Radial artery ultrasound predicts the success of transradial coronary angiography.
BACKGROUND
The transradial approach has become the preferred vascular access during conventional coronary angiography (CCA). Hereby, we evaluated the impact of pre-procedural radial artery diameter (RAD), the cross-sectional area (CSA), and the perimeter on vascular complications (VACs).


METHODS
We conducted a single-center prospective analysis of 513 patients who underwent CCA. Radial artery ultrasonography was performed before and after CCA to measure the RAD, CSA, and perimeter.


RESULTS
The average RAD, CSA, and perimeter were 2.60 ± 0.48 mm, 6.2 ± 3.0 mm2, and 8.9 ± 1.7 mm, respectively. Vascular complications were reported in 56 (11%) patients. The RAD, CSA, and perimeter were significantly smaller in patients in whom procedure-related VACs were observed than in those with no complications: 2.3 ± 0.5 vs. 2.70 ± 0.54 mm (p = 0.0001), 4.9 ± 2.1 vs. 6.4 ± 3 mm2 (p = 0.001), and 7.6 ± 2.1 vs. 9.2 ± 1.6 mm (p = 0.0001), respectively. Univariate logistic regression showed that RAD, CSA and perimeter can independently predict VACs (OR 0.833, 95% CI 0.777-0.894, p < 0.0001; OR 0.647, 95% CI 0.541-0.773, p < 0.0001; OR 0.545, 95% CI 0.446-0.665, p < 0.0001, respectively).


CONCLUSIONS
Ultrasonographic study of the radial artery before CCA can provide valuable information regarding vascular access.
King Fahad Specialist Hospital, Prince Sultan Cardiac Center Qassim, Buraydah, Saudi Arabia. ramiabazid@yahoo.com.
Rami M
RM
Abazid
Osama A
OA
Smettei
Mohamed Z
MZ
Mohamed
M Obadah
MO
Kattea
Annie
A
Suresh
Yasir
Y
Beshir
Haitham
H
Sakr
D002406:Catheterization, Peripheral / Q000379:methods*; D017023:Coronary Angiography / Q000379:methods*; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D057234:Preoperative Period; D011446:Prospective Studies; D017534:Radial Artery / Q000000981:diagnostic imaging*; D015203:Reproducibility of Results; D018608:Ultrasonography, Doppler / Q000379:methods*
radial artery cross-sectional area; radial artery diameter; radial artery perimeter; transradial approach; vascular access complications