Gender differences in the distal radial artery diameter for the snuffbox approach
Gender differences in the distal radial artery diameter for the snuffbox approach
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DOI：
10.5603/cj.2018.0128
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发表时间：
2018-09-01
影响因子：
2.9
通讯作者：
Jeong, Myung Ho
中科院分区：
文献类型：
--
作者：
Kim, Yongcheol;Ahn, Youngkeun;Jeong, Myung Ho
背景：近年来，介入心脏病学家对鼻烟盒入路在冠状动脉造影(C，AG)和经皮冠状动脉介入治疗(PCI)中的应用越来越感兴趣。然而，关于按性别划分的桡动脉远端直径(RA)的数据缺乏。方法：对2017年12月1日至2018年2月28日在韩国光州Chonnam国立大学医院因疑似心肌缺血而行冠状动脉造影术或经皮冠状动脉成形术的117例患者进行左鼻烟盒入路。101例患者行左冠状动脉造影术。在101人中，男性69人(68.3%)，女性32人(31.7%)。两组患者在收缩压、舒张压、体重指数、左心室收缩功能及急性冠脉综合征患者方面均无显著差异。结果：所有患者的RA远端直径平均为2.57 mm，女性远端直径显著小于男性(2.4 mm vs.2.65 mm，P=0.016)。117例患者均顺利完成经鼻烟盒入路6-Fr鞘CAG。女性RA远端手术成功率(32/38)低于男性(72/79)，但差异无统计学意义(84.2%vs.91.1%，P=0.264)。结论：女性RA远端直径明显小于男性。此外，远端RA手术的成功率男性往往高于女性。
Background: Recently, interventional cardiologists have been increasingly interested in snuffbox approach for coronary angiography (C,AG) 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 patient& 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.