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Analysis of Subjective and Objective Screening Techniques as Predictors of Safety for Radial Artery Intervention.
Kiang, Sharon C; Nasiri, Arian J; Strilaeff, Ryan R; Prasad, Vinoy S; Bharadwaj, Aditya S; Miller, Paul A; Abou-Zamzam, Ahmed M; Tomihama, Roger T.
Afiliación
  • Kiang SC; Division of Vascular Surgery, Department of Surgery, Linda University School of Medicine, Loma Linda, CA; Division of Vascular Surgery, Department of Surgery, VA Loma Linda Healthcare System, Loma Linda, CA.
  • Nasiri AJ; Department of Radiology, Section of Vascular and Interventional Radiology, Linda University School of Medicine, Loma Linda, CA.
  • Strilaeff RR; Department of Radiology, Section of Vascular and Interventional Radiology, Linda University School of Medicine, Loma Linda, CA.
  • Prasad VS; Division of Cardiology, Department of Medicine, Linda University School of Medicine, Loma Linda, CA.
  • Bharadwaj AS; Division of Cardiology, Department of Medicine, Linda University School of Medicine, Loma Linda, CA.
  • Miller PA; Division of Vascular Surgery, Department of Surgery, VA Loma Linda Healthcare System, Loma Linda, CA.
  • Abou-Zamzam AM; Division of Vascular Surgery, Department of Surgery, Linda University School of Medicine, Loma Linda, CA.
  • Tomihama RT; Department of Radiology, Section of Vascular and Interventional Radiology, Linda University School of Medicine, Loma Linda, CA. Electronic address: rtomihama@llu.edu.
Ann Vasc Surg ; 65: 33-39, 2020 May.
Article en En | MEDLINE | ID: mdl-31726202
BACKGROUND: There is no currently accepted standard in safety evaluation for radial artery intervention. We sought to compare the accuracy of various subjective and objective screening techniques in predicting safety for radial artery intervention. METHODS: Fifty-four patients in a prospective cohort study at a single institution underwent subjective Allen's test, objective Barbeau test, and several objective hand ultrasound techniques to assess safety for radial artery intervention. These results were then compared to the gold standard of conventional hand angiography to document complete palmar arch. Statistical analysis including sensitivity, specificity, positive predictive values, negative predictive values, and accuracy were calculated. RESULTS: Compared to hand angiography, the subjective Allen's test and the objective Princeps Pollicis Artery ultrasound demonstrated the comparable levels of sensitivity (100% vs. 96.7%, respectively), specificity (100% vs. 100%, respectively), and accuracy (97.2% vs. 97.1%, respectively). The objective Barbeau test demonstrated similar results (sensitivity of 100%, accuracy of 98.2%) with the exception of a lower specificity (50%). CONCLUSIONS: There is no currently accepted standard in safety evaluation for radial artery intervention. However, preliminary data suggest that certain subjective and objective techniques such as Allen's testing, Princeps Pollicis artery ultrasound, and Barbeau testing are comparable options in predicting palmar arch patency.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Periférico / Angiografía / Arteria Radial / Ultrasonografía Doppler en Color / Mano Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Ann Vasc Surg Asunto de la revista: ANGIOLOGIA Año: 2020 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Periférico / Angiografía / Arteria Radial / Ultrasonografía Doppler en Color / Mano Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Ann Vasc Surg Asunto de la revista: ANGIOLOGIA Año: 2020 Tipo del documento: Article Pais de publicación: Países Bajos