Periprocedural intermittent contralateral arm ischaemia facilitates radial artery puncture and prevents radial artery spasm.

IF 0.7 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Cardiovascular Journal of Africa Pub Date : 2025-06-04 Epub Date: 2025-04-30 DOI:10.5830/CVJA-2025-001

Ahmet Korkmaz, Can Ozkan, Ozgul Ucar Elalmis, Umit Guray

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引用次数: 0

Abstract

Background: Transradial access (TRA) is a common technique used for diagnostic and interventional cardiac procedures. However, there are some challenges and risks of complications. This study aimed to evaluate the impact of periprocedural intermittent ischaemia of the contralateral arm on TRA and radial artery spasm.

Methods: We enrolled 80 patients with an indication for coronary angiography between December 2017 and June 2018. The patients were randomly grouped into two cohorts: intermittent contralateral arm ischaemia (n = 40) and control (n = 40) groups.

Results: The radial artery puncture success ratio was higher in the intermittent contralateral arm ischaemia group than in the control group (p = 0.025). In multivariable logistic regression analysis, intermittent contralateral arm ischaemia was significantly associated with radial artery puncture success (hazard ratio: 8.261, 95% confidence interval: 1.427-47.823, p = 0.018).

Conclusion: Periprocedural intermittent contralateral arm ischaemia increased the radial intervention success due to the remote ischaemic preconditioning, vasodilator factors and autonomic nervous system role.

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术中间歇对侧手臂缺血有利于桡动脉穿刺，防止桡动脉痉挛。

背景：经桡动脉入路（TRA）是一种常用的心脏诊断和介入技术。然而，有一些挑战和并发症的风险。本研究旨在评估对侧手臂围手术期间歇性缺血对TRA和桡动脉痉挛的影响。方法：我们在2017年12月至2018年6月期间招募了80例有冠状动脉造影指征的患者。患者随机分为两组：间歇对侧手臂缺血组（n = 40）和对照组（n = 40）。结果：间歇性对侧臂缺血组桡动脉穿刺成功率高于对照组（p = 0.025）。在多变量logistic回归分析中，间歇性对侧手臂缺血与桡动脉穿刺成功率显著相关（风险比：8.261,95%可信区间：1.427-47.823,p = 0.018）。结论：术中对侧断续性上臂缺血与远端缺血预处理、血管舒张因子及自主神经系统的作用有关，可提高桡动脉干预成功率。

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

Cardiovascular Journal of Africa CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Cardiovascular Journal of Africa (CVJA) is an international peer-reviewed journal that keeps cardiologists up to date with advances in the diagnosis and treatment of cardiovascular disease. Topics covered include coronary disease, electrophysiology, valve disease, imaging techniques, congenital heart disease (fetal, paediatric and adult), heart failure, surgery, and basic science.