The Effect of Conventional and Distal Radial Access Techniques on Radial Artery Structure and Vascular Functions
Can Özkan1
, Emrullah Kızıltunç4, Velihan Çayhan3, İlyas Emre Yakıcı2, Mustafa Çetin2, Ahmet Korkmaz2, Birsen Doğanay2, Ender Örnek2
1Clinic of Cardiology, Muş State Hospital, Muş, Turkey
2Clinic of Cardiology, Ankara City Hospital, Ankara, Turkey
3Clinic of Radiology, Ankara City Hospital, Ankara, Turkey
4Department of Cardiology, Gazi University Faculty of Medicine, Ankara, Turkey
Keywords: Radial artery; coronary angiography; percutaneous coronary intervention
Abstract
Introduction: To compare radial artery (RA) diameters, intima-media thickness (IMT), and vascular functions before and after conventional and distal RA cannulation. It has been proposed that distal transradial (DTRA) cannulation can reduce RA complications. However, there has been no comparative study examining the effects of DTR and conventional transradial (CTRA) intervention on RA structure and function.
Patients and Methods: Radial artery diameter, IMT, flow-mediated vasodilation (FMD) response were measured using conventional and Doppler RA ultrasonography before, and one day and one month after the procedure in patients who underwent CTRA or DTRA.
Results: While baseline and first-day IMT values were similar between the groups, first-month IMT values in the CTRA group were found to be significantly increased compared to those in the DTRA group (CTRA= 0.39 ± 0.10 mm, DTRA= 0.32 ± 0.07 mm, p= 0.016). While proximal RA occlusion developed in three patients who underwent CTRA, it did not develop in any of the patients undergoing DTRA (p= 0.072).
Conclusion: In patients who underwent CTRA, RA IMT increased significantly in the first month after the procedure, compared to patients who underwent DTRA. Proximal RAO was not observed in any of the patients who underwent DTRA.
The approval for this study obtained from SBÜ Ankara Numune Training and Research Hospital, Clinical Research Ethics Committee (Decision No: E-19-2591, Date: 28.03.2019).
This is retrospective study, we could not obtain written informed consent from the participants.
Externally peer-reviewed.
Concept/Design - CÖ, EÖ; Analysis/Interpretation - EK; Data Collection - İEY, VÇ; Writing - CÖ, EK, MÇ; Critical Revision - AK, EÖ; Final Approval - CÖ, EK, EÖ; Statistical Analysis - BS, AK; Overall Responsibility - CÖ.
The authors declared that there was no conflict of interest during the preparation and publication of this article.
The authors declared that this study has received no financial support.