Distal radial access and postprocedural ultrasound evaluation of proximal and distal radial artery

Hořák, David; Bernát, Ivo; Jirouš, Štěpán; Slezák, David; Rokyta, Richard

doi:10.1007/s12928-022-00857-z

Cited by 12 publications

(9 citation statements)

References 29 publications

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“…However, Norimatsu K et al found that although the DRA diameter in women was smaller than that in men, the difference was not significant (men: 2.6 mm, women: 2.5 mm, P = 0.08) ( 24 ). A similar conclusion was also obtained in a study by Horák D et al (Men: 2.32 mm, Women: 2.25 mm, P = 0.27) ( 36 ). Despite the conflicting findings, generally, the DRA diameter is larger in men than in women.…”

Section: Application Of Ultrasound In Distal Radial Artery Interventionssupporting

confidence: 89%

“…2.5 mm, P = 0.08) (24). A similar conclusion was also obtained in a study by Horák D et al (Men: 2.32 mm, Women: 2.25 mm, P = 0.27) (36). Despite the conflicting findings, generally, the DRA diameter is larger in men than in women.…”

Section: Distal Radial Artery Diameter and The Influencing Factorssupporting

confidence: 85%

“…A total of 3,581 articles were initially retrieved. Based on the titles and abstracts and removing duplicate articles, a total of 22 studies were ultimately enrolled (2,6,12,13,(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40), with thirteen studies from Asia, five from Europe, two from North America, and two from South America. The sample sizes ranged from 42 to 2,775 cases.…”

Section: Application Of Ultrasound In Distal Radial Artery Interventionsmentioning

confidence: 99%

“…The results of a meta-analysis showed that the size of the outer diameter of the vascular sheath was positively correlated with the incidence of RAO (41), and mismatch between the sheath and vessel diameter increased the incidence of RAO. To reduce the risk of vascular injury, an increasing number of studies have focused on the preoperative assessment of the DRA diameter (2,6,12,13,(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40). Selection of suitable sheaths according to the diameter of the DRA appeared to reduce vascular damage (24).…”

Section: Preoperative Measurement Of Vessel Diametermentioning

confidence: 99%

“…The methods listed above for detecting RAO have the potential for false negatives, which can easily lead to missing a diagnosis of RAO. However, the absence of a blood flow signal in the occluded radial artery can be observed by ultrasound ( Figure 5 ), which can greatly reduce the rate of underdiagnosis of RAO ( 6 , 36 ). Complications such as distal radial artery occlusion, haematoma, bleeding, arteriovenous fistula, pseudoaneurysm, infection, and entrapment are equally common after coronary intervention via the dTRA ( 38 , 55 , 56 ).…”

Section: Application Of Ultrasound In Distal Radial Artery Interventionsmentioning

confidence: 99%

See 4 more Smart Citations

Application of ultrasound in cardiovascular intervention via the distal radial artery approach: New wine in old bottles?

Chen

Song

et al. 2022

Front. Cardiovasc. Med.

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The distal radial artery (DRA) approach has emerged as a new approach in cardiovascular intervention. In recent years, ultrasound has been widely used in cardiovascular intervention via the DRA approach. This article systematically discusses the progress of ultrasound in the preoperative vascular assessment, intraoperative guided puncture and postoperative observation of complications via the DRA approach.

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Section: Application Of Ultrasound In Distal Radial Artery Interventionssupporting

confidence: 89%

Section: Distal Radial Artery Diameter and The Influencing Factorssupporting

confidence: 85%

Section: Application Of Ultrasound In Distal Radial Artery Interventionsmentioning

confidence: 99%

Section: Preoperative Measurement Of Vessel Diametermentioning

confidence: 99%

Section: Application Of Ultrasound In Distal Radial Artery Interventionsmentioning

confidence: 99%

See 3 more Smart Citations

Application of ultrasound in cardiovascular intervention via the distal radial artery approach: New wine in old bottles?

Chen

Song

et al. 2022

Front. Cardiovasc. Med.

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Efficacy of a new generation intracoronary optical coherence tomography imaging system with fast pullback

Nishi

Kume

Yamada

et al. 2023

Cathet Cardio Intervent

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Objectives We sought to investigate whether a novel, fast‐pullback, high‐frequency optical coherence tomography (HF‐OCT) imaging system enables data acquisition with a reduced amount of contrast agents while retaining the same qualitative and quantitative lesion assessment to conventional OCT. Background The increased amount of administered contrast agents is a major concern when performing intracoronary OCT. Methods The present study is a single‐center, prospective, observational study including 10 patients with stable coronary artery disease. A total of 28 individual coronary arteries were assessed by both fast‐pullback HF‐OCT and by conventional OCT. Results The contrast volume used in each OCT run for the HF‐OCT system was significantly lower than for the conventional OCT system (5.0 ± 0.0 mL vs. 7.8 ± 0.7 mL, respectively, with a mean difference of −2.84 [95% confidence interval [CI]: −3.10 to −2.58]). No significant difference was found in the median value of the clear image length between the two OCT systems (74 mm [interquartile range [IQR]; 63, 81], 74 mm [IQR; 71, 75], p = 0.89). Fast‐pullback HF‐OCT showed comparable measurements to conventional OCT, including minimum lumen area (3.27 ± 1.53 mm2 vs. 3.21 ± 1.53 mm2, p = 0.27), proximal reference area (7.03 ± 2.28 mm2 vs. 7.03 ± 2.34 mm2, p = 0.96), and distal reference area (5.93 ± 1.96 mm2 vs. 6.03 ± 2.02 mm2, p = 0.23). Qualitative OCT findings were comparable between the fast‐pullback HF‐OCT runs and conventional OCT with respect to identifying lipid‐rich plaques, calcifications, layered plaques, macrophages, and cholesterol crystals. Conclusion With the fast pullback function of a novel HF‐OCT imaging system, we acquired OCT images using a significantly lower amount of contrast volume while retaining a comparable qualitative and quantitative lesion assessment to conventional OCT.

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Antithrombotic management in atrial fibrillation patients following percutaneous coronary intervention: A clinical review

Saito,

Kobayashi

2024

Journal of Arrhythmia

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Patients with atrial fibrillation (AF) often develop acute coronary syndrome and undergo percutaneous coronary intervention (PCI), and vice versa. Acute coronary syndrome and PCI mandate the use of dual antiplatelet therapy, while oral anticoagulation is recommended in patients with AF to mitigate thromboembolic risks. Clinical evidence concerning antithrombotic treatment in patients with AF and PCI has been accumulated, but when combined, the therapeutic strategy becomes complex. Although triple therapy, a combination of oral anticoagulation with dual antiplatelet therapy, has been used for patients with AF undergoing PCI as an initial antithrombotic strategy, less intensive regimens may be associated with a lower rate of bleeding without an increased risk in thrombotic events. This narrative review article summarizes currently available evidence of antithrombotic therapy in patients with AF undergoing PCI.

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Distal radial access and postprocedural ultrasound evaluation of proximal and distal radial artery

Cited by 12 publications

References 29 publications

Application of ultrasound in cardiovascular intervention via the distal radial artery approach: New wine in old bottles?

Application of ultrasound in cardiovascular intervention via the distal radial artery approach: New wine in old bottles?

Efficacy of a new generation intracoronary optical coherence tomography imaging system with fast pullback

Antithrombotic management in atrial fibrillation patients following percutaneous coronary intervention: A clinical review

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