. Complications of transradial catheterization. Cardiovasc Revasc Med. 2012; 13(1): 39–50.
  7. Jaffe R, Hong T, Sharieff W, et al. Comparison of radial versus femoral approach for percutaneous coronary interventions in octogenarians. Catheter Cardiovasc Interv. 2007; 69(6): 815–820.
  8. Jolly SS, Amlani S, Hamon M, et al. Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials. Am Heart J. 2009; 157(1): 132–140.
  9. Kassam S, Cantor WJ, Patel D, et al. Radial versus femoral access for rescue percutaneous coronary intervention with adjuvant glycoprotein IIb/IIIa inhibitor use. Can J Cardiol. 2004; 20(14): 1439–1442.
  10. Kiemeneij F, Hofland J, Laarman GJ, et al. Cost comparison between two modes of Palmaz Schatz coronary stent implantation: transradial bare stent technique vs. transfemoral sheath-protected stent technique. Cathet Cardiovasc Diagn. 1995; 35(4): 301–8, discussion 309.
  11. Li L, Zeng ZY, Zhong JM, et al. Features and variations of a radial artery approach in southern Chinese populations and their clinical significance in percutaneous coronary intervention. Chin Med J (Engl). 2013; 126(6): 1046–1052.
  12. Lo TS, Nolan J, Fountzopoulos E, et al. Radial artery anomaly and its influence on transradial coronary procedural outcome. Heart. 2009; 95(5): 410–415.
  13. Mann T, Cubeddu G, Bowen J, et al. Stenting in acute coronary syndromes: a comparison of radial versus femoral access sites. J Am Coll Cardiol. 1998; 32(3): 572–576.
  14. Nie B, Zhou Yj, Li Gz, et al. Clinical study of arterial anatomic variations for transradial coronary procedure in Chinese population. Chin Med J (Engl). 2009; 122(18): 2097–2102.
  15. Numasawa Y, Kawamura A, Kohsaka S, et al. Anatomical variations affect radial artery spasm and procedural achievement of transradial cardiac catheterization. Heart Vessels. 2014; 29(1): 49–57.
  16. Rao SV, Ou FS, Wang TY, et al. Trends in the prevalence and outcomes of radial and femoral approaches to percutaneous coronary intervention: a report from the National Cardiovascular Data Registry. JACC Cardiovasc Interv. 2008; 1(4): 379–386.
  17. Sciahbasi A, Pristipino C, Ambrosio G, et al. Arterial access-site-related outcomes of patients undergoing invasive coronary procedures for acute coronary syndromes (from the ComPaRison of Early Invasive and Conservative Treatment in Patients With Non-ST-ElevatiOn Acute Coronary Syndromes [PRESTO-ACS] Vascular Substudy). Am J Cardiol. 2009; 103(6): 796–800.
  18. Trilla M, Freixa X, Regueiro A, et al. Impact of Aging on Radial Spasm During Coronary Catheterization. J Invasive Cardiol. 2015; 27(12): E303–E307.
  19. Valsecchi O, Vassileva A, Musumeci G, et al. Failure of transradial approach during coronary interventions: anatomic considerations. Catheter Cardiovasc Interv. 2006; 67(6): 870–878.
  20. Wiper A, Kumar S, MacDonald J, et al. Day case transradial coronary angioplasty: a four-year single-center experience. Catheter Cardiovasc Interv. 2006; 68(4): 549–553.
  21. Yan Zx, Zhou Yj, Zhao Yx, et al. Anatomical study of forearm arteries with ultrasound for percutaneous coronary procedures. Circ J. 2010; 74(4): 686–692.
  22. Yang HJ, Gil YC, Jung WS, et al. Variations of the superficial brachial artery in Korean cadavers. J Korean Med Sci. 2008; 23(5): 884–887.
  23. Yoo BS, Yoon J, Ko JY, et al. Anatomical consideration of the radial artery for transradial coronary procedures: arterial diameter, branching anomaly and vessel tortuosity. Int J Cardiol. 2005; 101(3): 421–427.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, faks: +48 58 320 94 60, e-mail: viamedica@viamedica.pl