{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:45:49Z","timestamp":1787071549929,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Proper catheter selection during right trans-radial coronary angiography reduces procedure duration, costs, and vascular complications. The correlation between aorta morphological parameters assessed through computed tomography (CT) and requirement for larger catheter size was investigated in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This observational study includes 206 patients who underwent right trans-radial coronary angiography and had already undergone coronary CT angiography at a recognized center from April 2023 to January 2025. Patients who completed angiography using a Judkins left (JL) 3.5 (Group 1) catheter were compared with patients who required catheter exchange with a JL 4 or larger (Group 2). Both groups had their CT images analyzed for four specific aortic morphological variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 167 patients formed Group 1, whereas 39 patients formed Group 2. The significant differences were detected in the maximal area and length of the ascending aorta among the four aortic CT variables. In multivariable logistic regression model, the strongest association with the need for JL4 or more catheter (Group 2) was found with the maximal area of the ascending aorta (odds ratio [OR] 31.82 [(95% confidence interval [CI]) 1.21\u2013831.18],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) followed by length of the ascending aorta (OR 29.97 [(95% CI) 1.06\u2013845.08],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). An ascending aorta maximal area cutoff value was 12.25 cm\n                      <jats:sup>2<\/jats:sup>\n                      (SN 94.9%, SP 95.2%) with the derived diameter of 3.94 cm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Maximum area (with derived diameter) and ascending aortic length were the good predictors for suitable catheter selection during right trans-radial invasive coronary angiography.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/tcmj.tcmj_56_25","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T15:02:28Z","timestamp":1762527748000},"page":"104-109","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Judkins left catheter size selection during right trans-radial coronary angiography using preprocedural coronary computed tomography angiography"],"prefix":"10.4103","volume":"38","author":[{"given":"Abdulameer Jasim Jawad","family":"Al-Gburi","sequence":"first","affiliation":[{"name":"Department of Medicine, College of Medicine, Mustansiriyah University, Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,7]]},"reference":[{"key":"R1-20260116","first-page":"e4","article-title":"2021 ACC\/AHA\/SCAI guideline for coronary artery revascularization: Executive summary: A report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"145","author":"Lawton","year":"2022","journal-title":"Circulation"},{"key":"R3-20260116","first-page":"e368","article-title":"2021 AHA\/ACC\/ASE\/CHEST\/SAEM\/SCCT\/SCMR guideline for the evaluation and diagnosis of chest pain: A report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"144","author":"Gulati","year":"2021","journal-title":"Circulation"},{"key":"R4-20260116","first-page":"88","article-title":"Coronary calcification in Iraqi middle-aged women with previous preeclampsia: A cohort study","volume":"23","author":"Al-Gburi","year":"2022","journal-title":"Iran Heart J"},{"key":"R5-20260116","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.jcct.2016.10.002","article-title":"SCCT guidelines for the performance and acquisition of coronary computed tomographic angiography: A report of the society of cardiovascular computed tomography guidelines committee: Endorsed by the North American Society for Cardiovascular Imaging (NASCI)","volume":"10","author":"Abbara","year":"2016","journal-title":"J Cardiovasc Comput Tomogr"},{"key":"R6-20260116","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1056\/NEJMoa2200963","article-title":"CT or invasive coronary angiography in stable chest pain","volume":"386","author":"Maurovich-Horvat","year":"2022","journal-title":"N Engl J Med"},{"key":"R7-20260116","doi-asserted-by":"crossref","first-page":"B36","DOI":"10.1093\/eurheartjsupp\/suac005","article-title":"Fully automated measurement of aortic root anatomy using Philips HeartNavigator computed tomography software: Fast, accurate, or both?","volume":"24","author":"Ko\u010dka","year":"2022","journal-title":"Eur Heart J Suppl"},{"key":"R8-20260116","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1136\/neurintsurg-2019-015764","article-title":"Transradial approach for neurointerventions: A systematic review of the literature","volume":"12","author":"Joshi","year":"2020","journal-title":"J Neurointerv Surg"},{"key":"R9-20260116","doi-asserted-by":"crossref","first-page":"37","DOI":"10.4314\/gmj.v57i1.6","article-title":"Short-term outcomes among patients with subclinical hypothyroidism undergoing primary percutaneous coronary intervention","volume":"57","author":"Al-Gburi","year":"2023","journal-title":"Ghana Med J"},{"key":"R10-20260116","doi-asserted-by":"crossref","first-page":"5355","DOI":"10.21037\/qims-22-1385","article-title":"Thyroid artery embolization of large solitary symptomatic benign thyroid nodules through transradial approach","volume":"13","author":"Cheng","year":"2023","journal-title":"Quant Imaging Med Surg"},{"key":"R11-20260116","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1053\/euhj.1999.1945","article-title":"Vascular complications and clinical outcome after coronary angioplasty with platelet IIb\/IIIa receptor blockade. 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