Prediction of radial artery diameter in candidates for transradial coronary angiography: is occupation a factor?
OBJECTIVE: Transradial approach (TRA) for coronary angiography is a popular alternative approach to transfemoral coronary angiography due to the infrequent occurrence of access site complications such as bleeding, hematoma and pseudoaneursym formation. However, not all patients are suitable for TRA...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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KARE Publishing
2015-07-01
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| Series: | Türk Kardiyoloji Derneği Arşivi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-75002 |
| _version_ | 1797922198025928704 |
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| author | Ahmet Çağrı Aykan Engin Hatem Ezgi Kalaycıoğlu Duygun Altıntaş Aykan Tayyar Gökdeniz Ahmet Oğuz Arslan Şükrü Çelik |
| author_facet | Ahmet Çağrı Aykan Engin Hatem Ezgi Kalaycıoğlu Duygun Altıntaş Aykan Tayyar Gökdeniz Ahmet Oğuz Arslan Şükrü Çelik |
| author_sort | Ahmet Çağrı Aykan |
| collection | DOAJ |
| description | OBJECTIVE: Transradial approach (TRA) for coronary angiography is a popular alternative approach to transfemoral coronary angiography due to the infrequent occurrence of access site complications such as bleeding, hematoma and pseudoaneursym formation. However, not all patients are suitable for TRA. This study aimed to determine the predictors of radial artery diameter in patients who are candidates for TRA.
METHODS: The study included 222 consecutive patients who underwent TRA due to suspected stable coronary artery disease. Radial artery diameter was evaluated prior to the procedure using B-mode ultrasonography.
RESULTS: Radial artery diameter was correlated with wrist circumference (r=0.539, p<0.001), height (r=0.258, p<0.001), weight (r=0.237, p<0.001), body mass index (r=0.167, p=0.013), shoe size (r=0.559, p<0.001), and pulse pressure (r=-0.161, p=0.016). The right radial artery was larger in men than in women (2.73+-0.39 mm vs. 2.15+-0.35 mm, p<0.001), and smaller in patients with sedentary office work than in physically active outdoor workers (2.42+-0.45 mm vs. 2.81+-0.37 mm, p<0.001). Wrist circumference (b=0.044, p<0.001, confidence interval (CI) 95%= 0.025–0.062), shoe size (b=0.075, p=<0.001, CI 95%=0.039–0.112) and occupation (b=0.228, p<0.001, CI 95%=0.138–0.318) were the independent predictors of radial artery diameter in regression analysis.
CONCLUSION: In addition to shoe size and wrist circumference, occupation may be an important predictor of radial artery diameter, and it should be evaluated with other clinical parameters in the prediction of radial artery diameter. |
| first_indexed | 2024-04-10T14:27:41Z |
| format | Article |
| id | doaj.art-aed3bb71fa9d4e4fa23bdc3829652395 |
| institution | Directory Open Access Journal |
| issn | 1016-5169 |
| language | English |
| last_indexed | 2024-04-10T14:27:41Z |
| publishDate | 2015-07-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Türk Kardiyoloji Derneği Arşivi |
| spelling | doaj.art-aed3bb71fa9d4e4fa23bdc38296523952023-02-15T16:08:59ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692015-07-0143545045610.5543/tkda.2015.75002TKDA-75002Prediction of radial artery diameter in candidates for transradial coronary angiography: is occupation a factor?Ahmet Çağrı Aykan0Engin Hatem1Ezgi Kalaycıoğlu2Duygun Altıntaş Aykan3Tayyar Gökdeniz4Ahmet Oğuz Arslan5Şükrü Çelik6Department Of Cardiology, Ahi Evren Chest Cardiovascular Surgery Education And Research Hospital, Trabzon, TurkeyDepartment Of Cardiology, Ahi Evren Chest Cardiovascular Surgery Education And Research Hospital, Trabzon, TurkeyDepartment Of Cardiology, Ahi Evren Chest Cardiovascular Surgery Education And Research Hospital, Trabzon, TurkeyDepartment Of Pharmacology, Karadeniz Technical University Faculty Of Medicine, Trabzon, TurkeyDepartment Of Cardiology, Ahi Evren Chest Cardiovascular Surgery Education And Research Hospital, Trabzon, TurkeyDepartment Of Cardiology, Ahi Evren Chest Cardiovascular Surgery Education And Research Hospital, Trabzon, TurkeyDepartment Of Cardiology, Ahi Evren Chest Cardiovascular Surgery Education And Research Hospital, Trabzon, TurkeyOBJECTIVE: Transradial approach (TRA) for coronary angiography is a popular alternative approach to transfemoral coronary angiography due to the infrequent occurrence of access site complications such as bleeding, hematoma and pseudoaneursym formation. However, not all patients are suitable for TRA. This study aimed to determine the predictors of radial artery diameter in patients who are candidates for TRA. METHODS: The study included 222 consecutive patients who underwent TRA due to suspected stable coronary artery disease. Radial artery diameter was evaluated prior to the procedure using B-mode ultrasonography. RESULTS: Radial artery diameter was correlated with wrist circumference (r=0.539, p<0.001), height (r=0.258, p<0.001), weight (r=0.237, p<0.001), body mass index (r=0.167, p=0.013), shoe size (r=0.559, p<0.001), and pulse pressure (r=-0.161, p=0.016). The right radial artery was larger in men than in women (2.73+-0.39 mm vs. 2.15+-0.35 mm, p<0.001), and smaller in patients with sedentary office work than in physically active outdoor workers (2.42+-0.45 mm vs. 2.81+-0.37 mm, p<0.001). Wrist circumference (b=0.044, p<0.001, confidence interval (CI) 95%= 0.025–0.062), shoe size (b=0.075, p=<0.001, CI 95%=0.039–0.112) and occupation (b=0.228, p<0.001, CI 95%=0.138–0.318) were the independent predictors of radial artery diameter in regression analysis. CONCLUSION: In addition to shoe size and wrist circumference, occupation may be an important predictor of radial artery diameter, and it should be evaluated with other clinical parameters in the prediction of radial artery diameter.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-75002angioplastyballooncoronary/methodscoronary angiography/ methods; heart catheterization/methods; radial artery |
| spellingShingle | Ahmet Çağrı Aykan Engin Hatem Ezgi Kalaycıoğlu Duygun Altıntaş Aykan Tayyar Gökdeniz Ahmet Oğuz Arslan Şükrü Çelik Prediction of radial artery diameter in candidates for transradial coronary angiography: is occupation a factor? Türk Kardiyoloji Derneği Arşivi angioplasty balloon coronary/methods coronary angiography/ methods; heart catheterization/methods; radial artery |
| title | Prediction of radial artery diameter in candidates for transradial coronary angiography: is occupation a factor? |
| title_full | Prediction of radial artery diameter in candidates for transradial coronary angiography: is occupation a factor? |
| title_fullStr | Prediction of radial artery diameter in candidates for transradial coronary angiography: is occupation a factor? |
| title_full_unstemmed | Prediction of radial artery diameter in candidates for transradial coronary angiography: is occupation a factor? |
| title_short | Prediction of radial artery diameter in candidates for transradial coronary angiography: is occupation a factor? |
| title_sort | prediction of radial artery diameter in candidates for transradial coronary angiography is occupation a factor |
| topic | angioplasty balloon coronary/methods coronary angiography/ methods; heart catheterization/methods; radial artery |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-75002 |
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