Radial artery anomaly and its influence on transradial coronary procedural outcome

Lo, Ted; Nolan, Jim; Fountzopoulos, E; Behan, Miles; Butler, Robert J.; Hetherington, SL; Vijayalakshmi, K; Rajagopal, Rajinikanth; Fraser, Doug; Zaman, Azfar; Hildick‐Smith, David

doi:10.1136/hrt.2008.150474

Cited by 189 publications

(166 citation statements)

References 23 publications

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“…Lo et al (19) recently studied 1,540 consecutive radial procedures and found radial artery anomaly in 13.8% patients while Valsecchi et al (20) has reported quite a high incidence as 22.8% in his study of 2, 211 cases. In our study, atypical anatomy was found 21.1% in r-CA group while it was 11% in f-CA group (p<0.001).…”

Section: Discussionmentioning

confidence: 99%

Comparison of fluoroscopy time during coronary angiography and interventions by radial and femoral routes- can we decrease the fluoroscopy time with increased experience? An observational study

Farman¹,

Khan²,

Sial³

et al. 2011

Anadolu Kardiyol Derg

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Section: Discussionmentioning

confidence: 99%

Comparison of fluoroscopy time during coronary angiography and interventions by radial and femoral routes- can we decrease the fluoroscopy time with increased experience? An observational study

Farman¹,

Khan²,

Sial³

et al. 2011

Anadolu Kardiyol Derg

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“…Their incidence may vary according to the available literature, starting from 8,8% [7,6], 13,8% [2], up to 22,8% according to Valsecchi et al [3]. They can be reason for procedural failure in 1-5% of the patients even in experienced operators` hands [4,9].…”

Section: Discussionmentioning

confidence: 99%

“…Its advantages over the transfemoral approach (TFA) are clear and include reduced risk of access-site complications (bleeding), early patient ambulation, better patient comfort, reduced costs for hospitalization and possibility for same day discharge [1][2][3][4][5]. On the other side, TRA can be very challenging in comparison to TFA demanding better operators` skills, especially in cases of different anatomical variations and anomalies of the forearm`s vasculature.…”

Section: Introductionmentioning

confidence: 99%

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2017

JCCR

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Transradial approach (TRA) today becomes a golden standard for percutaneous coronary interventions worldwide. TRA is generally associated with certain learning curve and sometimes radial artery anomalies (RAA) can be important cause of TRA failure. RAA include high bifurcating origin of the radial artery (high take-off radial artery), radial artery loop, tortuosity, hypoplasia and stenosis. In most cases, these anomalies can be overcome by using hydrophilic guiding wire and diagnostic 5F Judkins right catheter, sometimes 0,014" hydrophilic coronary wire. RAA are not uncommon in general population. In most cases they can be easily traversed with thoroughly selected steps and material especially by dedicated radial operators in high-volume TRA center, but sometimes they can be a reason for procedural failure. Keywords:

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“…Transradial procedure failures can sometimes be due to variation in the radial artery anatomy. 17 This has implications for clinical practice and suggests a need for imaging of the radial artery before such procedure.…”

Section: 11mentioning

confidence: 99%

Case report of high origin of radial, ulnar, and profunda brachii arteries, its clinical implications and review of the literature

et al. 2009

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Arterial variations in the arm are of potential clinical implications as it is a frequent site of injury and also involved in many surgical and invasive procedures. During a dissection of the right upper extremity, an abnormal high origin of the radial and ulnar arteries was found. The brachial artery had a very short segment without any branches, divided into the radial and ulnar arteries at the upper third of the arm. The course and branching pattern of these radial and ulnar arteries in the arm are discussed. It was also observed that the profunda brachii artery was represented by two separate branches arising from the posterior circumflex humeral artery. Accurate knowledge of these variation patterns is of considerable clinical importance in the conduct of reparative surgeries around the shoulder and fracture management of the humerus. These additional data of arterial anomalies to contemporary anatomical literature are of interest to clinicians, in particular vascular and plastic surgeons and radiologists.

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Radial artery anomaly and its influence on transradial coronary procedural outcome

Cited by 189 publications

References 23 publications

Comparison of fluoroscopy time during coronary angiography and interventions by radial and femoral routes- can we decrease the fluoroscopy time with increased experience? An observational study

Comparison of fluoroscopy time during coronary angiography and interventions by radial and femoral routes- can we decrease the fluoroscopy time with increased experience? An observational study

Untitled

Case report of high origin of radial, ulnar, and profunda brachii arteries, its clinical implications and review of the literature

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