The Rotterdam Radial Access Research: Ultrasound-Based Radial Artery Evaluation for Diagnostic and Therapeutic Coronary Procedures

Circulation. Cardiovascular Interventions
Francesco CostaNicolas M van Mieghem

Abstract

Radial artery wall might be damaged after cannulation for cardiac catheterization. We investigated structural changes of the radial artery wall after catheterization to understand whether these might predict radial pulsation loss or occlusion and local pain or functional impairment of the upper extremity. Ninety patients underwent transradial coronary angiography or intervention and were scanned with a high-resolution 40-MHz ultrasound before cannulation and at 3 hours and 30 days after procedure. Acute injuries of the radial artery occurred in all patients: dissection and intramural hematoma were the most common. However, these phenomena did not predict loss of radial pulsation or occlusion, local pain, or functional impairment at 30 days. Overall, the radial artery lumen was significantly reduced distal to the puncture site. Radial artery intima and total wall thickness increased 3 hours after puncture and persisted at 30 days. Radial occlusion and pulsation loss were observed in 3.9% and 9.2% of patients, respectively, at 30 days. Smaller radial artery lumen at baseline increased the risk of radial pulsation loss at 30 days (odds ratio, 1.23; P=0.049). The number of radial puncture attempts predicted pulsation loss (odds rat...Continue Reading

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Citations

Apr 17, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Rhian E Davies, Ian C Gilchrist
Aug 29, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Kazunori HorieNaoto Inoue
Apr 2, 2019·Circulation. Cardiovascular Interventions·Maarten A H van LeeuwenNiels van Royen
Nov 2, 2019·Circulation. Cardiovascular Interventions·Yader SandovalRajiv Gulati
Oct 23, 2019·Journal of Clinical Medicine·Renato Francesco Maria ScaliseFrancesco Costa
Feb 22, 2017·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Maarten A H van LeeuwenNiels van Royen
Jul 30, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Rossana IzzettiMario Gabriele
Nov 17, 2020·Journal of Clinical Ultrasound : JCU·Laura Grau-MercierXavier Bobbia
Nov 7, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Dirk Jan van der HeijdenNiels van Royen
Nov 21, 2019·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jacques DoubellAnton Doubell

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