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Czasopismo

2015 | 74 | 1 |

Tytuł artykułu

Quantification of the distal radial artery for improved vascular access

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Background: There is no consensus in the literature as to which point of the radial artery (RA) is the safest to attempt vascular access. The purpose of this study was to measure the diameter, tortuosity and branching patterns of the distal RA. Materials and methods: 140 cadaveric RAs (66 male, 74 female) were dissected and measured. The external diameter of the RA was measured at 2 cm increments starting at the radial styloid process (SP), moving proximally. The location and degree of 2-dimensional arterial tortuosity were recorded if > 35 degrees. Branches of the RA were recorded with respect to their distance from the SP. Results: We observed that the right RA significantly increased in diameter at distances beyond 4 cm proximal from the radial SP, regardless of the sex of the individual. This increase in size was not noted on the left RA’s. Muscular artery branches of the distal RA were noted on average 1.82 cm proximal from the SP. Clinically significant tortuosity was present on average 3.47 cm proximal from the radial SP. The left RA did not significantly change in size along its course, but its statistically similar diameter when compared to the right RA allows us to make a recommendation this is applicable bilaterally. Conclusions: Our data suggests that regardless of gender, vascular access of the RA could be safely performed at distances greater than 4 cm from the SP to yield a vessel with a larger diameter, less tortuosity, and fewer branches. (Folia Morphol 2015; 74, 1: 100–105)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

74

Numer

1

Opis fizyczny

p.100-105,fig.,ref.

Twórcy

autor
  • Kansas City University of Medicine and Biosciences, 1750 Independence Ave., Kansas City, MO 64106, USA
autor
  • Kansas City University of Medicine and Biosciences, Kansas City, MO, USA
autor
  • Kansas City University of Medicine and Biosciences, Kansas City, MO, USA
autor
  • Kansas City University of Medicine and Biosciences, Kansas City, MO, USA

Bibliografia

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  • 17. Jyothsna P, Nayak SB, Mohandas Rao KG, Kumar N, Abhinitha P (2013) High level branching and very superficial course of radial artery in the anatomical snuffbox: its clinical and surgical implications. OA Case Reports, 2: 66.
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  • 23. Nasr AY (2013) The radial artery and its variations: anatomical study and clinical implications. Folia Morphol, 71: 252–262.
  • 24. Nie B, Zhou YJ, Li GZ, Shi DM, Wang JL (2009) Clinical study of arterial anatomic variations for transradial coronary procedure in Chinese population. Chinese Med J, 122: 2097–2102.
  • 25. Pelin C, Zagyapan R, Karabay G (2014) An unusual course of the radial artery. Folia Morphol, 65: 410–413.
  • 26. Rao SV, Cohen MG, Kandzari DE, Bertrand OF, Gilchrist IC (2010) The transradial approach to percutaneous coronary intervention: historical perspective, current concepts, and future directions. J Am Coll Cardiol, 55: 2187–2195.
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Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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