ArticleHeart and vessels2014
Anatomical variations affect radial artery spasm and procedural achievement of transradial cardiac catheterization.
Article in Heart and vessels, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Distal versus conventional transradial access for diagnostic cerebral angiography and neurointerventional procedures: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026Pooled it
- Trial
- The Wrist Circumference-to-Body Mass Index Ratio for Preprocedural Risk Stratification of Radial Artery Spasm in Transradial Coronary Angiography and Percutaneous Coronary Intervention.Diagnostics (Basel, Switzerland) · 2026Article
- Transulnarversus transradial artery access in patients undergoing cardiac procedures: a systematic review and meta-analysis.Annals of medicine and surgery (2012) · 2026Article
- Prevalence of Radial Artery Variants and Their Relationship with Clinical Considerations of the Antebrachial Region: Systematic Review and Meta-Analysis.Diagnostics (Basel, Switzerland) · 2025Review
- Retrospective Analysis of Angiographic Radial Artery Spasm Predictors.Life (Basel, Switzerland) · 2025Article
- Radial Artery Spasm-A Review on Incidence, Prevention and Treatment.Diagnostics (Basel, Switzerland) · 2024Review
- Distal radial artery approach is safe and effective for cerebral angiography and neuroendovascular treatment: A single-center experience with ultrasonographic measurement.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024Article
- Therapeutic efficacy and complications of radial versus femoral access in endovascular treatment of unruptured intracranial aneurysms.The neuroradiology journal · 2023Article
- Cost reduction associated with transradial access in percutaneous coronary intervention: A report from a Japanese nationwide registry.The Lancet regional health. Western Pacific · 2022Article
- Angiographic evaluation of radial artery injury after transradial approach for percutaneous coronary intervention.Cardiovascular intervention and therapeutics · 2022Article
- Efficacy and safety of a 260-cm Amplatz Super Stiff guidewire during transradial percutaneous coronary intervention.Medicine · 2018Article
- Successful transradial intervention via a radial recurrent artery branch from the radioulnar alpha loop using a sheathless guiding catheter.Yeungnam University journal of medicine · 2018Article
- Article
- Safety and feasibility of 5 French Glidesheath Slender for complex transradial interventions in small diameter radial arteries.Indian heart journalArticle
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Transradial cardiac catheterization (TRCC) has unique technical challenges such as access difficulty related to anatomical variations and/or radial artery (RA) spasm. We sought to evaluate the incidence of anatomical variations of the RA and whether they would affect RA spasm and procedural achievement of TRCC. A total of 744 consecutive patients who underwent TRCC were analyzed by routine radial arteriography. Anatomical variations were defined as abnormal origin of the RA and/or radioulnar loop and/or tortuous configuration. RA spasm was defined as >75 % stenosis at first radial arteriography. Overall, anatomical variations were noted in 68 patients (9.1 %), including 39 cases of abnormal origin (5.2 %), 11 cases of radioulnar loop (1.5 %), and 42 cases of tortuous configuration (5.6 %). Transradial procedures failed in 26 patients (3.5 %), and more frequently in patients with anatomical variation than in those with normal anatomy (23.5 % vs 1.5 %, P < 0.001). Importantly, on multivariate analysis the presence of anatomical variation was a distinct predictor of transradial procedure failure (odds ratio (OR) 17.80; 95 % CI 7.55-43.73; P < 0.001). RA spasm was observed in 83 patients (11.2 %), and more frequently in patients with anatomical variation than in those with normal anatomy (35.3 % vs 8.7 %, P < 0.001). Anatomical variation (OR 4.74; 95 % CI 2.61-8.47; P < 0.001) and female gender (OR 2.23; 95 % CI 1.01-4.73; P = 0.041) were distinct predictors of RA spasm. Anatomical variations were observed in 9.1 % of the patients, and strongly correlated with RA spasm and procedural achievement of TRCC.
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