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Frequency of Radial Artery Anatomic Variations in Patients Undergoing Transradial Heart Catheterization

Zvonimir Ostojić ; Department of Cardiovascular Diseases, Zagreb University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Joško Bulum ; Department of Cardiovascular Diseases, Zagreb University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Aleksander Ernst ; Department of Cardiovascular Diseases, Zagreb University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Maja Strozzi ; Department of Cardiovascular Diseases, Zagreb University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Kristina Marić-Bešić ; Department of Cardiovascular Diseases, Zagreb University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia

Puni tekst: engleski, pdf (353 KB) str. 65-72 preuzimanja: 562* citiraj
APA 6th Edition
Ostojić, Z., Bulum, J., Ernst, A., Strozzi, M. i Marić-Bešić, K. (2015). Frequency of Radial Artery Anatomic Variations in Patients Undergoing Transradial Heart Catheterization. Acta clinica Croatica, 54. (1.), 65-72. Preuzeto s https://hrcak.srce.hr/141593
MLA 8th Edition
Ostojić, Zvonimir, et al. "Frequency of Radial Artery Anatomic Variations in Patients Undergoing Transradial Heart Catheterization." Acta clinica Croatica, vol. 54., br. 1., 2015, str. 65-72. https://hrcak.srce.hr/141593. Citirano 21.11.2019.
Chicago 17th Edition
Ostojić, Zvonimir, Joško Bulum, Aleksander Ernst, Maja Strozzi i Kristina Marić-Bešić. "Frequency of Radial Artery Anatomic Variations in Patients Undergoing Transradial Heart Catheterization." Acta clinica Croatica 54., br. 1. (2015): 65-72. https://hrcak.srce.hr/141593
Harvard
Ostojić, Z., et al. (2015). 'Frequency of Radial Artery Anatomic Variations in Patients Undergoing Transradial Heart Catheterization', Acta clinica Croatica, 54.(1.), str. 65-72. Preuzeto s: https://hrcak.srce.hr/141593 (Datum pristupa: 21.11.2019.)
Vancouver
Ostojić Z, Bulum J, Ernst A, Strozzi M, Marić-Bešić K. Frequency of Radial Artery Anatomic Variations in Patients Undergoing Transradial Heart Catheterization. Acta clinica Croatica [Internet]. 2015 [pristupljeno 21.11.2019.];54.(1.):65-72. Dostupno na: https://hrcak.srce.hr/141593
IEEE
Z. Ostojić, J. Bulum, A. Ernst, M. Strozzi i K. Marić-Bešić, "Frequency of Radial Artery Anatomic Variations in Patients Undergoing Transradial Heart Catheterization", Acta clinica Croatica, vol.54., br. 1., str. 65-72, 2015. [Online]. Dostupno na: https://hrcak.srce.hr/141593. [Citirano: 21.11.2019.]

Sažetak
Over the last ten years, transradial cardiac catheterization has been increasingly applied, primarily because of its lower incidence of complications compared to the femoral approach. However, one of the greatest flaws of the transradial approach is a relatively high incidence of catheterization failure (1%-5%). Anatomic variations of radial artery are ranked second among the reasons for this. Previous studies have not provided unambiguous data on the frequency of these anomalies. It was therefore the aim of this study to determine the frequency of anatomic variations using routine angiographies of radial artery during left heart catheterization. This was a retrospective study involving examination of 602 images of routine angiographies of radial artery performed during cardiac catheterization. The frequency of anatomic variations of radial artery was 8.8%, exclusive of tortuosities with a frequency of 12.7%. The most frequent anatomic variation was the high origin of radial artery, found in 31 (5.1%) subjects. Radioulnar loops, being one of the potential contraindications for the procedure, were reported in 2% of cases. Regression analysis revealed that age (p<0.001), female sex (p=0.015) and high origin (p=0.034) considerably contributed to the development of tortuosity. The results indicated the incidence of tortuosity to increase linearly with age. Although it is not a contraindication for continuing with the procedure, we recommend that elderly patients have angiography of radial artery performed at the beginning of the procedure due to the higher frequency of tortuosity.

Ključne riječi
Radial artery – radiography; Cardiac catheterization – classification; Cardiac catheterization – complications; Radial artery – abnormalities; PTCA/PCI

Hrčak ID: 141593

URI
https://hrcak.srce.hr/141593

[hrvatski]

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