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定量血管造影测量桡动脉直径及其与常见变量的关系:一项横断面研究。

Quantitative angiographic radial artery diameter measurement and its relationship with common variables: A cross-sectional study.

作者信息

Hasan Md Mahbub, Dutta Ashok Kumar, Al Mahmood Md Rashid, Kanungo Smita, Rahman Arifur, Hassan Md Rashidul

机构信息

Department of Cardiology, Ibrahim Cardiac Hospital and Research Institute, Dhaka, Bangladesh.

Department of Cardiology, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh.

出版信息

Medicine (Baltimore). 2025 Aug 8;104(32):e43797. doi: 10.1097/MD.0000000000043797.

DOI:10.1097/MD.0000000000043797
PMID:40797491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12338288/
Abstract

Different techniques are available for peripheral artery diameter measurement. Angiographic assessment of the radial artery (RA) during coronary procedures offers a potentially cost effective, less hazardous and accurate method. Besides, it can provide some additional information. This cross-sectional study aims to calculate RA diameter (RAD) angiographically and to investigate its relationship with common parameters. A total of 230 patients undergoing percutaneous trans-radial coronary procedures at a tertiary cardiac hospital in Dhaka were included in the study to measure RAD using quantitative coronary angiography software. Patients' height, weight, body mass index (BMI), and wrist circumference were recorded. The presence or absence of hypertension and diabetes was searched. The mean diameter of the RA was 2.35 ± 0.41 mm, and wrist circumference was 16.34 ± 1.05 cm. Males had significantly larger RADs (P < .001). No significant relation was encountered between RAD and hypertension (HTN) and diabetes mellitus. There was no significant correlation of RAD with BMI (r = -0.028, P = .676). However, wrist circumference was found to be positively associated with RAD (R = 0.214, P = .001). RAD although had a positive correlation with wrist circumference, but there was no relationship with HTN, diabetes mellitus, and BMI.

摘要

有多种技术可用于测量外周动脉直径。在冠状动脉手术过程中对桡动脉(RA)进行血管造影评估提供了一种潜在的具有成本效益、危害较小且准确的方法。此外,它还能提供一些额外信息。这项横断面研究旨在通过血管造影计算桡动脉直径(RAD),并研究其与常见参数的关系。在达卡一家三级心脏医院接受经皮桡动脉冠状动脉手术的230例患者被纳入研究,使用定量冠状动脉造影软件测量RAD。记录患者的身高、体重、体重指数(BMI)和腕围。查找是否存在高血压和糖尿病。RA的平均直径为2.35±0.41毫米,腕围为16.34±1.05厘米。男性的RAD明显更大(P<0.001)。未发现RAD与高血压(HTN)和糖尿病之间存在显著关系。RAD与BMI无显著相关性(r=-0.028,P=0.676)。然而,发现腕围与RAD呈正相关(R=0.214,P=0.001)。RAD虽然与腕围呈正相关,但与HTN、糖尿病和BMI均无关系。

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Quantitative angiographic radial artery diameter measurement and its relationship with common variables: A cross-sectional study.定量血管造影测量桡动脉直径及其与常见变量的关系:一项横断面研究。
Medicine (Baltimore). 2025 Aug 8;104(32):e43797. doi: 10.1097/MD.0000000000043797.

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2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2021 年 ACC/AHA/SCAI 冠状动脉血运重建指南:执行摘要:美国心脏病学会/美国心脏协会联合临床实践指南委员会的报告。
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Eur Heart J. 2020 Oct 1;41(37):3495-3497. doi: 10.1093/eurheartj/ehaa624.
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Transradial Artery Access Complications.经桡动脉入路并发症。
Circ Cardiovasc Interv. 2019 Nov;12(11):e007386. doi: 10.1161/CIRCINTERVENTIONS.119.007386. Epub 2019 Nov 1.
5
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Prediction of radial artery diameter in candidates for transradial coronary angiography: Is occupation a factor?经桡动脉冠状动脉造影术候选者桡动脉直径的预测:职业是一个因素吗?
Turk Kardiyol Dern Ars. 2015 Jul;43(5):450-6. doi: 10.5543/tkda.2015.75002.
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Radial versus femoral access in patients with acute coronary syndromes undergoing invasive management: a randomised multicentre trial.经皮冠状动脉介入治疗的急性冠状动脉综合征患者中桡动脉与股动脉入路的随机多中心试验。
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