A novel predictor of radial spasm: Arterial stiffness

dc.authorid0000-0003-2995-8792
dc.authorid0000-0002-4281-0867
dc.authorid0000-0001-5825-8627
dc.authorid0000-0003-0230-6575
dc.authorid0000-0002-4607-5724
dc.authorid0000-0002-4951-6716
dc.contributor.authorOmaygenç, Mehmet Onur
dc.contributor.authorKaraca, İbrahim Oğuz
dc.contributor.authorİbişoğlu, Ersin
dc.contributor.authorGüneş, Hacı Murat
dc.contributor.authorKızılırmak, Filiz
dc.contributor.authorÇakal, Beytullah
dc.contributor.authorGüler, Ekrem
dc.contributor.authorBarutçu, İrfan
dc.contributor.authorBoztosun, Bilal
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:50:09Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:50:09Z
dc.date.issued2018
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.descriptionWOS: 000445748200006
dc.descriptionPubMed ID: 29985200
dc.description.abstractObjectiveIn this study, we aimed to assess the relationship between radial artery spasm (RAS) and arterial stiffness (AS) measured by the oscillometric method.Materials and methodsA total of 123 consecutive patients scheduled for elective coronary angiography in a single default radial center were enrolled for the study. AS [namely, augmentation pressure; augmentation index (AIx); and pulse wave velocity] was assessed using a validated oscillometric device (Mobil-O-Graph NG 24h PWA). Central arterial pressures were also recorded. In the cath lab, the number of puncture attempts, total procedural time (TPT), and largest catheter size were noted. If greater than two catheters were required to complete imaging, it was additionally specified. RAS was considered to exist if two or more of predefined clinical features were present.ResultsRAS was observed in 20 (16.3%) patients. Patients were divided into two distinct groups in terms of the occurence of RAS. In the RAS(+) group, the proportion of hypertensive individuals was significantly higher, whereas there were fewer smokers. With respect to operational data, TPT (24.39.8 vs. 29.3 +/- 9.1mins; P=0.038) and procedures carried out with more than one puncture attempts were significantly higher in the RAS(+) group. Among all oscillometric parameters, augmentation pressure, AIx, and PR were found to be higher in the RAS(+) group. According to multivariate analysis, TPT (P=0.029) and AIx (odds ratio: 1.044, 95% confidence interval=0.977-1.117; P=0.009) were found to be independent predictors of RAS.ConclusionAlong with conventional risk factors, AS assessment, as a practical, noninvasive method, may help to predict RAS in angiographic procedures.
dc.identifier.citationOmaygenç, M. O., Karaca, İ. O., İbişoğlu, E., Güneş, H. M., Kızılırmak, F., Çakal, B. ... Boztosun, B. (2018). A novel predictor of radial spasm: Arterial stiffness. Blood Pressure Monitoring, 23(5), 253-259. https://dx.doi.org/10.1097/MBP.0000000000000340
dc.identifier.doi10.1097/MBP.0000000000000340
dc.identifier.endpage259
dc.identifier.issn1359-5237
dc.identifier.issn1473-5725
dc.identifier.issue5
dc.identifier.scopusqualityQ1
dc.identifier.startpage253
dc.identifier.urihttps://dx.doi.org/10.1097/MBP.0000000000000340
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1895
dc.identifier.volume23
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofBlood Pressure Monitoringen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectArterial Stiffness
dc.subjectCoronary Angiography
dc.subjectPulse Wave Analysis
dc.subjectRadial Artery
dc.titleA novel predictor of radial spasm: Arterial stiffness
dc.typeArticle

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