The Effect of Conventional and Distal Radial Access Techniques on Radial Artery Structure and Vascular Functions

Yıl 2022, Cilt: 25 Sayı: 1, 68 - 76, 18.04.2022

Can Özkan Emrullah Kızıltunç Velihan Çayhan İlyas Emre Yakıcı Mustafa Çetin Ahmet Korkmaz Birsen Doğanay Ender Örnek

Öz

Introduction: To compare radial artery (RA) diameters, intima-media thickness (IMT), and vascular functions before and after conventional and distal RA cannulation. It has been proposed that distal transradial (DTRA) cannulation can reduce RA complications. However, there has been no comparative study examining the effects of DTR and conventional transradial (CTRA) intervention on RA structure and function.

Patients and Methods: Radial artery diameter, IMT, flow-mediated vasodilation (FMD) response were measured using conventional and Doppler RA ultrasonography before, and one day and one month after the procedure in patients who underwent CTRA or DTRA.

Results: While baseline and first-day IMT values were similar between the groups, first-month IMT values in the CTRA group were found to be significantly increased compared to those in the DTRA group (CTRA= 0.39 ± 0.10 mm, DTRA= 0.32 ± 0.07 mm, p= 0.016). While proximal RA occlusion developed in three patients who underwent CTRA, it did not develop in any of the patients undergoing DTRA (p= 0.072).

Conclusion: In patients who underwent CTRA, RA IMT increased significantly in the first month after the procedure, compared to patients who underwent DTRA. Proximal RAO was not observed in any of the patients who underwent DTRA.

Anahtar Kelimeler

Radial artery, coronary angiography, percutaneous coronary intervention

Kaynakça

• 1. Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2017;39(2):119-77. [Crossref]
• 2. Neumann FJ, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U, et al. 2018 ESC/EACTS guidelines on myocardial revascularization. Eur Hearth J 2018;40(2):87-165. [Crossref]
• 3. Burstein JM, Gidrewicz D, Hutchison SJ, Holmes K, Jolly S, Cantor WJ. Impact of radial artery cannulation for coronary angiography and angioplasty on radial artery function. Am J Card 2007;99(4):457-9. [Crossref]
• 4. Rhyne D, Mann T. Hand ischemia resulting from a transradial intervention: successful management with radial artery angioplasty. Catheter Cardiovasc Interv 2010;76(3):383-6. [Crossref]
• 5. Al-Azizi KM, Lotfi AS. The distal left radial artery access for coronary angiography and intervention: a new era. Cardiovasc Revasc Med 2018;19(8):35-40. [Crossref]
• 6. Corretti MC, Anderson TJ, Benjamin EJ, Celermajer D, Charbonneau F, Creager MA, et al. Guidelines for the ultrasound assessment of endothelial-dependent flow-mediated vasodilation of the brachial artery: a report of the international brachial artery reactivity task force. J Am Coll Cardiol 2002;39(2):257-65. [Crossref]
• 7. Korkmaz H, Akbulut M, Özbay Y, Koç M. Brakiyal arter intima-media kalınlığının endotel fonksiyonu ve sol ventrikül kütle indeksi ile ilişkisi. Anatol J Cardiol. 2010;10(3).
• 8. Kiemeneij F, Jan Laarman G. Percutaneous transradial artery approach for coronary stent implantation. Catheter Cardiovasc Diagnosis 1993;30(2):173-8. [Crossref]
• 9. Nagai S, Abe S, Sato T, Hozawa K, Yuki K, Hanashima K, et al. Ultrasonic assessment of vascular complications in coronary angiography and angioplasty after transradial approach. Catheter Cardiovasc Interv 1999;83(2):180-6. [Crossref]
• 10. Burzotta F, Trani C, Mazzari MA, Tommasino A, Niccoli G, Porto I, et al. Vascular complications and access crossover in 10.676 transradial percutaneous coronary procedures. Am Heart J 2012;163(2):230-8. [Crossref]
• 11. Babunashvili A, Dundua D. Recanalization and reuse of early occluded radial artery within 6 days after previous transradial diagnostic procedure. Catheter Cardiovasc Interv 2011;77(4):530-6. [Crossref]
• 12. Chen Y, Ke Z, Xiao J, Lin M, Huang X, Yan C, et al. Subcutaneous injection of nitroglycerin at the radial artery puncture site reduces the risk of early radial artery occlusion after transradial coronary catheterization: a randomized, placebo-controlled clinical trial. Circ Cardiovasc Interv 2018;11(7):e006571. [Crossref]
• 13. Wagener JF, Rao SV. Radial artery occlusion after transradial approach to cardiac catheterization. Curr Atheroscler Rep 2015;17(3):9. [Crossref]
• 14. Shemesh D, Goldin I, Verstandig A, Berelowitz D, Zaghal I, Olsha O. Upper limb grafts for hemodialysis access. J Vasc Access 2015;16(Suppl-9):34-9. [Crossref]
• 15. Kaledin A, Kochanov I, Podmetin P, Seletsky S, Ardeev V. Distal radial artery in endovascular interventions. Distal radial artery in endovascular interventions, 2017. Available from: https://www.researchgate.net/publication/319162208_Distal_radial_artery_in_endovascular_interventions
• 16. Oliveira MDP, Navarro EC, Kiemeneij F. Distal transradial access as default approach for coronary angiography and interventions. CDT 2019;9(5):513. [Crossref]
• 17. Yu W, Hu P, Wang S, Yao L, Wang H, Dou L, et al. Distal radial artery access in the anatomical snuffbox for coronary angiography and intervention: A single center experience. Med 2020;99(3):e18330. [Crossref]
• 18. Jamal A, Bendeck M, Langille B. Structural changes and recovery of function after arterial injury. Arterioscler Thromb 1992;12(3):307-17. [Crossref]
• 19. Nakamura F, Kvasnicka J, Levame M, Lange F, Bousbaa H, Geschwind HJ. Acute response of the arterial wall to pulsed laser irradiation. Lasers Surg Med 1993;13(4):412-20. [Crossref]
• 20. Kamiya H, Ushijima T, Kanamori T, Ikeda C, Nakagaki C, Ueyama K, et al. Use of the radial artery graft after transradial catheterization: is it suitable as a bypass conduit? The Ann Thorac Surg 2003;76(5):1505-9. [Crossref]
• 21. Park KH, Park WJ, Kim MK, Park DW, Park JH, Kim HS, et al. Effects of trimetazidine on endothelial dysfunction after sheath injury of radial artery. Am J Cardiol 2010;105(12):1723-7. [Crossref]
• 22. Yoo BS, Lee SH, Ko JY, Lee BK, Kim SN, Lee MO, et al. Procedural outcomes of repeated transradial coronary procedure. Catheter Cardiovasc Interv 2003;58(3):301-4. [Crossref]
• 23. Yonetsu T, Kakuta T, Lee T, Takayama K, Kakita K, Iwamoto T, et al. Assessment of acute injuries and chronic intimal thickening of the radial artery after transradial coronary intervention by optical coherence tomography. Eur Heart J 2010;31(13):1608-15. [Crossref]
• 24. Wakeyama T, Ogawa H, Iida H, Takaki A, Iwami T, Mochizuki M, et al. Intima-media thickening of the radial artery after transradial intervention: an intravascular ultrasound study. J Am Coll Cardiol 2003;41(7):1109-14. [Crossref]
• 25. Madssen E, Haere P, Wiseth R. Radial artery diameter and vasodilatory properties after transradial coronary angiography. Ann Thorac Surg 2006;82(5):1698-702. [Crossref]
• 26. Antonopoulos AS, Latsios G, Oikonomou E, Aznaouridis K, Papanikolaou A, Syrseloudis D, et al. Long-term endothelial dysfunction after trans-radial catheterization: A meta-analytic approach. J Card Surg 2017;32(8):464-73. [Crossref]
• 27. Moran SV, Baeza R, Guarda E, Zalaquett R, Irarrazaval MJ, Marchant E, et al. Predictors of radial artery patency for coronary bypass operations. Ann Thorac Surg 2001;72(5):1552-6. [Crossref]
• 28. He GW. Arterial grafts for coronary surgery: vasospasm and patency rate. J Thorac Cardiovasc Surg 2001;121(3):431-3. [Crossref]
• 29. Yan Z, Zhou Y, Zhao Y, Zhou Z, Yang S, Wang Z. Impact of transradial coronary procedures on radial artery. Angiology 2010;61(1):8-13. [Crossref]