Assessment of the Radial Artery and Hand Circulation by Computed Tomography Angiography: A Pilot Study

Dogan, Omer Faruk; Karçaaltıncaba, Muşturay; Duman, Umit; Akata, Deniz; Besim, Aytekin; Böke, Erkmen

doi:10.1532/hsf98.20041042

Cited by 17 publications

(11 citation statements)

References 13 publications

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“…But, diffuse calcified radial artery in case with coronary artery disease have been reported by Dogan et al using computed tomography of the forearm before the radial artery harvesting in CABG patients for the first time [7]. In our study, because of this method is cheapest and easy to use and simple we used forearm X-ray films for evaluation of radial artery calcific disease in largest patient who diagnosed ESRDP and high incidence of peripheral artery calcification was recorded in this groups.…”

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confidence: 67%

Assesment of Radial Artery by Means of Doppler Ultrasonography and Soft Tissue Roentgenogram in End-Stage Renal Disease Patients

Abacilar¹,

Duman²,

Dogan³

2014

WJCS

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Background: Although the radial artery (RA) is mostly selected for the creating of arterio-venous fistula (AVF) in end-stage renal disease patients (ESRDP), it still represents a suitable site to simply assess systemic calcification. Our goal of this study was to research the RA before the arteriovenous fistula creation in ESRDP and evaluate the risk factor determinants. Material and Methods: The RA has been determined to estimate vascular calcification in 67 ESRDPs on dialysis by doppler ultrasonography (USG). If there was any pathologic conditions, direct examination of the forehand soft tissue roentgenograms as a simply method was made. Preoperative spectral Doppler sonography measured radial artery peak systolic velocity during tight fist clenching for 3 minutes and after fist relaxation. Vessel diameters and peak systolic velocity were assessed for predictive value based on subsequent fistula adequacy. RA calcification was scored from Grade 0 which was defined as no calcification to Grade 4 which was described as severe calcification from proximal to distal end of RA. Results: Doppler USG has shown that the major or minor RA calcification was detected in 11 patients (16.5%). In these patients, direct roentgenogram also demonstrated RA calcific disease. Total and LDL cholesterol levels, gender and smoking status have no influence on calcification scores. When the dialysis periods are concerned, there was no correlation with the RA calcification. Serum calcium and phosphate levels, rather than calcium-phosphate products, and age were correlated with high calcification scores. The highest prevalence of RA calcification was also found in diabetic group. Conclusion: Our data indicate that RA calcification is highly prevalent among ESRDP, with the highest prevalence among diabetics. The RA was used as an A-V fistual creation in ESRDPs, which may be risky since the calcification percentage is higher. Therefore, a simple roentgenographic survey may help to identify patients with severe calcified RA. Because our roengenographyc results were correlated with doppler USG, it can be used to determine RA calcific disease before the arteriovenous fistula creation.

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confidence: 67%

Assesment of Radial Artery by Means of Doppler Ultrasonography and Soft Tissue Roentgenogram in End-Stage Renal Disease Patients

Abacilar¹,

Duman²,

Dogan³

2014

WJCS

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“…Other investigators have reported the use of pulse oximetry pre‐ and intraoperatively, coupled with the Allen test . Regardless of the technique used, in 10‐20% of cases, there is either a morphologic or circulatory contraindication to the use of the RA . Finally, surgeons should know whether the RA that is to be harvested has been recently cannulated during a diagnostic cardiac catheterization.…”

Section: Resultsmentioning

confidence: 99%

The radial artery: Results and technical considerations

et al. 2018

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“…In the case of calcifications of the radial artery, harvesting a radial forearm flap should be reconsidered. Other imaging modalities, like DSA, computed tomographic angiography 6 , magnetic resonance with a contrast agent 18 and perfusion examinations 9 , should be reserved for exceptional cases when Allen's test and duplex ultrasound show pathological results and other flaps are not available. …”

Section: Discussionmentioning

confidence: 99%

The value of Allen's test in harvesting a radial forearm flap: correlation of ex-vivo angiography and histopathological findings

Müller‐Richter

Driemel

Mörtl

et al. 2008

International Journal of Oral and Maxillofacial Surgery

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Assessment of the Radial Artery and Hand Circulation by Computed Tomography Angiography: A Pilot Study

Cited by 17 publications

References 13 publications

Assesment of Radial Artery by Means of Doppler Ultrasonography and Soft Tissue Roentgenogram in End-Stage Renal Disease Patients

Assesment of Radial Artery by Means of Doppler Ultrasonography and Soft Tissue Roentgenogram in End-Stage Renal Disease Patients

The radial artery: Results and technical considerations

The value of Allen's test in harvesting a radial forearm flap: correlation of ex-vivo angiography and histopathological findings

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