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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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| Published in: | Circulation Journal 2010, Vol.74(4), pp.686-692 |
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| container_start_page | 686 |
| container_title | Circulation Journal |
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| creator | Yan, Zhen-xian Zhou, Yu-jie Zhao, Ying-xin Zhou, Zhi-ming Yang, Shi-wei Wang, Zhi-jian |
| description | 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 |
| doi_str_mv | 10.1253/circj.CJ-09-0577 |
| format | article |
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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<0.05) and whose RRA had a diameter <2 mm (P<0.05). The incidence of procedure failure, and of RA occlusion one day after the procedure was also higher in patients with an anatomical abnormality of the RRA (P<0.01 and P<0.05, respectively) and whose RRA diameter was <2 mm (P<0.05 and P<0.05, respectively). Conclusions: The diameters of the forearm arteries of Chinese people are similar. The small diameter and anatomical abnormalities of the RRA could result in longer procedure time, more incidence of procedure failure and RA occlusion. (Circ J 2010; 74: 686-692)]]></description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-09-0577</identifier><identifier>PMID: 20197630</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>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</subject><ispartof>Circulation Journal, 2010, Vol.74(4), pp.686-692</ispartof><rights>2010 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-7aa9a07c5b22b9a3ef4681129ebbe93b123ef4251cdd731eb865ed6b34c346563</citedby><cites>FETCH-LOGICAL-c525t-7aa9a07c5b22b9a3ef4681129ebbe93b123ef4251cdd731eb865ed6b34c346563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20197630$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yan, Zhen-xian</creatorcontrib><creatorcontrib>Zhou, Yu-jie</creatorcontrib><creatorcontrib>Zhao, Ying-xin</creatorcontrib><creatorcontrib>Zhou, Zhi-ming</creatorcontrib><creatorcontrib>Yang, Shi-wei</creatorcontrib><creatorcontrib>Wang, Zhi-jian</creatorcontrib><title>Anatomical Study of Forearm Arteries With Ultrasound for Percutaneous Coronary Procedures</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description><![CDATA[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<0.05) and whose RRA had a diameter <2 mm (P<0.05). The incidence of procedure failure, and of RA occlusion one day after the procedure was also higher in patients with an anatomical abnormality of the RRA (P<0.01 and P<0.05, respectively) and whose RRA diameter was <2 mm (P<0.05 and P<0.05, respectively). Conclusions: The diameters of the forearm arteries of Chinese people are similar. The small diameter and anatomical abnormalities of the RRA could result in longer procedure time, more incidence of procedure failure and RA occlusion. (Circ J 2010; 74: 686-692)]]></description><subject>Aged</subject><subject>Anatomical abnormalities</subject><subject>Angioplasty, Balloon, Coronary</subject><subject>China</subject><subject>Coronary Angiography</subject><subject>Female</subject><subject>Forearm - blood supply</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radial artery</subject><subject>Radial Artery - abnormalities</subject><subject>Radial Artery - anatomy & histology</subject><subject>Radial Artery - diagnostic imaging</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Ulnar artery</subject><subject>Ulnar Artery - abnormalities</subject><subject>Ulnar Artery - anatomy & histology</subject><subject>Ulnar Artery - diagnostic imaging</subject><subject>Ultrasonography</subject><subject>Ultrasound</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNqFkEtP3TAQhS1UVB7tnlXlXVcBP-I4Xl5FvTyEBBIg1JXlOJOSqySmY2fBvyfhXmDJZmY0-uZoziHkhLNTLpQ88x36zWl1lTGTMaX1HjnkMtdZXgr27W0uMlPm8oAcxbhhTBimzHdyIBg3upDskPxdjS6FofOup3dpal5oaOk6IDgc6AoTYAeRPnbpiT70CV0M09jQNiC9BfRTciOEKdIqYBgdvtBbDB6aCSH-IPut6yP83PVj8rD-c19dZNc355fV6jrzSqiUaeeMY9qrWojaOAltXpScCwN1DUbWXCwrobhvGi051GWhoClqmfvZnSrkMfm91X3G8H-CmOzQRQ99v33N6lwVrJjNfk1KWXIp2UKyLekxxIjQ2mfshtmf5cwuydu35G11ZZmxS_Lzya-d-FQP0HwcvEc9A-stsInJ_YMPwGHqfA87RZ3bfCmfyp_Ak0MLo3wFbaSaEg</recordid><startdate>2010</startdate><enddate>2010</enddate><creator>Yan, Zhen-xian</creator><creator>Zhou, Yu-jie</creator><creator>Zhao, Ying-xin</creator><creator>Zhou, Zhi-ming</creator><creator>Yang, Shi-wei</creator><creator>Wang, Zhi-jian</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>2010</creationdate><title>Anatomical Study of Forearm Arteries With Ultrasound for Percutaneous Coronary Procedures</title><author>Yan, Zhen-xian ; Zhou, Yu-jie ; Zhao, Ying-xin ; Zhou, Zhi-ming ; Yang, Shi-wei ; Wang, Zhi-jian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c525t-7aa9a07c5b22b9a3ef4681129ebbe93b123ef4251cdd731eb865ed6b34c346563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Anatomical abnormalities</topic><topic>Angioplasty, Balloon, Coronary</topic><topic>China</topic><topic>Coronary Angiography</topic><topic>Female</topic><topic>Forearm - blood supply</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radial artery</topic><topic>Radial Artery - abnormalities</topic><topic>Radial Artery - anatomy & histology</topic><topic>Radial Artery - diagnostic imaging</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Ulnar artery</topic><topic>Ulnar Artery - abnormalities</topic><topic>Ulnar Artery - anatomy & histology</topic><topic>Ulnar Artery - diagnostic imaging</topic><topic>Ultrasonography</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yan, Zhen-xian</creatorcontrib><creatorcontrib>Zhou, Yu-jie</creatorcontrib><creatorcontrib>Zhao, Ying-xin</creatorcontrib><creatorcontrib>Zhou, Zhi-ming</creatorcontrib><creatorcontrib>Yang, Shi-wei</creatorcontrib><creatorcontrib>Wang, Zhi-jian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yan, Zhen-xian</au><au>Zhou, Yu-jie</au><au>Zhao, Ying-xin</au><au>Zhou, Zhi-ming</au><au>Yang, Shi-wei</au><au>Wang, Zhi-jian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anatomical Study of Forearm Arteries With Ultrasound for Percutaneous Coronary Procedures</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2010</date><risdate>2010</risdate><volume>74</volume><issue>4</issue><spage>686</spage><epage>692</epage><pages>686-692</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract><![CDATA[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<0.05) and whose RRA had a diameter <2 mm (P<0.05). The incidence of procedure failure, and of RA occlusion one day after the procedure was also higher in patients with an anatomical abnormality of the RRA (P<0.01 and P<0.05, respectively) and whose RRA diameter was <2 mm (P<0.05 and P<0.05, respectively). Conclusions: The diameters of the forearm arteries of Chinese people are similar. The small diameter and anatomical abnormalities of the RRA could result in longer procedure time, more incidence of procedure failure and RA occlusion. (Circ J 2010; 74: 686-692)]]></abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>20197630</pmid><doi>10.1253/circj.CJ-09-0577</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| 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 |
| title | Anatomical Study of Forearm Arteries With Ultrasound for Percutaneous Coronary Procedures |
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