The value of combined cardiac and cerebral arteriography via the radial artery approach in patients with panvascular disease

Fan Jianhua; Liu Shiyu; Chang Cheng; Lu Licheng; Zhang Rong; He Xiaogang; Xu Haixiang; Pan Wen

Abstract：Objective To explore the value of combined cardiac and cerebral arteriography via the radial artery approach in comparison with separate procedures in patients with panvascular disease.Methods This study retrospectively analyzed the data of patients who underwent combined cardiac and cerebral arteriography via the radial artery approach at the Kunshan Traditional Chinese Medicine Hospital,and compared them with patients who underwent coronary angiography and cerebral angiography separately.The primary observation indicators included puncture success rate,angiography success rate,contrast agent dosage,X-ray exposure time,selective catheterization success rate,and puncture site complications.Results In the observation group,100 patients were included,of whom 92 patients successfully underwent combined cardiac and cerebral arteriography via the radial artery approach.In the control group,100 patients underwent coronary angiography and cerebral angiography separately.Compared with the observation group,the control group had a lower angiography success rate(92%vs.100%,P<0.007),shorter operation time[(42.80±5.72)min vs.(69.57±7.30)min,P<0.001],and shorter postoperative braking time[(6.08±0.82)min vs.(22.62±4.74)min,P<0.001].There were no significant differences between the two groups in radial artery puncture success rate(98%vs.100%,P=0.497),contrast agent dosage[(152.17±5.90)ml vs.(150.70±8.65)ml,P=0.661],X-ray exposure time[(14.10±1.49)min vs.(14.09±1.43)min,P=0.906],selective catheterization success rate(87%vs.95%,P=0.05),and hematoma complications(3.3%vs.9.0%,P=0.093).Conclusion Separate coronary and cerebral angiography has a high success rate and selective catheter placement rate,but performing combined coronary and cerebral angiography through the radial artery approach can significantly reduce the procedure time and postoperative immobilization time.