We conducted a single-center prospective analysis of 207 patients underwent CCA. A radial artery ultrasound performed pre and post CCA to measure RAD, CSA, and perimeter.
The average RAD, CSA and perimeter were (2.7 ± 0.55 mm), (6.3 ± 1.9 mm2), (9.2 ± 1.7 mm) respectively. The same measurements were significantly larger in men than in women (2.8 ± 0.5 vs. 2.3 ± 0.4 mm [P < 0.0001], 6.7 ± 1.8 vs. 4.9 ± 1.4 mm [P < 0.0001], and 9.6 ± 1.5 vs. 9 ± 1.7 mm [P = 0.001], respectively). Fourteen patients (6.8%) had VACs. The RAD, CSA and perimeter were significantly smaller in procedures with VACs than in procedure with no complications (2.1 ± 0.5 vs. 2.7 ± 0.5 [P = 0.014], 4.6 ± 1.4 vs. 9.4 ± 1.6 [P = 0.014], and 7.2 ± 1.8 vs. 9.4 ± 1.6 [P = 0.022], respectively). Univariate logistic regression showed that radial ultrasonic parameters can independently predict VACs as follows: RAD (Odds ratio (OR) = 1.4. 95% CI 1.08–1.68, p = 007) for RAD, (OR = 2. 26. 95% CI 1.11–4.58, p = 0. 24) For CSA and (OR = 2.86. 95% CI 1.3–6, p = 0. 006) for perimeter.
ultrasonic study of the radial artery before CCA can provide important information regarding the vascular access. We found that a smaller radial diameter, CSA and perimeter are associated with higher rates of VACs.