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Central European Journal of Medicine

, Volume 9, Issue 1, pp 34–39 | Cite as

Allen’s test in patients with peripheral artery disease

  • Zoltán Ruzsa
  • Károly Tóth
  • Balázs Berta
  • István Koncz
  • György Szabó
  • Zoltán Jambrik
  • István Varga
  • Kálmán Hüttl
  • Béla Merkely
  • Attila Nemes
Research Article

Abstract

Introduction

Transradial (TR) approach for coronary and peripheral angiography has become a popular technique. The Allen’s test (AT) could be used to determine the presence of collateral flow in the hand. Recently, angiographic background of modified AT was evaluated, but patients with peripherial arterial disease (PAD) were excluded in these studies. Therefore, the present study was designed to assess reliability of AT in patients with symptomatic PAD.

Methods

The present study comprised 92 symptomatic patients with PAD (Rutherford class 2–6). Perfusion of the hand was assessed with AT before outpatient peripheral angiography.

Results

Significant RA stenosis (n=6, 12.5%) and UA stenosis (n=26, 54.2%) were found in 30 patients with positive AT (62.5%). In patients with negative AT, only UA showed significant stenoses (n=6, 13.6%). Thirty-eight patients with positive AT had anatomic abnormality in the forearm arteries or in the palmar arch (79.2%). Anatomic abnormality in the forearm arteries or in the palmar arch could be detected in 15 cases with negative AT (34.1%, p<0.0001). Conclusions. In the presence of an abnormal AT and concommitant PAD, the use of RA for peripheral or coronary catheterization and angioplasty is not recommended.

Keywords

Allen’s test Ishaemia Transradial access 

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Copyright information

© Versita Warsaw and Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Zoltán Ruzsa
    • 1
    • 2
  • Károly Tóth
    • 2
  • Balázs Berta
    • 1
  • István Koncz
    • 2
  • György Szabó
    • 1
  • Zoltán Jambrik
    • 1
  • István Varga
    • 3
  • Kálmán Hüttl
    • 1
  • Béla Merkely
    • 1
  • Attila Nemes
    • 4
  1. 1.Cardiovascular CenterSemmelweis UniversityBudapestHungary
  2. 2.Angiographic LaboratoryBács-Kiskun County HospitalKecskemétHungary
  3. 3.Angiographic LaboratoryKálmán Pándy County HospitalGyulaHungary
  4. 4.2nd Department of Medicine and Cardiology Center, Medical Faculty, Albert Szent-Györgyi Clinical CenterUniversity of SzegedSzegedHungary

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