Anatomical Study of Forearm Arteries With Ultrasound for Percutaneous Coronary Procedures

Background: In recent years, the radial artery (RA) has become an alternative vascular access site for percutaneous coronary procedures, and the ulnar artery (UA) is another possibility. The objective of this study was to investigate the anatomy of the forearm arteries with ultrasound (US) and to ev...

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Bibliographic Details
Published in:Circulation Journal 2010, Vol.74(4), pp.686-692
Main Authors: Yan, Zhen-xian, Zhou, Yu-jie, Zhao, Ying-xin, Zhou, Zhi-ming, Yang, Shi-wei, Wang, Zhi-jian
Format: Article
Language:English
Subjects:
Aged
Anatomical abnormalities
Angioplasty, Balloon, Coronary
China
Coronary Angiography
Female
Forearm - blood supply
Humans
Logistic Models
Male
Middle Aged
Radial artery
Radial Artery - abnormalities
Radial Artery - anatomy & histology
Radial Artery - diagnostic imaging
Reproducibility of Results
Retrospective Studies
Ulnar artery
Ulnar Artery - abnormalities
Ulnar Artery - anatomy & histology
Ulnar Artery - diagnostic imaging
Ultrasonography
Ultrasound
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Summary:Background: In recent years, the radial artery (RA) has become an alternative vascular access site for percutaneous coronary procedures, and the ulnar artery (UA) is another possibility. The objective of this study was to investigate the anatomy of the forearm arteries with ultrasound (US) and to evaluate the effect of the anatomy of the right RA (RRA) on the outcomes of transradial coronary procedures. Methods and Results: The 638 patients undergoing transradial coronary procedures were examined with US for measurement of the diameters of the forearm arteries and determination of their anatomical abnormalities before the procedures. The next day the incidence of RA occlusion was recorded. The diameters of the radial and ulnar arteries were similar (P>0.05). The procedure time was longer in patients with anatomical abnormalities (P
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.CJ-09-0577