The Relationship between Amount of Air Supplied to Radial Artery Compression Device Used after Transradial Procedure and Radial Artery Stenosis.

IF 1.8 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Acta Cardiologica Sinica Pub Date : 2024-03-01 DOI:10.6515/ACS.202403_40(2).20231212A

Yücel Kanal, Can Özkan

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引用次数: 0

Abstract

Background: Transradial access (TRA) is accepted as the safest route for coronary angiography (CAG) and percutaneous coronary intervention. Radial artery stenosis (RAS) prevents use of the radial artery in various clinical situations, even in cases without hand ischemia. In this context, this study aimed to investigate the relationship between the amount of air supplied to the radial artery compression device [transradial (TR) band] and RAS.

Methods: The population in this single-center retrospective study consisted of patients who underwent CAG via TRA under elective conditions between March 1^st, 2020 and May 1^st, 2022. Of these patients, 111 who met the study inclusion criteria were included in the study.

Results: The rate of RAS was significantly higher among the patients with a TR band inflated with 18 ml of air compared to those with a TR band inflated with 12 ml of air (19.6%-3.6%; p = 0.009). Univariable logistic regression analysis revealed that the mean corpuscular volume (MCV) and amount of air supplied to the TR band were significantly associated with RAS. Further analysis of these variables with multivariable logistic regression analysis indicated that both MCV and the amount of air supplied to the TR band were independent predictors of RAS (p < 0.05).

Conclusions: The findings of the study revealed that the amount of air supplied to the TR band after CAG via TRA was an independent predictor for the development of RAS.

查看原文本刊更多论文

经桡动脉手术后使用的桡动脉加压装置的供气量与桡动脉狭窄之间的关系。

背景：经桡动脉入路（TRA）被认为是冠状动脉造影（CAG）和经皮冠状动脉介入治疗的最安全途径。桡动脉狭窄（RAS）阻碍了在各种临床情况下使用桡动脉，即使在没有手部缺血的情况下也是如此。在这种情况下，本研究旨在调查桡动脉加压装置（经桡动脉（TR）带）的供气量与 RAS 之间的关系：这项单中心回顾性研究的对象包括 2020 年 3 月 1 日至 2022 年 5 月 1 日期间在择期条件下通过 TRA 接受 CAG 的患者。在这些患者中，有111名符合研究纳入标准：与使用 12 毫升空气充气的 TR 带的患者相比，使用 18 毫升空气充气的 TR 带的患者的 RAS 发生率明显更高（19.6%-3.6%；P = 0.009）。单变量逻辑回归分析显示，平均血球容积（MCV）和向 TR 带供应的空气量与 RAS 显著相关。通过多变量逻辑回归分析对这些变量进行的进一步分析表明，MCV和TR带的供气量都是RAS的独立预测因素（P < 0.05）：研究结果表明，通过 TRA 进行 CAG 后，TR 带的供气量是发生 RAS 的独立预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Cardiologica Sinica 医学-心血管系统

CiteScore

2.90

自引率

15.80%

发文量

144

审稿时长

>12 weeks

期刊介绍： Acta Cardiologica Sinica welcomes all the papers in the fields related to cardiovascular medicine including basic research, vascular biology, clinical pharmacology, clinical trial, critical care medicine, coronary artery disease, interventional cardiology, arrythmia and electrophysiology, atherosclerosis, hypertension, cardiomyopathy and heart failure, valvular and structure cardiac disease, pediatric cardiology, cardiovascular surgery, and so on. We received papers from more than 20 countries and areas of the world. Currently, 40% of the papers were submitted to Acta Cardiologica Sinica from Taiwan, 20% from China, and 20% from the other countries and areas in the world. The acceptance rate for publication was around 50% in general.