Assessment of early radial injury after transradial coronary intervention by high-resolution ultrasound biomicroscopy: innovative technology application.

Hua Shen; Yu-jie Zhou; Yu-yang Liu; Jie DU; Xiao-li Liu; Zhen-xian Yan; Zhi-jian Wang; Fei Gao; Shi-wei Yang; De-an Jia; Hong-ya Han; Miao YU; Qian MA; Xiao-han XU

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Assessment of early radial injury after transradial coronary intervention by high-resolution ultrasound biomicroscopy: innovative technology application.

Author: Hua SHEN ¹ ; Yu-Jie ZHOU ; Yu-Yang LIU ; Jie DU ; Xiao-Li LIU ; Zhen-Xian YAN ; Zhi-Jian WANG ; Fei GAO ; Shi-Wei YANG ; De-An JIA ; Hong-Ya HAN ; Miao YU ; Qian MA ; Xiao-Han XU
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1. Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Disease, The Key Laboratory of Remodeling-related Cardiovascular Disease, Ministry of Education, Beijing 100029, China.
Publication Type:Journal Article
MeSH: Aged; Angioplasty, Balloon, Coronary; adverse effects; Carotid Intima-Media Thickness; Female; Humans; Male; Microscopy, Acoustic; methods; Middle Aged; Radial Artery; diagnostic imaging; injuries
From: Chinese Medical Journal 2012;125(19):3388-3392
CountryChina
Language:English
Abstract:
BACKGROUNDTransradial coronary intervention (TRI) introduces injury to the radial artery (RA) which will affect repeat transradial coronary procedure and the quality as a bypass conduit. We sought to compare the early radial injury after TRI between first-TRI and repeat-TRI by ultrasound biomicroscopy (UBM).
METHODSA total of 1116 patients who underwent the transradial coronary procedures were enrolled. The patients depending on whether for the first time to accept transradial coronary procedure were divided into first-TRI group and repeat-TRI group. The RA was examined by UBM before and one day after the procedure.
RESULTSCompared with first-TRI group, the mean RA diameter of repeat-TRI one day after the procedure decreased significantly (P < 0.05). In first-TRI group, the mean RA diameter was (2.32 ± 0.53) and (1.93 ± 0.57) mm before procedure and one day after the procedure respectively (P < 0.05). In repeat-TRI group, the mean RA diameter was (2.37 ± 0.51) and (1.79 ± 0.54) mm before procedure and one day after the procedure, respectively (P < 0.01). Compared with first-TRI group, the mean RA diameter was reduced significantly in repeat-TRI group one day after the procedure (P < 0.05). The early radial injuries and intimal thickening were compared between first-TRI and repeat-TRI. The mean intima-media thickness of RA was (0.24 ± 0.13) mm and (0.59 ± 0.28) mm before procedure and one day after the procedure in first-TRI group. The mean intima-media thickness of RA was (0.29 ± 0.16) mm and (0.68 ± 0.32) mm before procedure and one day after the procedure in repeat-TRI group. Compared with first-TRI group, the mean intimal thickening was increased significantly in repeat-TRI group one day after the procedure (P < 0.05). Intimal dissection, stenosis and occlusion were all significantly greater in repeat-TRI RAs (P < 0.05). Linear regression analysis revealed that diameter, repeated TRI procedure and PCI procedure were the independent predictors of intimal thickening.
CONCLUSIONSRA early injuries were greater in repeat-TRI patients than in first-TRI patients. We first use high-resolution UBM imaging to demonstrate the rate of radial injury and revealed that diameter, repeated TRI procedure and PCI procedure were the independent predictors of intimal thickening.