ClinicalTrials.gg
Not yet recruitingNCT07926139Updated Nov 9, 2026

Relationship Between Body Mass Index Percentiles and Radial and Ulnar Artery Diameters in Pediatric Patients

An observational study in Body Mass Index, Radial Artery Diameter and Ulnar Artery Diameter, sponsored by Ankara Etlik City Hospital. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 0 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Ankara Etlik City Hospital · Observational

Updated Nov 9, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
0 Years to 18 Years
Sex
All
01

Study summary

Arterial catheterization in pediatric patients is a critical invasive procedure requiring precise vessel selection to prevent vascular complications. Vessel size is historically predicted based on age or weight; however, body composition expressed through Body Mass Index (BMI) percentiles may provide a more individualized assessment.

This prospective observational study aims to evaluate how radial and ulnar artery cross-sectional diameters change according to BMI percentile groups (underweight, normal weight, overweight, obese) using high-frequency linear ultrasound in children aged 0-18 years undergoing elective surgery under general anesthesia. The findings are intended to assist clinicians in choosing appropriate cannula sizes based on body composition rather than age alone.

Read the detailed description

Following ethics committee approval and written informed consent from legal guardians, 200 pediatric patients aged 0-18 years undergoing elective surgery under general anesthesia will be enrolled. Height and weight will be measured preoperatively to calculate BMI percentiles and classify patients into four categories (\<5th percentile: underweight; 5th-84th: normal weight; 85th-94th: overweight; $\ge$95th: obese). Under general anesthesia with standard induction protocols, measurements of the radial and ulnar artery internal diameters will be obtained on the dominant arm using a high-frequency linear probe (6-13 MHz, SAMSUNG HM70 EVO) after hemodynamic stability is established. Each diameter will be measured twice and averaged.

02

Conditions studied

  • Body Mass Index
  • Radial Artery Diameter
  • Ulnar Artery Diameter
  • Pediatric Anesthesia

Keywords

  • Pediatric vascular access
  • Radial artery diameter
  • Ulnar artery diameter
  • Body Mass Index percentiles
  • Ultrasonography
03

In context

Lead sponsor

Ankara Etlik City Hospital is the lead sponsor of 176 studies on the registry; 77 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Pediatric patients aged 0 to 18 years scheduled for elective surgical procedures under general anesthesia at Ankara Etlik City Hospital.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Children aged 0 to 18 years
  • (ASA) physical status class I, II, or III
  • Scheduled for elective surgical procedures under general anesthesia
  • Hemodynamically stable and cooperative during measurement
  • Upper extremities physically examinable for vascular structure
  • Written obtained from parents or legal guardians

Exclusion criteria

Exclusion Criteria:

  • Age >18 years
  • class IV or higher
  • Emergency surgical procedures
  • Active infection or skin lesion at the ultrasound measurement site
  • Presence of vascular anomalies, congenital limb abnormalities, or history of vascular surgery on upper extremities
  • History of heart failure, severe edema, or severe hemodynamic instability
  • Previous arterial cannulation or puncture history on the target limb
  • Inability to obtain accurate ultrasound measurements due to severe crying or restlessness
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
200 participants (estimated)
Target follow-up
4 Months
Patient registry
Yes

Groups and cohorts

  • Underweight Group (<5th Percentile)

    Pediatric patients aged 0-18 years with a BMI percentile below the 5th percentile undergoing elective surgery under general anesthesia. Ultrasound measurements of radial and ulnar artery diameters will be performed.

  • Normal Weight Group (5th-84th Percentile)

    Pediatric patients aged 0-18 years with a BMI percentile between the 5th and 84th percentiles undergoing elective surgery under general anesthesia. Ultrasound measurements of radial and ulnar artery diameters will be performed.

  • Overweight Group (85th-94th Percentile)

    Pediatric patients aged 0-18 years with a BMI percentile between the 85th and 94th percentiles undergoing elective surgery under general anesthesia. Ultrasound measurements of radial and ulnar artery diameters will be performed.

  • Obese Group (≥ 95th Percentile)

    Pediatric patients aged 0-18 years with a BMI percentile at or above the 95th percentile undergoing elective surgery under general anesthesia. Ultrasound measurements of radial and ulnar artery diameters will be performed.

06

What researchers measure

Primary outcomes

  1. Radial Artery Diameter (mm)

    Internal diameter of the radial artery measured on the bilateral wrist using ultrasound under general anesthesia.

    Time frame: Intraoperatively, immediately following general anesthesia induction after hemodynamic stability is achieved.

  2. Ulnar Artery Diameter (mm)

    Internal diameter of the ulnar artery measured on the bilateral wrist using ultrasound under general anesthesia.

    Time frame: Intraoperatively, immediately following general anesthesia induction after hemodynamic stability is achieved.

Secondary outcomes

  1. Radial vs. Ulnar Artery Diameter Difference (mm)

    Numerical difference between radial and ulnar artery diameters within the same individual.

    Time frame: Intraoperatively on the day of surgery.

  2. Correlation Between Artery Diameters and Anthropometric Parameters

    Evaluation of the statistical correlation between arterial diameters and age, weight, height, and precise BMI percentile values.

    Time frame: Intraoperatively on the day of surgery.

  3. Arterial Depth (mm)

    Depth of the radial and ulnar arteries from the skin surface measured using ultrasound on the bilateral wrist.

    Time frame: Intraoperatively, immediately following general anesthesia induction after hemodynamic stability is achieved.

07

Study locations

1 site
  • Ankara Etlik City Hospital, Pediatric Operating Rooms
    Ankara, Turkey (Türkiye)
08

References and documents

Publications

  • Dharma S, Kedev S, Patel T, Rao SV, Bertrand OF, Gilchrist IC. Radial artery diameter does not correlate with body mass index: A duplex ultrasound analysis of 1706 patients undergoing trans-radial catheterization at three experienced radial centers. Int J Cardiol. 2017 Feb 1;228:169-172. doi: 10.1016/j.ijcard.2016.11.145. Epub 2016 Nov 11. PubMed 27865181 ↗
  • Mavarez AC, Ripat C, Char S, Abuchaibe V, Galarza M, Halliday N, Varga EQS. Evaluation of distal radial artery cross-sectional internal diameter in neonates and infants by ultrasound and adequate selection of an intra-arterial catheter size. Paediatr Anaesth. 2021 Dec;31(12):1350-1356. doi: 10.1111/pan.14293. Epub 2021 Sep 20. PubMed 34510638 ↗
  • Kemmochi M, Nawa Y, Ohno S, Sawashita Y, Terada H, Oba K. Analysis of the radial and ulnar arteries using ultrasound and a vascular visualization device in children. Paediatr Anaesth. 2022 Jun;32(6):747-753. doi: 10.1111/pan.14434. Epub 2022 Mar 28. PubMed 35267230 ↗

Individual participant data

Plan to share: Yes — Individual participant data that underlie the results reported in the final study publication, after de-identification, will be made available following the completion of data collection and publication of the primary study results.

Supporting information: Study protocol, Informed consent form

Time frame: Data will be available starting 6 months following article publication and for up to 36 months post-publication.

Access criteria: Data will be shared with qualified clinical researchers who submit a methodologically sound proposal for secondary research. Requests should be directed to the Principal Investigator at [mustafa.sait.03@gmail.com]. A signed data use agreement will be required.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07926139
Responsible party
Mustafa Sait Katrancı (Anesthesiology Resident Doctor, Ankara Etlik City Hospital) — Principal investigator
First posted
Nov 9, 2026
Start date
Nov 9, 2026 (estimated)
Primary completion
Feb 9, 2027 (estimated)
Completion
Feb 19, 2027 (estimated)
Last update
Nov 9, 2026

Study contacts

Dr. Mustafa Sait Katrancı Anesthesiology Resident
Contact
mustafa.sait.03@gmail.com
00905078903425
Aslı Dönmez, Prof. Dr. Co-Investigator / Academic Supervisor / Professor, Professor
Contact
aslidonmez@hotmail.com
00905322256473
Aslı Dönmez, Prof. Dr.
study director · Ankara Etlik City Hospital, Department of Anesthesiology and Reanimation

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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