Effects of Coronary Angiography and Femoral Arterial Access on Endothelial Functions

Tulmaç, Murat; Özer, Nurtaç; Scedil, Vedat; imşek,; Doğru, Mehmet; Ebinç, Haksun

doi:10.2310/jim.0b013e31822a28cd

Cited by 2 publications

(3 citation statements)

References 21 publications

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“…Table 2 summarizes the femoral distensibility and elasticity values, and the comparisons between the groups. coronary angiography alone (13)(14)(15) . In addition, the majority of studies found in the literature focus on the radial artery, so the femoral artery has not been studied in this respect.…”

Section: Resultsmentioning

confidence: 99%

“…Although some studies have examined the impact of percutaneous coronary interventions on endothelial function, there are few studies evaluating the effect of coronary angiography alone ( 13 – 15 ) . In addition, the majority of studies found in the literature focus on the radial artery, so the femoral artery has not been studied in this respect.…”

Section: Discussionmentioning

confidence: 99%

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The effect of coronary angiography and femoral access on femoral artery distensibility and elasticity

Güneşli

Acibuca

2021

J Ultrason

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Aim of the study: The aim of this study was to evaluate the long-term effects of access to the femoral artery for the purposes of coronary angiography through the measurement of femoral artery distensibility and elasticity on the accessed and non-accessed sides. Material and methods: This cross-sectional study included patients who underwent femoral angiography at least 1 year previously. Those whose femoral artery was accessed once formed Group 1 (n = 59), those who were accessed twice formed Group 2 (n = 57), those accessed 3 times formed Group 3 (n = 55), and those with more than 3 accesses, Group 4 (n = 60). The groups were compared in respect of femoral artery elasticity and distensibility in the accessed and non-accessed sides. Results: No statistically significant difference was determined in respect of femoral distensibility and elasticity in Group 1 (9.40 ± 0.84 vs 9.48 ± 0.75, p = 0.107 and 0.23 ± 0.03 vs 0.23 ± 0.03, p = 0.433, respectively). However, a significant difference was observed between the two sides in terms of distensibility and elasticity in Group 2 (9.02 ± 0.81 vs 9.23 ± 0.75, and 0.21 ± 0.02 vs 0.22 ± 0.02), in Group 3 (8.49 ± 0.77 vs 9.18 ± 0.9 and 0.19 ± 0.02 vs 0.21 ± 0.02), and in Group 4 (8.14 ± 0.74 vs 9.03 ± 0.81 and 0.16 ± 0.01 vs 0.2 ± 0.02, p <0.001, for all comparisons). Conclusion: While a single access in the femoral artery for coronary angiography does not affect femoral artery elasticity and distensibility, multiple accesses may have adverse effects.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The effect of coronary angiography and femoral access on femoral artery distensibility and elasticity

Güneşli

Acibuca

2021

J Ultrason

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“…It is well-documented that cannulation of the arterial system with a sheath during coronary angiography induces temporary endothelial dysfunction [ 11 ]. This endothelial dysfunction leads to arterial spasm due to reduced release of nitric oxide, an endothelium-related vasodilator, and decreased levels of endothelium-related hyperpolarising factor.…”

Section: Discussionmentioning

confidence: 99%

Flow-mediated dilatation facilitates transradial coronary angiography: a comparative study

Tuner,

Kaya,

Bingol

et al. 2024

pwki

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Introduction: Radial artery (RA) spasm is demonstrated to be one of the most common complications of transradial approach (TRA).Aim: We hypothesised that radial flow-mediated dilation (FMD) can be used as a preprocedural method to assess the likelihood of arterial spasm.Material and methods: The patients were divided into 2 groups: those with and without flow-mediated RA dilatation. A blood pressure cuff was placed on the upper part of the antecubital region of the patients in the FMD group and inflated for 10 min, allowing the pressure to rise to 30 mm Hg above the systolic blood pressure. RA diameters of the patients in both groups were measured via quantitive coronary angiography method before transradial coronary angiography.Results: A total of 165 patients were included in the study, of whom 64 (38.8%) were women. The median age of the patients was 56 years (48-63). The mean RA diameter was significantly larger in the FMD group (3.44 ±0.48 vs. 2.96 ±0.46 mm, p < 0.001), and the number of punctures required for successful transradial cannulation was found to be significantly higher in the group without FMD (1.55 ±0.7 vs. 1.20 ±0.64; p < 0.001). Linear regression analysis revealed diabetes and FMD as independent predictors of RA diameter. In the diabetic subgroup, RA diameter remained larger in the FMD group (3.00 ±0.35 vs. 2.78 ±0.26, p = 0.036). Radial puncture attempts were significantly higher in the control group compared to the FMD group (1.55 ±0.7 vs. 1.20 ±0.64; p < 0.001).Conclusions: In our study, we demonstrated that FMD created by pressure application significantly increased RA diameter and reduced puncture attempt during TRA.

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Effects of Coronary Angiography and Femoral Arterial Access on Endothelial Functions

Cited by 2 publications

References 21 publications

The effect of coronary angiography and femoral access on femoral artery distensibility and elasticity

The effect of coronary angiography and femoral access on femoral artery distensibility and elasticity

Flow-mediated dilatation facilitates transradial coronary angiography: a comparative study

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