TITLE:
Transradial angiography procedure approach in with and without radial artery anomalies
AUTHORS:
Saeed Yazdankhah, Ahmadreza Assareh, Shahla Majeedi, Mehdi Easapour, Mohammad Nourizadeh, Farzaneh Ahmadi, Farzad Daeinejad
KEYWORDS:
Transradial Angiography; Radial Anomalies
JOURNAL NAME:
Health,
Vol.5 No.6,
June
20,
2013
ABSTRACT: Introduction: The transradial
coronary angiography has several benefits such as the reducetion in access
site complications especially in fully anticoagulated patients. The presence of
arterial anomalies in upper limb arteries has an important role in procedural
success. Methods: retrograde
transarterial sheath injection was done in patients with transradial coronary angiography. Arterial anomalies in the upper limb evaluated. Cannulation time,
the time of catheter passage to ascending aorta, and Angiographic time, were also
meseared. Results: in 2011, 165
consecutive patients were studied, 116 (70.3%) male, age 56.7 ± 11.1 years.
With 96.6% success rate in procedure, totally 59 anomolies were observed in 44
patients (26.7%). Radial artery by itself had ?25 anomalies (15.1%). The most frequent anomaly was abnormal origin of
radial artery in 14 patients (8.5%) followed by tortuosities in 10 ulnar (6%). 9
brachial (5.4%), 7 radial (4/2%), 5 subclavian (3%) and 3 brachiocephalic arteries
(1.8%). There also were 4 loops in ulnar artery (2.4%) and one in radial and
brachinl arteries (each 0.6%). Other anomalies include 4 patients (2.4%), except
cannulation time (p = 0.97), there were associations between anomalies and each
of other times (p = 0.001) and contrast volume (p = 0.009). Anomalies didn’t
have any effect on procedural success rate and just in one patient with
sulclavian loop procedure changed to femoral approach (p = 0.19).