Effect of transient ulnar artery compression on radial artery diameter

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dc.authoridhttp://orcid.org/0000-0001-5328-5749en_US
dc.contributor.authorYilmaztepe, Mustafa Adem
dc.contributor.authorYilmaz, Erdem
dc.date.accessioned2019-12-24T08:18:44Z
dc.date.available2019-12-24T08:18:44Z
dc.date.issued2018
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Anabilim Dalıen_US
dc.description.abstractThe transradial approach is widely preferred in coronary procedures. A small radial artery diameter (RAD) is the most important factor affecting successful access. Various maneuvers and medications have been used to increase the RAD and thereby facilitate RA cannulation. Ulnar artery compression (UAC) for 30 min has been indicated to be effective in increasing the RAD and facilitating RA access. The aim of the present preliminary study was to assess the effect of transient UAC for 1 min on the RAD. A total of 151 patients were included in the present study. RA ultrasonography was performed at the level of the wrist. The UA was compressed for 1 min. The RAD was measured at baseline, at the end of UAC and at 1 min thereafter. The results indicated that the RAD was significantly smaller in diabetic vs. non-diabetic patients (2.35 +/- 0.43 vs. 2.50 +/- 0.39 mm, P=0.024) and in women vs. men (2.25 +/- 0.38 vs. 2.56 +/- 0.38 mm, P<0.001). At the end of UAC, the RAD was increased compared with that at baseline (2.45 +/- 0.41 vs. 2.62 +/- 0.41 mm, P<0.001), but it started to decrease thereafter, and the RAD measured at 1 min after stopping UAC was significantly smaller (2.62 +/- 0.41 vs. 2.55 +/- 0.40 mm, P<0.001), while remaining significantly larger than that at baseline (P<0.001). The RA peak systolic flow velocity also increased significantly during UAC (35.3 +/- 8.9 vs. 60.3 +/- 19.2 cm/sec; P<0.001). In conclusion, Transient UAC for 1 min significantly increased the RAD and the peak systolic flow velocity. Further studies with clinical endpoints are required for further exploration of the feasibility of this approach.en_US
dc.identifier.citationYilmaztepe, M. A., & Yilmaz, E. (2018). Effect of transient ulnar artery compression on radial artery diameter. Experimental and therapeutic medicine, 16(4), 3735-3739.en_US
dc.identifier.doi10.3892/etm.2018.6632en_US
dc.identifier.endpage3739en_US
dc.identifier.issn1792-0981
dc.identifier.issn1792-1015
dc.identifier.issue4en_US
dc.identifier.pmid30250527en_US
dc.identifier.scopus2-s2.0-85052683912en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage3735en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/4910
dc.identifier.volume16en_US
dc.identifier.wosWOS:000444988800131en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSPANDIDOS PUBL LTDen_US
dc.relation.ispartofJournal Citation Reportsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240608_ID_Qen_US
dc.subjectTransradial Accessen_US
dc.subjectUltrasonographyen_US
dc.subjectUlnar Arteryen_US
dc.subjectRadial Arteryen_US
dc.subjectTransradial Coronary-Angiographyen_US
dc.subjectEndothelial Dysfunctionen_US
dc.subjectCardiac-Catheterizationen_US
dc.subjectOcclusionen_US
dc.subjectInterventionen_US
dc.subjectSpasmen_US
dc.subjectPredictorsen_US
dc.subjectPreventen_US
dc.subjectFlowen_US
dc.subjectTrialen_US
dc.titleEffect of transient ulnar artery compression on radial artery diameteren_US
dc.typeArticleen_US

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