Open access Journal 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
- Published
- 2025-07-31
- Publisher
- Universitas Brawijaya
- Language
- en
Abstract
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.
Keywords
Collaboration network of the authors
24 authors · 73 co-authorship links · 1 across different organisations
Hover or tap a name to highlight its co-authors. Double-click to open the author's page.
- Universitas Muhammadiyah Riau
- Diponegoro University
- Affiliation unknown
- Different organisations
- Same organisation
- Affiliation unknown
- Thicker line = more joint articles · bigger circle = more articles
Show as table
| Co-author | Organisation | Joint articles |
|---|---|---|
| Dian Puspita Sari | Affiliation unknown | 4 |
| Kartika Aprilia | Affiliation unknown | 3 |
| Mulyanto Mulyanto | Universitas Muhammadiyah Riau | 2 |
| Budi Susetyo Pikir | Affiliation unknown | 2 |
| Refin Malikul Iskandar | Affiliation unknown | 1 |
| Erwin Susanto | Affiliation unknown | 1 |
| Salih Alimudin | Affiliation unknown | 1 |
| Elsa Virna Renata | Affiliation unknown | 1 |
| Elly L. Rustiati | Affiliation unknown | 1 |
| Sunandar Sunandar | Affiliation unknown | 1 |
| Budi Utomo | Diponegoro University | 1 |
| Yudi Her Oktaviono | Affiliation unknown | 1 |
| Widjiati Widjiati | Affiliation unknown | 1 |
| Yoga Pamungkas Susani | Affiliation unknown | 1 |
| Wahyu Sulistya Affarah | Affiliation unknown | 1 |
| Putu Suwita Sari | Affiliation unknown | 1 |
| Ni Putu Sasmita Lestari | Affiliation unknown | 1 |
| Nurman Saputra | Affiliation unknown | 1 |
| Alfian Muhajir | Affiliation unknown | 1 |
Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.