Correlation of a guidewire maximum insertion length with tortuous radial artery and the success rate during transradial coronary angiography

BACKGROUND: Percutaneous coronary intervention (PCI) is a safe and effective therapy for patients with obstructive coronary artery disease (CAD). We aimed to assess the correlation between the success rate of angiography and the maximum insertion length and resistance of a soft-tipped guidewire. MET...

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Autores principales: Li, Hongsong, Chen, Xia, Sha, Shuang, Xu, Xiangdong, Chen, Yingmin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9650887/
https://www.ncbi.nlm.nih.gov/pubmed/36357832
http://dx.doi.org/10.1186/s12872-022-02933-x
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author Li, Hongsong
Chen, Xia
Sha, Shuang
Xu, Xiangdong
Chen, Yingmin
author_facet Li, Hongsong
Chen, Xia
Sha, Shuang
Xu, Xiangdong
Chen, Yingmin
author_sort Li, Hongsong
collection PubMed
description BACKGROUND: Percutaneous coronary intervention (PCI) is a safe and effective therapy for patients with obstructive coronary artery disease (CAD). We aimed to assess the correlation between the success rate of angiography and the maximum insertion length and resistance of a soft-tipped guidewire. METHODS: Five hundred twenty-one patients were treated by successful radial artery puncture. According to whether the guidewire resistance, the patients were divided to three groups. 17 patients were maximum insertion length of guidewire ≤ 30 cm when resistance was encountered (group 1). 17 patients were maximum insertion length of guidewire between 30 and 45 cm when resistance was encountered (group 2). 487 patients were no resistance encountered (group 3). RESULTS: The coronary angiography success rates of group 1, 2, and 3 were 52.94%, 47.05%, 98.97%, respectively. Typically, angiography can be completed in patients with Ω-shaped, S-shape or Z-shaped tortuosity. CONCLUSIONS: The maximum insertion length of straight guidewire and resistance can be used to determine radial artery status. The radial artery tortuosity or spasm significantly affects the success rate of coronary angiography.
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spelling pubmed-96508872022-11-15 Correlation of a guidewire maximum insertion length with tortuous radial artery and the success rate during transradial coronary angiography Li, Hongsong Chen, Xia Sha, Shuang Xu, Xiangdong Chen, Yingmin BMC Cardiovasc Disord Research BACKGROUND: Percutaneous coronary intervention (PCI) is a safe and effective therapy for patients with obstructive coronary artery disease (CAD). We aimed to assess the correlation between the success rate of angiography and the maximum insertion length and resistance of a soft-tipped guidewire. METHODS: Five hundred twenty-one patients were treated by successful radial artery puncture. According to whether the guidewire resistance, the patients were divided to three groups. 17 patients were maximum insertion length of guidewire ≤ 30 cm when resistance was encountered (group 1). 17 patients were maximum insertion length of guidewire between 30 and 45 cm when resistance was encountered (group 2). 487 patients were no resistance encountered (group 3). RESULTS: The coronary angiography success rates of group 1, 2, and 3 were 52.94%, 47.05%, 98.97%, respectively. Typically, angiography can be completed in patients with Ω-shaped, S-shape or Z-shaped tortuosity. CONCLUSIONS: The maximum insertion length of straight guidewire and resistance can be used to determine radial artery status. The radial artery tortuosity or spasm significantly affects the success rate of coronary angiography. BioMed Central 2022-11-10 /pmc/articles/PMC9650887/ /pubmed/36357832 http://dx.doi.org/10.1186/s12872-022-02933-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Li, Hongsong
Chen, Xia
Sha, Shuang
Xu, Xiangdong
Chen, Yingmin
Correlation of a guidewire maximum insertion length with tortuous radial artery and the success rate during transradial coronary angiography
title Correlation of a guidewire maximum insertion length with tortuous radial artery and the success rate during transradial coronary angiography
title_full Correlation of a guidewire maximum insertion length with tortuous radial artery and the success rate during transradial coronary angiography
title_fullStr Correlation of a guidewire maximum insertion length with tortuous radial artery and the success rate during transradial coronary angiography
title_full_unstemmed Correlation of a guidewire maximum insertion length with tortuous radial artery and the success rate during transradial coronary angiography
title_short Correlation of a guidewire maximum insertion length with tortuous radial artery and the success rate during transradial coronary angiography
title_sort correlation of a guidewire maximum insertion length with tortuous radial artery and the success rate during transradial coronary angiography
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9650887/
https://www.ncbi.nlm.nih.gov/pubmed/36357832
http://dx.doi.org/10.1186/s12872-022-02933-x
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