Analysis of the diameter of the distal radial artery at anatomic snuffbox by ultrasonography in patients scheduled for coronary intervention.

IF 1.6 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Journal of Vascular Access Pub Date : 2025-05-01 Epub Date: 2024-05-16 DOI:10.1177/11297298241250263

Tao Chen, Hui Huang, Lamei Li, Anni Yang, Ganwei Shi, Feng Li, Wei Lu, Lingxia Xu, Gaojun Cai

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引用次数: 0

Abstract

Background: Assessing the size of the distal radial artery (DRA) in anatomic snuffbox (AS) before coronary intervention is extremely important in the selection of suitable patients, improving the success rate of puncture and reducing the complications.

Objective: To evaluate the diameter of the DRA in AS and its influencing factors in Chinese patients scheduled for coronary intervention.

Methods: Ultrasound was used to detect the inner diameter of vessels. A total of 1182 patients were involved in the study.

Results: In all patients, the mean inner diameters of the DRA, conventional radial artery (CRA) and ulnar artery (UA) were 2.00 ± 0.43 mm, 2.38 ± 0.51 mm and 1.99 ± 0.47 mm, respectively. The proportion of DRA diameter ⩾2.0 mm was 53% (in all patients), 64% (in males), 36% (in females), respectively. The DRA/CRA ratios were 0.85 ± 0.13 in all patients, 0.86 ± 0.13 in males and 0.84 ± 0.13 in females. The diameter of the DRA was strongly positively correlated with the diameter of the CRA (r = 0.750, p < 0.05), and weakly correlated with the body mass index (r = 0.303, p < 0.05) and the diameter of the UA (r = 0.304, p < 0.05). Multivariate regression analysis showed that female sex, age ⩾60 years, body mass index <24 kg/m², previous CRA/DRA access and history of coronary artery disease were independent predictors of the DRA diameter <2.0 mm.

Conclusion: Measurement of the diameter of the DRA by ultrasonography may offer important information prior to coronary catheterization.

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通过超声波检查分析计划接受冠状动脉介入治疗的患者桡动脉远端在解剖鼻孔处的直径。

背景：在冠状动脉介入治疗前评估解剖鼻腔（AS）中桡动脉远端（DRA）的大小，对于选择合适的患者、提高穿刺成功率和减少并发症极为重要：评估中国冠状动脉介入治疗患者的解剖鼻腔DRA直径及其影响因素：方法：使用超声波检测血管内径。研究共涉及 1182 例患者：结果：在所有患者中，DRA、常规桡动脉（CRA）和尺动脉（UA）的平均内径分别为（2.00±0.43）毫米、（2.38±0.51）毫米和（1.99±0.47）毫米。DRA直径⩾2.0毫米的比例分别为53%（所有患者）、64%（男性）和36%（女性）。所有患者的 DRA/CRA 比值为 0.85 ± 0.13，男性为 0.86 ± 0.13，女性为 0.84 ± 0.13。DRA 直径与 CRA 直径呈强正相关（r = 0.750，p r = 0.303，p r = 0.304，p 2，既往 CRA/DRA 入路和冠状动脉疾病史是 DRA 直径的独立预测因素结论：DRA 直径与 CRA 直径呈强正相关（r = 0.750，p r = 0.303，p r = 0.304，p 2，既往 CRA/DRA 入路和冠状动脉疾病史是 DRA 直径的独立预测因素）：通过超声波测量 DRA 直径可在冠状动脉导管术前提供重要信息。

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

Journal of Vascular Access 医学-外周血管病

CiteScore

3.40

自引率

31.60%

发文量

181

审稿时长

6-12 weeks

期刊介绍： The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques. All contributions, coming from all over the world, undergo the peer-review process. The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level: • Dialysis • Oncology • Interventional radiology • Nutrition • Nursing • Intensive care Correspondence related to published papers is also welcome.