Impact of Transradial Coronary Procedures on Radial Artery Function

被引:38
作者
Yan, Zhenxian [1 ]
Zhou, Yujie [1 ]
Zhao, Yingxin [1 ]
Zhou, Zhiming [1 ]
Yang, Shiwei [1 ]
Wang, Zhijian [1 ]
机构
[1] Capital Med Univ, Key Lab Remodeling Related Cardiovasc Dis, Beijing Inst Heart Lung & Blood Vessel Dis, Dept Cardiol,Beijing Anzhen Hosp,Minist Educ, Beijing 100029, Peoples R China
关键词
radial artery; transradial coronary procedures; vasodilatory function; flow-mediated dilation; nitroglycerin-mediated dilation; ACUTE MYOCARDIAL-INFARCTION; FEMORAL APPROACH; ANGIOPLASTY; PATENCY; ACCESS;
D O I
10.1177/0003319713479650
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
We evaluated the impact of transradial coronary procedures on the vasodilatory function of the radial artery. A total of 65 patients who underwent transradial coronary procedures were enrolled. All patients were examined with B-mode high-resolution ultrasound. Radial artery baseline diameter and response to flow-mediated dilation (FMD) and nitroglycerin-mediated dilation (NMD) were measured in the right radial artery. The FMD of the right radial artery was 11.5%, 4.1%, and 0.7%, respectively, before the procedures, 1 day, and 3 months after the procedures (P < .05 at 1 day, P < .01 at 3 months). The NMD of the right radial artery was 17.6%, 5.4%, and 6.3%, respectively, before the procedures, 1 day, and 3 months after the procedures (P < .05 at 1 day, P < .05 at 3 months). Transradial coronary procedures decrease radial artery FMD and NMD resulting in immediate and persistent blunting of vasodilatory function.
引用
收藏
页码:104 / 107
页数:4
相关论文
共 20 条
[1]   The radial artery for coronary artery bypass grafting: Clinical and angiographic results at five years [J].
Acar, C ;
Ramsheyi, A ;
Pagny, JY ;
Jebara, V ;
Barrier, P ;
Fabiani, JN ;
Deloche, H ;
Guermonprez, JL ;
Carpentier, A .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1998, 116 (06) :981-988
[2]   Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures - Systematic overview and meta-analysis of randomized trials [J].
Agostoni, P ;
Biondi-Zoccai, GGL ;
De Benedictis, ML ;
Rigattieri, S ;
Turri, M ;
Anselmi, M ;
Vassanelli, C ;
Zardini, P ;
Louvard, Y ;
Hamon, M .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 44 (02) :349-356
[3]   In vivo early and mid-term flow-mediated endothelial function of the radial artery used as a coronary bypass graft [J].
Al-Bustami, MH ;
Amrani, M ;
Chester, AH ;
Ilsley, CJ ;
Yacoub, MH .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 39 (04) :573-577
[4]   Overview of the transradial approach in percutaneous coronary intervention [J].
Amoroso, Giovanni ;
Laarman, Gert-Jan ;
Kiemeneij, Ferdinand .
JOURNAL OF CARDIOVASCULAR MEDICINE, 2007, 8 (04) :230-237
[5]   PERCUTANEOUS RADIAL ARTERY APPROACH FOR CORONARY ANGIOGRAPHY [J].
CAMPEAU, L .
CATHETERIZATION AND CARDIOVASCULAR DIAGNOSIS, 1989, 16 (01) :3-7
[6]   Radial versus femoral access for emergent percutaneous coronary intervention with adjunct glycoprotein IIb/IIIa inhibition in acute myocardial infarction - the RADIAL-AMI pilot randomized trial [J].
Cantor, WJ ;
Puley, G ;
Natarajan, MK ;
Dzavik, V ;
Madan, M ;
Fry, A ;
Kim, HH ;
Velianou, JL ;
Pirani, N ;
Strauss, BH ;
Chisholm, RJ .
AMERICAN HEART JOURNAL, 2005, 150 (03) :543-549
[7]   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].
Corretti, MC ;
Anderson, TJ ;
Benjamin, EJ ;
Celermajer, D ;
Charbonneau, F ;
Creager, MA ;
Deanfield, J ;
Drexler, H ;
Gerhard-Herman, M ;
Herrington, D ;
Vallance, P ;
Vita, J ;
Vogel, R .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 39 (02) :257-265
[8]   Reduced vascular complications and length of stay with transradial rescue angioplasty for acute myocardial infarction [J].
Cruden, Nicholas L. M. ;
Teh, Chun H. ;
Starkey, Ian R. ;
Newby, David E. .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2007, 70 (05) :670-675
[9]   A randomized comparison of radial-artery and saphenous-vein coronary bypass grafts [J].
Desai, ND ;
Cohen, EA ;
Naylor, CD ;
Fremes, SE .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 351 (22) :2302-2309
[10]   Arterial grafts for coronary surgery: Vasospasm and patency rate [J].
He, GW .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2001, 121 (03) :431-433