ArticleJTCVS open2021
Radial-to-femoral pressure gradient quantification in cardiac surgery.
Article in JTCVS open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Risk factors for a central-to-peripheral arterial blood pressure gradient in adults: a systematic review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Pooled it
- Comparison of Central and Peripheral Arterial Blood Pressure Gradients in Critically Ill Patients: A Systematic Review and Meta-Analysis.Critical care explorations · 2024Pooled it
- Femoral artery cannulation for arterial pressure measurement in the intensive care unit: current evidence and description of the technique.Anaesthesiology intensive therapy · 2026Review
- Comparison of cardiac index values between bioimpedance and pulse contour analysis in patients undergoing cardiac surgery under cardiopulmonary bypass.Indian journal of anaesthesia · 2026Article
- Article
- Aortic Arch and Frozen Elephant Trunk Surgery: Anesthetic Challenges and Strategies for Organ Protection.Journal of clinical medicine · 2026Review
- Anesthetic Management for Proximal Aortic Repair.Seminars in cardiothoracic and vascular anesthesia · 2025Review
- Risk factors for femoral-to-radial artery pressure gradient after weaning from cardiopulmonary bypass: a historical cohort study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022Article
- Can we trust radial artery pressure monitoring for cardiac surgery?Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022Article
- Commentary: The choice of arterial pressure monitoring in adult cardiac surgery should be individualized. The devil is in the details.JTCVS open · 2021Article
- Commentary: Femoral arterial catheters for cardiac surgery: To do it or not to do it? That is the question.JTCVS open · 2021Article
- Commentary: Is it time to revisit the arterial pressure monitoring site for cardiac surgery?JTCVS open · 2021Article
- Non-invasive detection of a femoral-to-radial arterial pressure gradient in intensive care patients with vasoactive agents.Journal of intensive care · 2021Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: A radial-to-femoral pressure gradient (RFPG) can occur in roughly one-third of cardiac surgical patients. Such a gradient has been associated with smaller stature and potentially smaller radial artery diameter. We hypothesized that preoperative radial artery diameter could be a predictor of RFPG. We also investigated the clinical impact of using a femoral versus a radial arterial catheter in terms of vasoactive support. Methods: Using ultrasound, we measured the bilateral radial artery diameters of 160 cardiac surgical patients. All arterial pressure values were continuously recorded. Significant RFPG was defined as ≥25 mm Hg in systolic and/or ≥10 mm Hg in mean arterial pressure. One hundred and forty-nine additional patients were used to validate the impact of our observations. Results: Using 78,013 pressure datapoints in 129 patients, 34.8% of patients had an RFPG with a mean duration of 54 ± 48 minutes. Patients with a radial artery diameter <1.8 mm were more likely to have an RFPG (n = 14 [48.3%] vs 12 [22.2%]; Conclusions: A significant RFPG occurs in one-third of cardiac surgical patients and in 48% of those with a radial artery diameter <1.8 mm. The use of a single radial arterial catheter instead of dual radial and femoral catheters was associated with greater vasopressor requirements in the operating room and in the intensive care unit. We do not recommend the use of a single radial artery catheter in cardiac surgery.
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Registered trials
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