Evidence map›Paper›PMID 36357832›Full record

ArticleBMC cardiovascular disorders2022

Correlation of a guidewire maximum insertion length with tortuous radial artery and the success rate during transradial coronary angiography.

Hongsong Li, Xia Chen, Shuang Sha, Xiangdong Xu, Yingmin Chen

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Article in BMC cardiovascular disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Hongsong Li *Department of Cardiovascular Medicine, Jiading District Central Hospital Affiliated Shanghai University of Medicine and Health Sciences, Shanghai, 201800, China.
Xia Chen *Department of Cardiovascular Medicine, Jiading District Central Hospital Affiliated Shanghai University of Medicine and Health Sciences, Shanghai, 201800, China.
Shuang Sha *Clinical Research Center, Jiading District Central Hospital Affiliated Shanghai University of Medicine and Health Sciences, Shanghai, 201800, China.
Xiangdong XuDepartment of Cardiovascular Medicine, Jiading District Central Hospital Affiliated Shanghai University of Medicine and Health Sciences, Shanghai, 201800, China. xuxiangdong8416@163.com.
Yingmin ChenRenji Hospital Shanghai Jiaotong University School of Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous coronary intervention (PCI) is a safe and effective therapy for patients with obstructive coronary artery disease (CAD). We aimed to assess the correlation between the success rate of angiography and the maximum insertion length and resistance of a soft-tipped guidewire.

methodsFive hundred twenty-one patients were treated by successful radial artery puncture. According to whether the guidewire resistance, the patients were divided to three groups. 17 patients were maximum insertion length of guidewire ≤ 30 cm when resistance was encountered (group 1). 17 patients were maximum insertion length of guidewire between 30 and 45 cm when resistance was encountered (group 2). 487 patients were no resistance encountered (group 3).

resultsThe coronary angiography success rates of group 1, 2, and 3 were 52.94%, 47.05%, 98.97%, respectively. Typically, angiography can be completed in patients with Ω-shaped, S-shape or Z-shaped tortuosity.

conclusionsThe maximum insertion length of straight guidewire and resistance can be used to determine radial artery status. The radial artery tortuosity or spasm significantly affects the success rate of coronary angiography.

Indexed as

Coronary Artery DiseasePercutaneous Coronary InterventionCoronary AngiographyHumansRadial ArteryCoronary angiographyGuidewireRadial artery

Identifiers

PMID36357832
PMCPMC9650887

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