Prevalence of abnormal upper limb arterial anatomy and its correlation with access failure during transradial coronary angiography

OBJECTIVE: The study aimed at to find out prevalence of abnormal upper limb arterial anatomy and its correlation with access failure during transradial coronary angiography. METHOD: This was a prospective observational study of 1512 patients who had undergone transradial coronary angiography (CAG)....

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Autores principales: Khairnar, Sripad V., Nath, Ranjit Kumar, Yadav, Balram, Bhosale, Kakasaheb, Chandraker, Sulabh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7961255/
https://www.ncbi.nlm.nih.gov/pubmed/33714408
http://dx.doi.org/10.1016/j.ihj.2020.11.146
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author Khairnar, Sripad V.
Nath, Ranjit Kumar
Yadav, Balram
Bhosale, Kakasaheb
Chandraker, Sulabh
author_facet Khairnar, Sripad V.
Nath, Ranjit Kumar
Yadav, Balram
Bhosale, Kakasaheb
Chandraker, Sulabh
author_sort Khairnar, Sripad V.
collection PubMed
description OBJECTIVE: The study aimed at to find out prevalence of abnormal upper limb arterial anatomy and its correlation with access failure during transradial coronary angiography. METHOD: This was a prospective observational study of 1512 patients who had undergone transradial coronary angiography (CAG). Angiographic assessment of upper limb arterial tree was performed when the angiographic guidewire or the diagnostic catheter followed an abnormal path or got stuck in its course. RESULTS: About 5.29% patients (80/1512) were noted to have abnormal upper limb arterial anatomy. The most common abnormality detected were radio-ulnar loop in 22 (1.46%) patients, tortuous upper limb arteries 19 (1.25%) and abnormal high origin of radial artery 10 (0.66%) patients. Access failure was encountered in 4.4% (67/1512) of total patients and 64.17% (43/67) access failure was due to abnormal upper limb arterial anatomy. CONCLUSION: Abnormal upper limb arterial anatomy was the most common cause of access failure in transradial coronary angiography in this study.
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spelling pubmed-79612552021-03-19 Prevalence of abnormal upper limb arterial anatomy and its correlation with access failure during transradial coronary angiography Khairnar, Sripad V. Nath, Ranjit Kumar Yadav, Balram Bhosale, Kakasaheb Chandraker, Sulabh Indian Heart J Original Article OBJECTIVE: The study aimed at to find out prevalence of abnormal upper limb arterial anatomy and its correlation with access failure during transradial coronary angiography. METHOD: This was a prospective observational study of 1512 patients who had undergone transradial coronary angiography (CAG). Angiographic assessment of upper limb arterial tree was performed when the angiographic guidewire or the diagnostic catheter followed an abnormal path or got stuck in its course. RESULTS: About 5.29% patients (80/1512) were noted to have abnormal upper limb arterial anatomy. The most common abnormality detected were radio-ulnar loop in 22 (1.46%) patients, tortuous upper limb arteries 19 (1.25%) and abnormal high origin of radial artery 10 (0.66%) patients. Access failure was encountered in 4.4% (67/1512) of total patients and 64.17% (43/67) access failure was due to abnormal upper limb arterial anatomy. CONCLUSION: Abnormal upper limb arterial anatomy was the most common cause of access failure in transradial coronary angiography in this study. Elsevier 2021 2020-11-24 /pmc/articles/PMC7961255/ /pubmed/33714408 http://dx.doi.org/10.1016/j.ihj.2020.11.146 Text en © 2020 Cardiological Society of India. Published by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Khairnar, Sripad V.
Nath, Ranjit Kumar
Yadav, Balram
Bhosale, Kakasaheb
Chandraker, Sulabh
Prevalence of abnormal upper limb arterial anatomy and its correlation with access failure during transradial coronary angiography
title Prevalence of abnormal upper limb arterial anatomy and its correlation with access failure during transradial coronary angiography
title_full Prevalence of abnormal upper limb arterial anatomy and its correlation with access failure during transradial coronary angiography
title_fullStr Prevalence of abnormal upper limb arterial anatomy and its correlation with access failure during transradial coronary angiography
title_full_unstemmed Prevalence of abnormal upper limb arterial anatomy and its correlation with access failure during transradial coronary angiography
title_short Prevalence of abnormal upper limb arterial anatomy and its correlation with access failure during transradial coronary angiography
title_sort prevalence of abnormal upper limb arterial anatomy and its correlation with access failure during transradial coronary angiography
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7961255/
https://www.ncbi.nlm.nih.gov/pubmed/33714408
http://dx.doi.org/10.1016/j.ihj.2020.11.146
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