Evaluation of radial and ulnar artery blood flow after radial artery decannulation using colour Doppler ultrasound

BMC Anesthesiology

Qing-he Zhou¹  Hong-mei Zhou²  Huan-liang Tang³  Li-jia Liu⁴ 

[1] Department of anesthesiology and pain medicine, Affiliated Hospital of Jiaxing University, No.1882 Zhonghuan South Rd, 314001, Jiaxing, China;Department of anesthesiology, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China;Department of ultrasound, Affiliated Hospital of Jiaxing University, No.1882 Zhonghuan South Rd, 314001, Jiaxing, China;The Second Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou, China;

关键词: Catheterization;    Ultrasonography;    Radial artery;    Ulnar artery;    Regional blood flow;   

DOI  :  10.1186/s12871-021-01538-9

来源: Springer

【 摘 要 】

BackgroundThere is a lack of reports in the literature regarding changes in radial artery blood flow after decannulation. The objective of this study was to investigate changes in radial and ulnar artery blood flow after radial artery decannulation using Doppler ultrasound and to explore the factors that influence radial artery blood flow recovery.MethodsIn current observational study, we used colour Doppler ultrasound to measure the cross-sectional area of the radial (SR) and ulnar artery (SU) and peak systolic velocity of the radial (PSVR) and ulnar artery (PSVU) for both hands at four time points in patients with radial artery cannulation: pre-cannulation (T0), 30 min after decannulation (T1), 24 h after decannulation (T2), and 7 days after decannulation (T3). Repeated measures analysis of variance and logistic regression analysis were performed to analyse the data.ResultsOverall, 120 patients were included in the present study. We obtained the following results on the side ipsilateral to the cannulation: compared with T0, the ratio of PSVU/PSVR increased significantly at T1 and T2 (p < 0.01); compared with T1, the ratio of PSVU/PSVR decreased significantly at T2 and T3 (p < 0.01); compared with T2, the ratio of PSVU/PSVR decreased significantly at T3 (p < 0.01). Female sex (OR, 2.76; 95% CI, 1.01–7.57; p = 0.048) and local hematoma (OR 3.04 [1.12–8.25]; p = 0.029) were factors that were significantly associated with the recovery of radial artery blood flow 7 days after decannulation.ConclusionsThere was a compensatory increase in blood flow in the ulnar artery after ipsilateral radial artery decannulation. Female sex and local hematoma formation are factors that may affect the recovery of radial artery blood flow 7 days after catheter removal.

【 授权许可】

CC BY