Skip to main content

ORIGINAL RESEARCH article

Front. Cardiovasc. Med.
Sec. Pediatric Cardiology
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1428083

Is catheterization via distal transradial access feasible in children? From vessel diameter perspective

Provisionally accepted
Yidong Zhao Yidong Zhao 1TAO CHEN TAO CHEN 2Ling Yang Ling Yang 1Wenjie Mao Wenjie Mao 1Yu Wan Yu Wan 1Liwen Zhang Liwen Zhang 1Heng Ding Heng Ding 1Gaojun Cai Gaojun Cai 2Zhiying Huang Zhiying Huang 1*
  • 1 Changzhou No.2 People's Hospital, Changzhou, China
  • 2 Changzhou Wujin People's Hospital, Changning, Jiangsu Province, China

The final, formatted version of the article will be published soon.

    Background: Distal radial artery (DRA) access is an infrequent alternative access for pediatric catheterization. The feasibility of using the DRA for arterial catheterization in children depends on the vessel's size.Objectives: This study aims to provide a reference for pediatric catheterization via DRA access by evaluating the diameter of the DRA in the anatomic snuffbox (AS).We conducted a retrospective review of clinical and vascular ultrasound data of 412 children (ages 3 to 12) who were scheduled for arterial blood gas analysis via the DRA due to serious respiratory diseases between June 2023 and October 2023.The corrected DRA diameter in the AS was 1.97 ± 0.37 mm overall, with no significant difference between males (1.98 ± 0.38 mm) and females (1.95 ± 0.35 mm) (p = 0.457). The anteroposterior, transverse, and corrected DRA diameters increased significantly with age (p< 0.05). The DRA diameter was significantly smaller than the proximal radial artery (PRA) diameter (1.97 ± 0.37 mm vs. 2.05 ± 0.33 mm, p < 0.001) but larger than the ulnar artery (UA) diameter (1.97 ± 0.37 mm vs. 1.88 ± 0.33 mm, p < 0.001). The proportions of patients with a DRA diameter greater than 2.0 mm and 1.5 mm were 38.83% and 86.89%, respectively. The proportions of patients with DRA diameters > 2.0 mm and > 1.5 mm increased significantly with age (p < 0.01). The percentages of individuals with a DRA/PRA ratio ≥ 1.0 were 55.10% overall, 52.12% in males, and 58.60% in females. DRA diameter showed significant correlations with age (r=0. 275, p<0.01), height (r=0.319, p<0.01), weight (r=0.319, p<0.01), BMI (r=0.241, p<0.01), wrist circumference (r=0.354, p<0.01), PRA diameter (r=0.521, p<0.01), and UA diameter (r=0.272, p<0.01). 3 Conclusion: The DRA diameter in children increases with age and size, making cardiac catheterization is theoretically feasible. Preoperative evaluation of the vessel diameter and intraoperative ultrasound-guided intervention are recommended for paediatric catheterization via the DRA access.

    Keywords: Cardiac Catheterization, Children, congenital heart disease, Radial Artery, unusual access

    Received: 05 May 2024; Accepted: 23 Jul 2024.

    Copyright: © 2024 Zhao, CHEN, Yang, Mao, Wan, Zhang, Ding, Cai and Huang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Zhiying Huang, Changzhou No.2 People's Hospital, Changzhou, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.