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Impact of Diabetes Mellitus on Radial and Ulnar Arterial Vasoreactivity after Radial Artery Cannulation: A Randomized Controlled trial

Authors
 Eun Jung Kim  ;  Sarah Soh  ;  So Yeon Kim  ;  Hae Keum Kil  ;  Jae Hoon Lee  ;  Jeong Min Kim  ;  Tae Whan Kim  ;  Bon-Nyeo Koo 
Citation
 International Journal of Medical Sciences, Vol.13(9) : 701-707, 2016 
Journal Title
 International Journal of Medical Sciences 
Issue Date
2016
MeSH
Adult ; Blood Flow Velocity/physiology* ; Catheterization/methods ; Diabetes Complications/diagnostic imaging ; Diabetes Complications/physiopathology* ; Endothelial Cells/pathology ; Female ; Hemodynamics ; Humans ; Male ; Middle Aged ; Radial Artery/diagnostic imaging ; Radial Artery/physiopathology* ; Ulnar Artery/diagnostic imaging ; Ulnar Artery/physiopathology* ; Ultrasonography, Doppler, Duplex
Keywords
Diabetes mellitus ; catheterization ; radial artery ; ulnar artery ; ultrasonography, doppler, duplex
Abstract
BACKGROUND: Endothelial dysfunction associated with diabetes mellitus (DM) may influence arterial vasoreactivity after arterial stimulus, such as cannulation, and cause changes in diameter and blood flow. Despite the frequent use of arterial cannulation during anesthesia and critical care, little information is available regarding vasoreactivity of the radial and ulnar arteries and its influence on underlying DM. METHODS: Forty non-DM and 40 DM patients, who required arterial cannulation during general anesthesia, were enrolled. Using duplex Doppler ultrasonography, we measured the patients' arterial diameter, peak systolic velocity, end-diastolic velocity, resistance index, and mean volume flow of both arteries at five different time points. RESULTS: After radial artery cannulation, ulnar arterial diameter and blood flow did not significantly increase in DM group, as they did in non-DM group. Ulnar arterial resistance index significantly increased in both groups, but the degree of decrease in DM group was significantly less than non-DM. CONCLUSION: Ulnar artery's ability to increase blood flow for compensating the sudden reduction of radial arterial flow in DM patients was significantly less than that in non-DM patients under general anesthesia. Such attenuated vasoreactivity of ulnar artery to compensate the reduced radial arterial flow may have to be considered in radial arterial cannulation for DM patients.
DOI
10.7150/ijms.16007
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
구본녀(Koo, Bon-Nyeo) ORCID logo https://orcid.org/0000-0002-3189-1673
길혜금(Kil, Hae Keum)
김소연(Kim, So Yeon) ORCID logo https://orcid.org/0000-0001-5352-157X
김은정(Kim, Eun Jung) ORCID logo https://orcid.org/0000-0002-5693-1336
김정민(Kim, Jeongmin) ORCID logo https://orcid.org/0000-0002-0468-8012
소사라(Soh, Sa Rah) ORCID logo https://orcid.org/0000-0001-5022-4617
이재훈(Lee, Jae Hoon) ORCID logo https://orcid.org/0000-0001-6679-2782
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151767
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