Association between the Angle of the Left Subclavian Artery and Procedural Time for Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome
Background. The effect of left subclavian artery tortuosity during percutaneous coronary intervention (PCI) in patients with acute coronary syndrome (ACS) remains unclear. Methods. Of 245 ACS patients (from November 2019 and May 2021), 79 who underwent PCI via a left radial approach (LRA) were inclu...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Journal of Interventional Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2022/3249745 |
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| author | Masatsugu Miyagawa Daisuke Fukamachi Katsunori Fukumoto Masaki Monden Kurara Takahashi Shohei Migita Saki Mizobuchi Yudai Tanaka Akihito Ogaku Yutaka Koyama Hidesato Fujito Riku Arai Norio Takei Keisuke Kojima Korehito Iida Nobuhiro Murata Yasuo Okumura |
| author_facet | Masatsugu Miyagawa Daisuke Fukamachi Katsunori Fukumoto Masaki Monden Kurara Takahashi Shohei Migita Saki Mizobuchi Yudai Tanaka Akihito Ogaku Yutaka Koyama Hidesato Fujito Riku Arai Norio Takei Keisuke Kojima Korehito Iida Nobuhiro Murata Yasuo Okumura |
| author_sort | Masatsugu Miyagawa |
| collection | DOAJ |
| description | Background. The effect of left subclavian artery tortuosity during percutaneous coronary intervention (PCI) in patients with acute coronary syndrome (ACS) remains unclear. Methods. Of 245 ACS patients (from November 2019 and May 2021), 79 who underwent PCI via a left radial approach (LRA) were included. We measured the angle of the left subclavian artery in the coronal view on CT imaging as an indicator of the tortuosity and investigated the association between that angle and the clinical variables and procedural time. Results. Patients with a left subclavian artery angle of a median of <70 degrees (severe tortuosity) were older (75.4 ± 11.7 vs. 62.9 ± 12.3 years, P<0.001) and had a higher prevalence of female sex (42.1% vs. 14.6%, P=0.007), hypertension (94.7% vs. 75.6%, P=0.02), and subclavian artery calcification (73.7% vs. 34.2%, P<0.001) than those with that ≥70 degrees. The left subclavian artery angle correlated negatively with the sheath cannulation to the first balloon time (ρ = −0.51, P<0.001) and total procedural time (ρ = −0.32, P=0.004). A multiple linear regression analysis revealed that the natural log transformation of the sheath insertion to first balloon time was associated with a subclavian artery angle of <70 degrees (β = 0.45, P<0.001). Conclusion. Our study showed that lower left subclavian artery angles as a marker of the tortuosity via the LRA were strongly associated with a longer sheath insertion to balloon time and subsequent entire procedure time during the PCI. |
| format | Article |
| id | doaj-art-fd2bf79237c64744a8bfa2b28dcf362f |
| institution | Kabale University |
| issn | 1540-8183 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Interventional Cardiology |
| spelling | doaj-art-fd2bf79237c64744a8bfa2b28dcf362f2025-02-03T05:57:54ZengWileyJournal of Interventional Cardiology1540-81832022-01-01202210.1155/2022/3249745Association between the Angle of the Left Subclavian Artery and Procedural Time for Percutaneous Coronary Intervention in Patients with Acute Coronary SyndromeMasatsugu Miyagawa0Daisuke Fukamachi1Katsunori Fukumoto2Masaki Monden3Kurara Takahashi4Shohei Migita5Saki Mizobuchi6Yudai Tanaka7Akihito Ogaku8Yutaka Koyama9Hidesato Fujito10Riku Arai11Norio Takei12Keisuke Kojima13Korehito Iida14Nobuhiro Murata15Yasuo Okumura16Division of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyDivision of CardiologyBackground. The effect of left subclavian artery tortuosity during percutaneous coronary intervention (PCI) in patients with acute coronary syndrome (ACS) remains unclear. Methods. Of 245 ACS patients (from November 2019 and May 2021), 79 who underwent PCI via a left radial approach (LRA) were included. We measured the angle of the left subclavian artery in the coronal view on CT imaging as an indicator of the tortuosity and investigated the association between that angle and the clinical variables and procedural time. Results. Patients with a left subclavian artery angle of a median of <70 degrees (severe tortuosity) were older (75.4 ± 11.7 vs. 62.9 ± 12.3 years, P<0.001) and had a higher prevalence of female sex (42.1% vs. 14.6%, P=0.007), hypertension (94.7% vs. 75.6%, P=0.02), and subclavian artery calcification (73.7% vs. 34.2%, P<0.001) than those with that ≥70 degrees. The left subclavian artery angle correlated negatively with the sheath cannulation to the first balloon time (ρ = −0.51, P<0.001) and total procedural time (ρ = −0.32, P=0.004). A multiple linear regression analysis revealed that the natural log transformation of the sheath insertion to first balloon time was associated with a subclavian artery angle of <70 degrees (β = 0.45, P<0.001). Conclusion. Our study showed that lower left subclavian artery angles as a marker of the tortuosity via the LRA were strongly associated with a longer sheath insertion to balloon time and subsequent entire procedure time during the PCI.http://dx.doi.org/10.1155/2022/3249745 |
| spellingShingle | Masatsugu Miyagawa Daisuke Fukamachi Katsunori Fukumoto Masaki Monden Kurara Takahashi Shohei Migita Saki Mizobuchi Yudai Tanaka Akihito Ogaku Yutaka Koyama Hidesato Fujito Riku Arai Norio Takei Keisuke Kojima Korehito Iida Nobuhiro Murata Yasuo Okumura Association between the Angle of the Left Subclavian Artery and Procedural Time for Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome Journal of Interventional Cardiology |
| title | Association between the Angle of the Left Subclavian Artery and Procedural Time for Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome |
| title_full | Association between the Angle of the Left Subclavian Artery and Procedural Time for Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome |
| title_fullStr | Association between the Angle of the Left Subclavian Artery and Procedural Time for Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome |
| title_full_unstemmed | Association between the Angle of the Left Subclavian Artery and Procedural Time for Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome |
| title_short | Association between the Angle of the Left Subclavian Artery and Procedural Time for Percutaneous Coronary Intervention in Patients with Acute Coronary Syndrome |
| title_sort | association between the angle of the left subclavian artery and procedural time for percutaneous coronary intervention in patients with acute coronary syndrome |
| url | http://dx.doi.org/10.1155/2022/3249745 |
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