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Assessment of the conventional radial artery with optical coherent tomography after the snuffbox approach

 Yongcheol Kim  ;  Sang Yeub Lee  ;  Dae In Lee  ;  Ju-Hee Lee  ;  Sang Min Kim  ;  Jang-Whan Bae  ;  Kyung-Kuk Hwang  ;  Dong-Woon Kim  ;  Myeong-Chan Cho  ;  Myung Ho Jeong 
 CARDIOLOGY JOURNAL, Vol.28(6) : 849-854, 2021-12 
Journal Title
Issue Date
anatomical snuffbox ; optical coherence tomography ; radial artery occlusion
Background: This study aimed to evaluate acute injuries of the radial artery (RA) using optical coherence tomography (OCT) in patients who underwent coronary intervention via the snuffbox approach.

Methods: Forty-six patients, who underwent coronary intervention and assessment of the conventional RA using OCT via the snuffbox approach, were enrolled from two university hospitals between August 2018 and August 2019.

Results: The mean age of the patients was 65.1 years. In this study population, 6-French (Fr) sheaths were used. The mean diameter of the conventional RA was 2.89 ± 0.33 mm, and the mean lumen area of the conventional RA was 6.68 ± 1.56 mm2. Acute injuries of the conventional RA, after the snuffbox approach, were observed in 5 (10.9%) patients. Intimal tear was observed in the RA in 1 (2.2%) case. Intraluminal thrombi, without vessel injuries, were detected in the RA in 4 (8.7%) cases. However, medial dissection was not observed in the OCT analysis.

Conclusions: This retrospective OCT-based study showed that the diameter of the conventional RA was 2.89 mm and acute vessel injury of the conventional RA was rare in patients who underwent coronary intervention via the snuffbox approach.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yongcheol(김용철) ORCID logo https://orcid.org/0000-0001-5568-4161
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