Radial Artery Mapping for Coronary Artery Bypass Graft Placement

Zimmerman, Peter; Chin, Eva E.; Laifer-Narin, Sherelle; Ragavendra, Nagesh; Grant, Edward G.

doi:10.1148/radiology.220.2.r01au40299

Cited by 21 publications

(7 citation statements)

References 10 publications

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“…The radial artery is compressed proximal to this site to occlude flow during insonation with spectral and color Doppler. Reversal of blood flow distal to the proximal occlusion confirms patency of the palmar arch 10 …”

Section: Specifications Of the Examinationmentioning

confidence: 70%

The AIUM Practice Parameter for the Performance of Ultrasound Vessel Mapping Prior to Dialysis Access Creation

2021

J of Ultrasound Medicine

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Section: Specifications Of the Examinationmentioning

confidence: 70%

The AIUM Practice Parameter for the Performance of Ultrasound Vessel Mapping Prior to Dialysis Access Creation

2021

J of Ultrasound Medicine

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“…The radial artery is compressed proximal to this site to occlude flow during insonation with spectral and color Doppler imaging. Reversal of blood flow distal to the proximal occlusion confirms patency of the palmar arch 8 …”

Section: Specifications Of the Examinationmentioning

confidence: 70%

AIUM Practice Guideline for the Performance of Ultrasound Vascular Mapping for Preoperative Planning of Dialysis Access

2012

Journal of Ultrasound in Medicine

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“…8 and Zimmerman et al. 11 showed that all the follow-up patients who underwent harvesting of the radial artery after a negative MAT did not have signs of hand ischemia. But Starnes et al.…”

Section: Introductionmentioning

confidence: 99%

“…Allen's test is the most commonly used bedside test to document adequacy of palmar circulation, but this test is subjective and unreliable, with many false-positive and false-negative results. 9,10 Considering the reliability of modified Allen's test (MAT) Pola et al, 6 Serrichio et al 8 and Zimmerman et al 11 showed that all the follow-up patients who underwent harvesting of the radial artery after a negative MAT did not have signs of hand ischemia. But Starnes et al 7 showed that MAT may unnecessarily exclude some patients from radial artery harvesting and radial access for haemodialysis (false-positive results) and may also place a number of patients at risk for hand ischemia (false negative).…”

Section: Introductionmentioning

confidence: 99%

Palmar arch anatomy: Ajmer Working Group classification

et al. 2015

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Introduction: Forearm arteries are frequently used as workhorse site for cardiac catheterization, bypass grafting and haemodialysis access. There is paucity of data on palmar circulation in live human being and only cadaveric data are available till date. We, therefore, made an attempt to look at the various patterns of sufficient or insufficient palmar arch circulation and various anomalies of forearm arteries, to discuss their clinical implications. Methods and results: We obtained the forearm and hand arteriograms of patients (n ¼ 302) through radial (n ¼ 200) and ulnar routes (n ¼ 102). Modified Allen's test was normal in all of our patients. On the basis of predetermined parameters angiograms were analysed and findings were divided into three groups. These three groups were further classified as type A, type B, type C superficial palmar arch. Conclusion: We concluded that type A superficial palmar arch is most suitable for providing adequate collateral circulation in case of harvesting of forearm vessel, whereas type C superficial palmar arch appears to be highly susceptible for digital ischemia in case of radial or ulnar artery occlusion. Modified Allen's test alone is not justifiable for documenting good collateral circulation and it should be supplemented by other tests to document good collateral circulation before proceeding to any radical procedure.

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Radial Artery Mapping for Coronary Artery Bypass Graft Placement

Cited by 21 publications

References 10 publications

The AIUM Practice Parameter for the Performance of Ultrasound Vessel Mapping Prior to Dialysis Access Creation

The AIUM Practice Parameter for the Performance of Ultrasound Vessel Mapping Prior to Dialysis Access Creation

AIUM Practice Guideline for the Performance of Ultrasound Vascular Mapping for Preoperative Planning of Dialysis Access

Palmar arch anatomy: Ajmer Working Group classification

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