Author(s)

Yang Xiaojie ¹, Wu Guiping ², Li Xin ², Qi Wenqiang ²

Affiliation(s)

¹ Department of Cardiology, Gongqingcheng People's Hospital, Gongqingcheng City, Jiangxi, 3320201, China
² Department of Cardiology, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, 330006, China

Corresponding Author

Qi Wenqiang

ABSTRACT

Flow-mediated dilation (FMD) has shown benefits in cardiovascular interventions, but its impact on distal radial artery punctures needs exploration. This study investigated FMD's efficacy in improving cannulation success and reducing complications. In a controlled trial, 200 patients were randomized into FMD treatment and waiting-observation groups. The FMD group had a higher success rate (94% vs. 84%), fewer attempts (1.4 vs. 2.3), and a lower pulse disappearance rate (4% vs. 12%). FMD's effectiveness was more pronounced in younger patients, males, and those without hypertension and diabetes. FMD pre-treatment enhances radial artery cannulation success, reduces attempts, and minimizes complications. The findings support integrating FMD in clinical settings to improve vascular access outcomes, especially in specific patient demographics.

KEYWORDS

Flow-mediated dilation, Distal radial artery punctures, Cannulation success rate, Procedural complications, Patient demographics

CITE THIS PAPER

Yang Xiaojie, Wu Guiping, Li Xin, Qi Wenqiang, The Impact of Flow-Mediated Dilation on the Success Rate of Distal Radial Artery Puncture. MEDS Clinical Medicine (2024) Vol. 5: 161-167. DOI: http://dx.doi.org/10.23977/medsc.2024.050225.

REFERENCES

[1] Nairoukh Z, et al. Distal Radial Artery Access: The Future of Cardiovascular Intervention. Cureus. 2020 Mar; 12(3):e7201.
[2] BB G, et al. Transvenous embolization of indirect carotid-cavernous fistula via puncture of the cubital vein and distal radial artery. Radiology Case Reports. 2020 Jul; 15(7):1103-1109.
[3] M Z, et al. Ultrasound-guided distal transradial access for cardiac catheterization: Technical notes for the interventionalist. Catheterization and Cardiovascular Interventions. 2023; null.
[4] MG T, et al. Prospective evaluation of efficacy and safety of distal radial and radial artery access using a novel articulating-tip guidewire. The Journal of Vascular Access. 2023; null: 11297298231212227.
[5] K N, et al. Importance of measurement of the diameter of the distal radial artery in a distal radial approach from the anatomical snuffbox before coronary catheterization. Heart and Vessels. 2019 Oct; 34(10):1615-1620.
[6] Zencirci E, Esen Zencirci A, Degirmencioglu A. A randomized trial of flow-mediated dilation to prevent radial artery spasm during transradial approach. Minerva Cardiol Angiol. 2022 May; 70(5):563-571. doi:10.23736/S2724-5683. 20.05463-8.
[7] F Y, I Y. Distal radial approach: a review on achieving a high success rate. Cardiovascular Intervention and Therapeutics. 2021 Jan; 36(1):30-38.
[8] Y L, et al. Effect of electric function training instrument for arteriovenous fistula on vascular index of fistula and puncture success rate in patients with autogenous arteriovenous fistulization. Biotechnology & Genetic Engineering Reviews. 2023; 1-11.
[9] D Y, et al. The clinical experience of midline guidance combined with local zoom in ultrasound-guided radial artery puncture and catheterization in patients with shock. Asian Journal of Surgery. 2024; null.
[10] LM L, et al. Efficacy and Safety of Coronary Intervention via Distal Transradial Access (dTRA) in Patients with Low Body Mass Index. Journal of Interventional Cardiology. 2022; 2022:1901139.
[11] HJ L, et al. Ginseng-Induced Changes to Blood Vessel Dilation and the Metabolome of Rats. Nutrients. 2020 Aug; 12(8).
[12] Kimura M, Ueda K, Goto C, et al. Repetition of ischemic preconditioning augments endothelium-dependent vasodilation in humans: role of endothelium-derived nitric oxide and endothelial progenitor cells. Arterioscler Thromb Vasc Biol. 2007 Jun; 27(6):1403-1410.
[13] Patel MR, Jneid H, Derdeyn CP, et al. Arteriotomy closure devices for cardiovascular procedures: a scientific statement from the American Heart Association. Circulation. 2010 Oct; 122(18):1882-1893.
[14] L Y, et al. Flow-mediated dilatation to relieve puncture-induced radial artery spasm: A pilot study. Cardiology Journal. 2018; 25(1):1-6.
[15] F M, et al. Characterization of blood flow patterns and endothelial shear stress during flow-mediated dilation. Clinical Physiology and Functional Imaging. 2019 Jul; 39(4):240-245.
[16] C T, et al. Blood urea impairs brachial artery flow mediated dilation. International Angiology. 2015; 34(4):392-397.
[17] Y L, et al. Ultrasound-guided lumbar puncture improves success rate and efficiency in overweight patients. Neurology Clinical Practice. 2020 Aug; 10(4):307-313.
[18] H M, et al. Sex and gender differences in intensive care medicine. Intensive Care Medicine. 2023 Oct; 49(10):1155-1167.
[19] EL S. Hypertension in 2017: Novel mechanisms of hypertension and vascular dysfunction. Nature Reviews Nephrology. 2018 Feb; 14(2):73-74.
[20] de Oliveira MG, NW, M FZ. Endothelial and vascular smooth muscle dysfunction in hypertension. Biochemical Pharmacology. 2022; 205:115263.
[21] S D, et al. Moderate procedural sedation and opioid analgesia during transradial coronary interventions to prevent spasm: a prospective randomized study. JACC Cardiovascular Interventions. 2013 Mar; 6(3):267-273.
[22] SB P. Impact of two different hemostatic devices on radial artery outcomes after transradial catheterization. The Journal of Invasive Cardiology. 2009 Mar; 21(3):101-104.

Sponsors, Associates, and Links

---

• Journal of Neurobiology and Genetics
  
  
• Medical Imaging and Nuclear Medicine
  
  
• Bacterial Genetics and Ecology
  
  
• Transactions on Cancer
  
  
• Journal of Biophysics and Ecology
  
  
• Journal of Animal Science and Veterinary
  
  
• Academic Journal of Biochemistry and Molecular Biology
  
  
• Transactions on Cell and Developmental Biology
  
  
• Rehabilitation Engineering & Assistive Technology
  
  
• Orthopaedics and Sports Medicine
  
  
• Hematology and Stem Cell
  
  
• Journal of Intelligent Informatics and Biomedical Engineering
  
  
• MEDS Basic Medicine
  
  
• MEDS Stomatology
  
  
• MEDS Public Health and Preventive Medicine
  
  
• MEDS Chinese Medicine
  
  
• Journal of Enzyme Engineering
  
  
• Advances in Industrial Pharmacy and Pharmaceutical Sciences
  
  
• Bacteriology and Microbiology
  
  
• Advances in Physiology and Pathophysiology
  
  
• Journal of Vision and Ophthalmology
  
  
• Frontiers of Obstetrics and Gynecology
  
  
• Digestive Disease and Diabetes
  
  
• Advances in Immunology and Vaccines
  
  
• Nanomedicine and Drug Delivery
  
  
• Cardiology and Vascular System
  
  
• Pediatrics and Child Health
  
  
• Journal of Reproductive Medicine and Contraception
  
  
• Journal of Respiratory and Lung Disease
  
  
• Journal of Bioinformatics and Biomedicine