Increased Incidence of Radial Artery Calcification in Patients with Diabetes Mellitus

Nicolosi, Alfred C.; Pohl, Linda; Parsons, Patricia; Cambria, Robert A.; Olinger, Gordon N.

doi:10.1006/jsre.2001.6303

Cited by 38 publications

(43 citation statements)

References 20 publications

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“…In contrast to the IMA, which is almost universally without arteriosclerosis, severe arteriosclerosis of the radial artery sufficient to make the graft unusable has been documented in as many as 5% of patients, 8 and the prevalence of less severe arteriosclerosis is much higher, being as high as 50% in diabetic patients. 19 Therefore, more intensive preoperative evaluation of the radial artery for arteriosclerosis may be required. Finally, patency of the radial artery may be dependent on maintenance of a high level of blood flow.…”

Section: Discussionmentioning

confidence: 99%

Radial Artery Bypass Grafts Have an Increased Occurrence of Angiographically Severe Stenosis and Occlusion Compared With Left Internal Mammary Arteries and Saphenous Vein Grafts

et al. 2004

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Section: Discussionmentioning

confidence: 99%

Radial Artery Bypass Grafts Have an Increased Occurrence of Angiographically Severe Stenosis and Occlusion Compared With Left Internal Mammary Arteries and Saphenous Vein Grafts

et al. 2004

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“…Nicolasi et collegues have examined the radial artery calcification in diabetic and non-diabetic patients by Doppler ultrasonography [8]. According to our cases, they reported that both incidence and severity of the calcification has increased in the diabetic group [8].…”

mentioning

confidence: 62%

“…According to our cases, they reported that both incidence and severity of the calcification has increased in the diabetic group [8]. They have accounted RA calcification index for calcification density, longitidunal vessel involvement and bilaterality.…”

mentioning

confidence: 68%

“…When they harvested the radial artery they found that in the extracellular matrix there is a high affinity for calcium deposition in the high phosphate medium [10]. Furthermore, most authors reported risk factors for radial artery calcification such as DM, chronic renal failure, aortofemoral occlusive disease and age with the use of Doppler Ultrasonography [8,10,11]. KaneToddhall et al have showed that there is an increased prevalence of mild intimal thickening, medial sclerosis and medial calcification in radial arteries compared with internal mammary artery [12].…”

mentioning

confidence: 99%

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Assesment of Radial Artery by Means of Doppler Ultrasonography and Soft Tissue Roentgenogram in End-Stage Renal Disease Patients

Abacilar¹,

Duman²,

Dogan³

2014

WJCS

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Background: Although the radial artery (RA) is mostly selected for the creating of arterio-venous fistula (AVF) in end-stage renal disease patients (ESRDP), it still represents a suitable site to simply assess systemic calcification. Our goal of this study was to research the RA before the arteriovenous fistula creation in ESRDP and evaluate the risk factor determinants. Material and Methods: The RA has been determined to estimate vascular calcification in 67 ESRDPs on dialysis by doppler ultrasonography (USG). If there was any pathologic conditions, direct examination of the forehand soft tissue roentgenograms as a simply method was made. Preoperative spectral Doppler sonography measured radial artery peak systolic velocity during tight fist clenching for 3 minutes and after fist relaxation. Vessel diameters and peak systolic velocity were assessed for predictive value based on subsequent fistula adequacy. RA calcification was scored from Grade 0 which was defined as no calcification to Grade 4 which was described as severe calcification from proximal to distal end of RA. Results: Doppler USG has shown that the major or minor RA calcification was detected in 11 patients (16.5%). In these patients, direct roentgenogram also demonstrated RA calcific disease. Total and LDL cholesterol levels, gender and smoking status have no influence on calcification scores. When the dialysis periods are concerned, there was no correlation with the RA calcification. Serum calcium and phosphate levels, rather than calcium-phosphate products, and age were correlated with high calcification scores. The highest prevalence of RA calcification was also found in diabetic group. Conclusion: Our data indicate that RA calcification is highly prevalent among ESRDP, with the highest prevalence among diabetics. The RA was used as an A-V fistual creation in ESRDPs, which may be risky since the calcification percentage is higher. Therefore, a simple roentgenographic survey may help to identify patients with severe calcified RA. Because our roengenographyc results were correlated with doppler USG, it can be used to determine RA calcific disease before the arteriovenous fistula creation.

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“…Other studies investigated the existence of lesions (plaques or calcification) by means of ultrasound of the arteries, without, however, managing to determine if these plaques were obstructive or not [18,19] due to the limitations of the evaluation method employed which does not distinguish between calcification of the intima layer (related to atherosclerosis) and calcification of the media layer (sclerosis of Mönckberg) in which the patency of the vessel is not compromised.…”

Section: Introductionmentioning

confidence: 99%

Incidência de aterosclerose em artérias radiais de cadáveres

Sampaio¹,

Braile²,

Ferro³

et al. 2006

Rev Bras Cir Cardiovasc

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Increased Incidence of Radial Artery Calcification in Patients with Diabetes Mellitus

Cited by 38 publications

References 20 publications

Radial Artery Bypass Grafts Have an Increased Occurrence of Angiographically Severe Stenosis and Occlusion Compared With Left Internal Mammary Arteries and Saphenous Vein Grafts

Radial Artery Bypass Grafts Have an Increased Occurrence of Angiographically Severe Stenosis and Occlusion Compared With Left Internal Mammary Arteries and Saphenous Vein Grafts

Assesment of Radial Artery by Means of Doppler Ultrasonography and Soft Tissue Roentgenogram in End-Stage Renal Disease Patients

Incidência de aterosclerose em artérias radiais de cadáveres

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