Distal Transradial Access: a Review of the Feasibility and Safety in Cardiovascular Angiography and Intervention

Overview

Journal BMC Cardiovasc Disord

Publisher Biomed Central

Specialty Cardiology & Vascular Diseases

Date 2020 Aug 8

PMID 32758150

Citations 22

Authors

Gaojun Cai

Haomin Huang

Feng Li

Ganwei Shi

Xiaolong Yu

Lei Yu

Affiliations

Soon will be listed here.

Abstract

Background: Transradial access (TRA) has been considered as the default choice in cardiac catheterization. Although infrequent, vascular complications of this approach remain. Recently, the distal transradial approach (dTRA) in cardiac catheterization was reported by interventionalists.

Methods: We retrieved the relevant literatures and reviewed the safety and feasibility of this novel approach in cardiac catheterization.

Results: The dTRA for cardiac intervention has superior safety and satisfaction. As a novel approach for cardiac catheterization, access related complications should also be considered by operators, such as RAO, radial spasm, bleeding and haematoma, and injury of the superficial branch of the radial nerve.

Conclusions: The dTRA in cardiovascular angiography and intervention was safe and feasible.

Citing Articles

Efficacy and success rate of Distal Radial Artery Access at the Anatomical Snuffbox for Coronary Intervention at Central Chest Institute of Thailand.

Thongplung K, Kanaderm C, Witayanan J, Kanoksilp A, Chantadansuwan T BMC Cardiovasc Disord. 2025; 25(1):115.

PMID: 39972419 PMC: 11837435. DOI: 10.1186/s12872-025-04545-7.

Impact of Nitroglycerine Injection on Radial Artery Outcomes in Distal Transradial Access.

Karaca M, Dagdeviren B Anatol J Cardiol. 2025; .

PMID: 39885713 PMC: 11904254. DOI: 10.14744/AnatolJCardiol.2025.4877.

Comparison of radial artery occlusion between traditional radial access and distal radial access for coronary angiography and intervention: A prospective cohort study.

Zahedmehr A, Dousti A, Alemzadeh-Ansari M, Gharibzadeh A, Sheibani M, MozafaryBazargany M Heliyon. 2024; 10(20):e39451.

PMID: 39502239 PMC: 11535977. DOI: 10.1016/j.heliyon.2024.e39451.

Distal versus proximal radial access in coronary angiography: a meta-analysis.

Lueg J, Schulze D, Stohr R, Leistner D Clin Res Cardiol. 2024; .

PMID: 39287659 DOI: 10.1007/s00392-024-02505-3.

Is catheterization via distal transradial access feasible in children? From vessel diameter perspective.

Zhao Y, Chen T, Yang L, Mao W, Wan Y, Zhang L Front Cardiovasc Med. 2024; 11:1428083.

PMID: 39156135 PMC: 11327814. DOI: 10.3389/fcvm.2024.1428083.

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