Abstract
Abstract: Ischemic heart disease (IHD) is a major cause ofglobal mortality. Percutaneous coronary intervention, essential in
treatment, is preferably performed via the transradial route, associated with
fewer complications and hospital stay. Although 5 Fr sheaths are used in our population, we lack data on the
average size of the radial artery. This raises doubts about the suitability
of maintaining this practice, considering the existing relationship of
complications when the sheath caliber is greater than the vascular diameter.
Methods: The diameter of the right radial artery of 250 volunteers was measured by ultrasound. A logistic regression analysis was
performed to identify factors associated with the diameter of the right radial artery.
Results: In our study, the median age of our sample
was 49 years, 68% were women, the average body mass index (BMI) was 27 kg/m2. The average right radial artery diameter
for our population was 1.71±02 mm. No strong direct association was found
between diameters with age, diabetes mellitus and arterial hypertension. Most patients were found to have
right radial artery diameters ≥5 Fr (1.70 mm). Linear regression analysis
revealed that volunteers with higher BMI and wrist circumference were associated with larger arterial diameters with a p
< 0.001.
Conclusion: 5 Fr introducers can be used in a significant proportion of
our population. Careful selection of patients with a larger BMI and wrist circumference may
help the interventionalist plan a radial procedure with appropriate calibers in advance.
| Date of Award | 24 Nov 2023 |
|---|---|
| Original language | Spanish |
| Awarding Institution |
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