Ultrasound evaluation of the radial artery in young adults - A pilot study

Ann Anat. 2021 Nov:238:151763. doi: 10.1016/j.aanat.2021.151763. Epub 2021 May 27.

Abstract

The radial artery is a vessel frequently used in various medical procedures which carry a risk of complications. One such method used to minimize the number of complications is a profound knowledge of the artery's diameter, which allows for appropriate selection of an instrument to use for puncture. The purpose of this study is to determine the diameter of the radial artery and its depth from the skin surface in young adults.

Material and methods: 96 volunteers participated in the study. The average age of the volunteers was 20.43 years. All participants underwent a B-mode ultrasonography to measure the distal radial artery's diameter. Certified anthropometric instruments were used to determine the relation between the artery diameter and the selected basic anthropometric parameters.

Results: The mean right arterial diameter for the entire examined population at the level of the styloid process was mean 1.42 (SD 0.26) mm and its distance to the skin was mean 4.00 (SD1.20) mm. Statistical analysis revealed the presence of moderate positive relationship between the diameter of the radial artery and body weight and between the diameter of the radial artery and BMI. A weak correlation between the artery diameter and the width of the wrist was also present.

Conclusion: In the present work, we aimed to determine the dimensions of the distal section of the radial artery in young people free from symptoms of cardiovascular diseases. The obtained initial study results advise selecting instruments for vascular puncture individually, with special attention paid to slender people with slim wrists.

Keywords: BMI; Coronary angiography access; Peripheral vascular access; Radial artery diameter; Ultrasonography.

MeSH terms

  • Adolescent
  • Adult
  • Coronary Angiography
  • Humans
  • Pilot Projects
  • Radial Artery* / diagnostic imaging
  • Ultrasonography
  • Wrist*
  • Young Adult