Evaluation of the diameter of the distal radial artery at the anatomical snuff box using ultrasound in Japanese patients

Takayuki, Naito; Sawaoka, Takayuki; Sasaki, Kenji; Iida, Kazutaka; Sakuraba, Sachiko; Yokohama, Keiko; Sato, Haruna; Soma, Maki; Okamura, Emiko; Harada, Takashi; Yoshimachi, Fuminobu

doi:10.1007/s12928-018-00567-5

Cited by 46 publications

(54 citation statements)

References 7 publications

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“…Some studies found that there was no significant difference in diameter between the DRA and TRA [23,29]. In addition, the variation was observed in 6.7% of subjects with a larger DRA than TRA [57]. Our initial experience also found this variation.…”

Section: Application Of Ultrasound In the Dtrasupporting

confidence: 58%

“…Whether the diameter of vessel is related to certain factors and can be predicted by simple methods is inconsistent. Although the diameter of the DRA was strongly associated with conventional radial artery (r = 0.68) [57], it varied greatly and could not predict by patient characteristics, such as age, gender, height, weight, body mass index, etc. However, Norimatsu K et al [31] found that the diameter of the DRA was positively correlated with both body weight (r = 0.248, p = 0.003) and body mass index (r = 0.228, p = 0.007), although it was not correlated with age or height.…”

Section: Application Of Ultrasound In the Dtramentioning

confidence: 93%

“…Ultrasound can offer the accurate parameters of the radial artery in the AS to help interventionalists select the approach of the procedure. Among the published literature, the diameter of the DRA varies greatly [ 30 , 57 ] (Table 2 ). In a Japanese retrospective study, the diameter of the DRA in the AS defined as the distance from media to media was 2.02 ± 0.44 mm, which was smaller than that of the conventional radial artery (2.57 ± 0.58 mm) [ 57 ].…”

Section: Application Of Ultrasound In the Dtramentioning

confidence: 99%

“…Among the published literature, the diameter of the DRA varies greatly [ 30 , 57 ] (Table 2 ). In a Japanese retrospective study, the diameter of the DRA in the AS defined as the distance from media to media was 2.02 ± 0.44 mm, which was smaller than that of the conventional radial artery (2.57 ± 0.58 mm) [ 57 ]. The largest artery diameter in the AS reported by Norimatsu K was 2.6 ± 0.5 mm in the total population, 2.6 ± 0.5 mm in males, and 2.5 ± 0.5 mm in females, respectively [ 31 ].…”

Section: Application Of Ultrasound In the Dtramentioning

confidence: 99%

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Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Cai

Huang

Feng

et al. 2020

BMC Cardiovasc Disord

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Background: Transradial access (TRA) has been considered as the default choice in cardiac catheterization. Although infrequent, vascular complications of this approach remain. Recently, the distal transradial approach (dTRA) in cardiac catheterization was reported by interventionalists. Methods: We retrieved the relevant literatures and reviewed the safety and feasibility of this novel approach in cardiac catheterization. Results: The dTRA for cardiac intervention has superior safety and satisfaction. As a novel approach for cardiac catheterization, access related complications should also be considered by operators, such as RAO, radial spasm, bleeding and haematoma, and injury of the superficial branch of the radial nerve. Conclusions: The dTRA in cardiovascular angiography and intervention was safe and feasible.

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Section: Application Of Ultrasound In the Dtrasupporting

confidence: 58%

Section: Application Of Ultrasound In the Dtramentioning

confidence: 93%

Section: Application Of Ultrasound In the Dtramentioning

confidence: 99%

Section: Application Of Ultrasound In the Dtramentioning

confidence: 99%

See 2 more Smart Citations

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Cai

Huang

Feng

et al. 2020

BMC Cardiovasc Disord

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“…Excluding cases with dRA of diameters < 2.0 mm may have affected the results of this study. The sensitivity and specificity for detecting severe flow reduction of the fRA versus the ratio of the fRA diameter to the sheath outer diameter were between 1.0 and 1.1 in the previous study, respectively [6,18]. Therefore, a threshold of 2.0 mm was determined to be the threshold diameter for the distal radial approach using the 5 Fr GSS [12].…”

Section: Discussionmentioning

confidence: 91%

Impact of dedicated hemostasis device for distal radial arterial access with an adequate hemostasis protocol on radial arterial observation by ultrasound

Kawamura

Yoshimachi

Nakamura

et al. 2020

Cardiovasc Interv and Ther

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There is no established hemostasis method or protocol for the transdistal radial approach. Therefore, this study aimed to determine whether "the PreludeSYNC DISTAL" radial compression device (PSD; Merit Medical Systems, Inc., South Jordan, UT) can effectively prevent distal radial artery (dRA) occlusion following catheterization procedures. This retrospective study analyzed patients who underwent hemostasis using the PSD from January 1, 2019, to March 31, 2019. The primary endpoint was occlusion or excessive stenosis of the radial artery (RA) 1 month after catheterization. Pulsatile blood flow and vessel diameters of the dRA and forearm RA (fRA) were measured using vascular ultrasound before and 1 month after catheterization to determine arterial damage. Secondary endpoints were achievement of hemostasis, bleeding, hematoma, aneurysm, neurological abnormality, and functional disturbance of the fingers or hand. Fifty patients (mean age, 70.9 ± 10.7 years; male, 72.0%) were enrolled in this study. Complete hemostasis was achieved in all cases. Total hemostasis time was 161 ± 45 min. No procedure-associated complications were noted. Pulsations of the dRA and fRA were maintained at 1 month. No functional disturbance or neurological abnormality was observed. Vessel diameters of the dRA and fRA were not significantly different before and 1 month after catheterization. No dissection, pseudoaneurysm, or occlusion/stenosis was observed on ultrasound. Distal radial access with a unique device and protocol effectively achieved hemostasis and prevented injury and occlusion of the dRA and fRA.

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Radial artery occlusion after conventional and distal radial access: Impact of preserved flow and time‐to‐hemostasis in a propensity‐score matching analysis of 1163 patients

Pacchioni

Mugnolo²,

Sánchez

et al. 2021

Cathet Cardio Intervent

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Objectives: To compare incidence of forearm radial artery occlusion (RAO) and hemostasis characteristics between distal and conventional transradial approach (DRA and TRA, respectively).Background: DRA has the potential advantage of reducing RAO. DRA effectively reduces time-to-hemostasis, however its role on preserving flow in the radial artery (PF) during hemostasis and consequent impact on RAO remains speculative.Methods: Eight hundred thirty-seven patients with TRA were previously enrolled in a prospective registry investigating the relationship of residual anticoagulation and RAO.Three hundred twenty-six additional patients with DRA were added to the cohort and matched to the original cohort by propensity score. The composite end-point of RAO at forearm and distal site of puncture (dRAO) was evaluated as secondary end-point.Results: RAO occurred in 4.8% (41 of 837) of patients undergoing TRA and in 0% (0 of 326) of those undergoing DRA (p < 0.0001). DRA was associated with higher percentage of PF (97.2% vs. 78.5% in TRA group, p < 0.0001) and reduced time-tohemostasis (147 ± 99 min vs. 285 ± 138 min, p < 0.0001). After matching, hemostasis characteristics were still significant different (PF 95.7% vs. 90.1%, p = 0.023, and 190 ± 92 vs. 323 ± 162 min, p < 0.0001) with reduction in the incidence of RAO (0 of 213, 0% vs. 7 of 213, 3.3%, p = 0.0015). dRAO occurred in one case (0.3% and 0.5% after matching, p < 0.0001 and p = 0.032 compared to TRA).Conclusions: DRA was associated with lower rates of RAO compared to TRA. This effect is potentially explained by reduced time-to-hemostasis and maintained flow at the wrist during hemostasis.

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Evaluation of the diameter of the distal radial artery at the anatomical snuff box using ultrasound in Japanese patients

Cited by 46 publications

References 7 publications

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Impact of dedicated hemostasis device for distal radial arterial access with an adequate hemostasis protocol on radial arterial observation by ultrasound

Radial artery occlusion after conventional and distal radial access: Impact of preserved flow and time‐to‐hemostasis in a propensity‐score matching analysis of 1163 patients

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