Akses terbuka Jurnal SINTA 1
Predictors of right subclavian artery tortuosity in trans-radial coronary angiography access
Heart Science Journal · Vol. 6 No. 3 (2025)
- ISSN
- 2721-9984, 2721-9976
- Terbit
- 2025-07-31
- Penerbit
- Universitas Brawijaya
- Bahasa
- en
Abstrak
BACKGROUND: Trans-radial access has become the new standard and is increasingly in demand in coronary angiography. However, this method can fail due to tortuosity of the right subclavian artery. OBJECTIVES: This study aims to identify the predictors of right subclavian artery tortuosity. METHODS: This retrospective case-control study was conducted at two of the largest hospitals in West Nusa Tenggara, Indonesia. All research data were obtained from secondary sources, including video recordings of coronary angiographies, angiography reports, and patient medical records. Predictors included age, gender, smoking, height, body mass index, hypertension, diabetes mellitus, systolic and diastolic blood pressure, and random blood sugar. RESULTS: The study involved 80 subjects, divided into right subclavian artery tortuosity and normal group, with 40 subjects each. The prevalence of tortuosity was 8.1%, while the success rate of trans-radial access was 70.0%. Four significant predictors were identified: smoking (adjusted OR 0.26; p = 0.019), hypertension (adjusted OR 4.83; p = 0.020), diastolic blood pressure (adjusted OR 1.05; p = 0.044), and body mass index (adjusted OR 1.16; p = 0.035). The optimal cutoff points were determined to be a body mass index of ≥ 24.4 (sensitivity 60.0%; specificity 60.0%; p = 0.006; AUC = 0.665) and diastolic blood pressure of ≥ 78.5 mmHg (sensitivity 67.5%; specificity 67.5%; p = 0.002; AUC = 0.685). CONCLUSION: This study has identified smoking, hypertension, diastolic blood pressure, and body mass index as significant predictors of right subclavian artery tortuosity in trans-radial coronary angiography access.
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18 penulis · 60 tautan kepenulisan bersama · 12 lintas organisasi
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- University of Mataram
- Universitas Airlangga
- Organisasi berbeda
- Organisasi sama
- Afiliasi tidak diketahui
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Tampilkan sebagai tabel
| Rekan penulis | Organisasi | Artikel bersama |
|---|---|---|
| Dian Puspita Sari | University of Mataram | 4 |
| Kartika Aprilia | Universitas Airlangga | 3 |
| Budi Susetyo Pikir | Universitas Airlangga | 2 |
| Mulyanto Mulyanto | University of Mataram | 2 |
| Yudi Her Oktaviono | Universitas Airlangga | 1 |
| Budi Utomo | Universitas Airlangga | 1 |
| Widjiati Widjiati | Universitas Airlangga | 1 |
| Yoga Pamungkas Susani | University of Mataram | 1 |
| Wahyu Sulistya Affarah | University of Mataram | 1 |
| Putu Suwita Sari | University of Mataram | 1 |
| Ni Putu Sasmita Lestari | University of Mataram | 1 |
| Nurman Saputra | University of Mataram | 1 |
| Alfian Muhajir | University of Mataram | 1 |
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