Prevalence and clinical predictors of severe tortuosity of right subclavian artery in patients undergoing transradial coronary angiography
Prevalence and clinical predictors of severe tortuosity of right subclavian artery in patients undergoing transradial coronary angiography
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DOI：
10.1016/j.amjcard.2003.07.038
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发表时间：
2003-11-15
影响因子：
2.8
通讯作者：
Kim, HJ
中科院分区：
文献类型：
--
作者：
Cha, KS;Kim, MH;Kim, HJ
我们调查了2,341例接受经桡动脉冠状动脉造影术的连续患者中右锁骨下动脉（RSA）严重迂曲的患病率和临床预测因素，以及完成经桡动脉导管插入术的可行性和安全性。在这些患者中约10%的患者中观察到RSA严重迂曲，临床预测因素包括全身性高血压、女性、年龄较大、不吸烟、身材矮小和高体重指数。在大多数迂曲RSA患者中，用硬导丝更换导丝可安全可靠地完成经桡动脉血管造影。（C）2003年，Excerpta Medical，Inc.
We investigated the prevalence and clinical predictors of severe tortuosity of the right subclavian artery (RSA) in 2,341 consecutive patients who underwent transradial coronary angiography as well as the feasibility and safety of a technique to complete transradial catheterization. Severe tortuosity of the RSA was seen in approximately 10% of these patients, and clinical predictors included systemic hypertension, female gender, older age, nonsmoker, short stature, and high body mass index. Guidewire replacement with a stiff guidewire is reliable and safe for completing transradial angiography in most patients with a tortuous RSA. (C)2003 by Excerpta Medical, Inc.