Reference diameter and characteristics of the distal radial artery based on ultrasonographic assessment

Lee, Jun–Won; Son, Jung–Woo; Go, Tae-Hwa; Kang, Dae Ryong; Lee, Sang Jun; Kim, Se Eun; Cho, Dong‐Hyuk; Park, Young Jun; Youn, Young Jin; Ahn, Min–Soo; Ahn, Sung Gyun; Kim, Jang Young; Yoo, Byung‐Su; Yoon, Junghan; Lee, Seung Hwan

doi:10.3904/kjim.2020.685

Cited by 22 publications

(23 citation statements)

References 19 publications

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“… 14 One study showed that a low body mass index (BMI) and a low body surface area were significant predictors of a DRA diameter <2.3 mm. 15 BMI was significantly correlated with DRA diameter (r = 0.66, P < 0.0001) in a Japanese study of 142 patients. 16 However, another Japanese study did not report an association between vessel diameter and clinical variables, including BMI, in multivariate analysis.…”

Section: Discussionmentioning

confidence: 89%

Analysis of the Risk Factors Related to the Success Rate of Distal Transradial Artery Access in Patients with Coronary Heart Disease

Liu

et al. 2022

RMHP

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Objective The aim of this study was to explore the factors influencing the success rate of distal transradial access (dTRA) for coronary intervention. Methods A total of 246 patients who underwent either coronary angiography or percutaneous coronary intervention in the Xuzhou Central Hospital were enrolled in this study. Access via the distal radial artery was the first choice for the procedure, and the success rate of this approach was recorded. All patients underwent color Doppler ultrasonography of the distal radial artery at the right anatomical snuff box in order to measure the artery diameter. The patients were divided into two groups depending on the success of the dTRA; 44 patients with unsuccessful punctures were assigned to the observation group and 202 patients with successful punctures acted as the control group. The basic clinical data of the two groups were recorded, and the differences between the two groups with respect to various indices were evaluated. Logistic regression analysis was carried out to explore the factors influencing the success rate of dTRA. Results Of the 246 patients, dTRA was achieved in 202, giving a puncture success rate of 82.11%. Logistic regression analysis showed that the success rate of dTRA was positively correlated with the diameter of the distal radial artery (odds ratio [OR] = 3.381, P = 0.005) and hypertension (OR = 2.427, P = 0.016), and negatively correlated with female gender (OR = 0.429, P = 0.036) and diabetes mellitus (OR = 0.325, P = 0.002). Conclusion The results of this study suggest that hypertension and distal radial artery diameter have a positive effect on the success rate of dTRA, while diabetes and female gender have a negative effect.

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Section: Discussionmentioning

confidence: 89%

Analysis of the Risk Factors Related to the Success Rate of Distal Transradial Artery Access in Patients with Coronary Heart Disease

Liu

et al. 2022

RMHP

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“…Based on previously published data (10,11) , there are about five factors--gender, height, weight, BMI, BSA--related to the diameter of the distal radial artery. We calculated an effective sample size according to 10 events per independent variable principle (12) .…”

Section: Discussionmentioning

confidence: 99%

“…There may be differences in the diameter of the distal radial artery in different population. In the PubMed database, we retrieved 10 articles that had published before 14 February 2022 and had reported the diameter of the distal radial artery by ultrasound measurement (6,10,11,(13)(14)(15)(16)(17)(18)(19) , Table 3. As we can see from the table, the diameter of the distal radial artery ranges from 1.70 +-0.5mm to 2.99 +-0.60mm.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of distal radial artery diameter and its related factors and predictors

Cao

Liu

et al. 2022

Preprint

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Objective: The distal transradial access (dTRA) is a new access for Coronary angiography (CAG) and percutaneous Coronary intervention (PCI). The distal radial artery diameter is smaller than the radial artery diameter. At present, there are very few studies about the diameter of the distal radial artery. Methods: This is a cross-sectional single-center study. A total of 106 hospitalized patients were included. The distal radial artery diameters of the left hand of all patients were measured. Clinical and ultrasound data were collected. Results: The mean of the distal radial artery diameter of all patients was 2.0586 ± 0.33 mm. According to the mean, the patients were divided into two groups——diameter ≥ 2.0586 mm group and diameter < 2.0586 mm group. By comparing the two groups, the related factors and independent predictors of the distal radial artery diameter ≥ 2.0586 mm were obtained. Male gender, height ≥ 160 cm, weight ≥ 63 kg, body mass index (BMI) ≥ 24 kg/m2, and body surface area (BSA) ≥ 1.6573 m2 were related factors. Male gender and BMI ≥ 24 kg/m2 were independent predictors. Conclusions: Male gender and BMI ≥ 24 kg/m2 patients may have a larger distal radial artery diameter.

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“…The diameter of the distal radial artery is approximately 80%-90% smaller than that of the forearm radial artery, and that of females is smaller than that of males. 23,24) Therefore, a smaller puncture needle (20-22 G) and guidewire (0.018-0.025") are useful in increasing the success rate. Ultrasound-guided puncture, although requiring a learning curve, will also increase the success rate compared with palpation-guided puncture.…”

Section: Fig 4 Pre-(a) and Post-embolization (B) Of The Aneurysmmentioning

confidence: 99%

Bilateral Distal Transradial Approach for Coiling of Basilar Artery Aneurysm: A Technical Note

Kinkori

Watanabe

Ishikawa

et al. 2022

Neurol. Med. Chir.(Tokyo)

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Distal transradial approach (dTRA) for neuroendovascular procedures has received much attention in recent years as a newer and less invasive alternative to the conventional transfemoral or transradial approaches. We present the case of an 89-year-old woman with a basilar artery aneurysm requiring simultaneous catheterization of the bilateral vertebral arteries who was successfully embolized using bilateral dTRA. The aneurysm was accessed from the right vertebral artery using the right dTRA. Control angiograms during the procedure were performed from the left vertebral artery via the left dTRA. The operator's posture was ergonomically comfortable, and the catheters were easy to handle during the procedure. To the best of our knowledge, this is the first case of a bilateral dTRA used for neuroendovascular procedures. Bilateral dTRA is a safe and minimally invasive method for patients and ergonomically comfortable for operators.

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Reference diameter and characteristics of the distal radial artery based on ultrasonographic assessment

Cited by 22 publications

References 19 publications

Analysis of the Risk Factors Related to the Success Rate of Distal Transradial Artery Access in Patients with Coronary Heart Disease

Analysis of the Risk Factors Related to the Success Rate of Distal Transradial Artery Access in Patients with Coronary Heart Disease

Characteristics of distal radial artery diameter and its related factors and predictors

Bilateral Distal Transradial Approach for Coiling of Basilar Artery Aneurysm: A Technical Note

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