Ontology type: schema:ScholarlyArticle
2015-02-05
AUTHORSAli Buturak, Burak Murat Tekturk, Aleks Degirmencioglu, Sila Ulus, Ozgur Surgit, Cem Ariturk, Ertugrul Zencirci, Sevket Gorgulu
ABSTRACTThe present study aimed to evaluate the late-term changes in radial artery luminal diameter (RAD) and vasodilatation response following transradial catheterization (TRC). TRC-inducing trauma to radial artery intima may trigger chronic phase vascular changes and lead to anatomical and functional impairment. There is controversial data whether the impairment persists or repairs later. Fifty-six consecutive patients undergoing TRC were enrolled prospectively. Baseline RAD, flow-mediated dilatation (FMD) and nitroglycerin-mediated dilatation (NMD) of the radial artery at the access site were measured before TRC by high-resolution ultrasound. Six months later; RAD, FMD and NMD were measured again at the same access site. RAD at the sixth month was reduced compared with pre-procedural measurements (2.85 ± 0.44 versus 2.74 ± 0.42 mm, p = 0.0001).The average FMD decreased to 5.66 ± 5.87 %, which was significantly lower than the observed pre-procedural FMD (9.45 ± 5.01 %) 6 months after TRC (p = 0.0001). Likewise, the average NMD at the sixth month was reduced compared with pre-procedural NMD (9.52 ± 6.77 versus 6.64 ± 6.51 %, p = 0.018). Logistic regression analysis indicated that pre-procedural radial artery diameter to sheath size ratio was the independent predictor of NMD reduction (95 % confidence interval, β = −9.74, p = 0.024). TRC may lead to a significant luminal diameter reduction and impairment of vasodilatation response in the radial artery at late term. More... »
PAGES482-489
http://scigraph.springernature.com/pub.10.1007/s00380-015-0640-x
DOIhttp://dx.doi.org/10.1007/s00380-015-0640-x
DIMENSIONShttps://app.dimensions.ai/details/publication/pub.1010525743
PUBMEDhttps://www.ncbi.nlm.nih.gov/pubmed/25652677
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