Assessment and comparison of distal radial artery diameter in anatomical snuff box with conventional radial artery before coronary catheterization.
Assessment and comparison of distal radial artery diameter in anatomical snuff box with conventional radial artery before coronary catheterization.
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DOI：
10.1016/j.ihj.2022.06.007
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发表时间：
2022-07
影响因子：
1.5
通讯作者：
Patel, Tejas M.
中科院分区：
文献类型：
--
作者：
Deora, Surender;Sharma, Shubham Kumar;Choudhary, Rahul;Kaushik, Atul;Garg, Pawan Kumar;Khera, Pushpinder Singh;Singh, Kuldeep;Shah, Sanjay;Patel, Tejas M.
关键词：
近几年来，解剖鼻烟盒上的桡动脉远端入路引起了介入心脏病学家的关注。这一新入路的手术成功率取决于桡动脉的大小，因此本研究计划研究桡动脉远端的大小。共1004名18岁接受冠状动脉插管术的患者被纳入研究。在冠状动脉插管前一天，在解剖鼻烟盒中测量血管直径。右桡动脉常规入口处的直径为2.56±0.35 mm，远端入口处为2.23±0.39 mm(P<0.001)。右侧常规入路部位(2.42±0.36 mm比2.60±0.34 mm；P<0.001)和远端入路部位(2.09±0.38 mm比2.27±0.39 mm；P<0.001)，女性的桡动脉直径明显小于男性。右侧DRA直径与年龄无显著相关性(R2直线相关系数=0.002，P=0.0475)，但与身高、体重呈正相关(R2直线相关系数=0.0.076，P=0.001；R2直线相关系数=0.0.005，P=0.001)，与体重指数呈负相关(R2直线相关系数=0.0.076，P=0.0.519)。这项研究显示，男性右侧DRA的大小为2.27±0.39 mm，女性为2.09±0.38 mm。糖尿病、高血压、身高和体重是DRA直径的重要预测因素。
The distal radial artery (dRA) approach at anatomical snuff box has gained attention of the interventional cardiologist in last few years. The procedural success rate by this novel approach depends on size of the radial artery and therefore the study was planned to study the size of distal radial artery. Total of 1004 patients of >18 years of age undergoing coronary catheterization were included in the study. The vessel diameter was measured from media to media in the anatomical snuff box a day prior to coronary catheterization. The mean diameter of right radial artery at conventional access site was 2.56 ± 0.35 mm and at distal access site 2.23 ± 0.39 mm (p < 0.001). Females had significantly smaller radial artery diameter as compared to males at right conventional access site (2.42 ± 0.36 mm vs 2.60 ± 0.34 mm; p < 0.001) and distal access site (2.09 ± 0.38 mm vs 2.27 ± 0.39 mm; p < 0.001). The diameter of the right dRA was not significantly correlated with age (r2 linear = 0.002, p = 0.0475) but was positively correlated with height and weight (r2 linear = 0.076, p = <0.001 and r2 linear = 0.005, p = <0.001) and negatively correlated with BMI (r2 linear = 0.076, p = 0.519). This study has shown the size of right dRA 2.27 + 0.39 mm in males and 2.09 + 0.38 mm in females. Diabetes, hypertension, height and weight are important predictors of dRA diameter.
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