A Comparative Assessment of Dorsal Radial Artery Access Versus Classical Radial Artery Access for Percutaneous Coronary Angiography-a Randomized Control Trial (DORA Trial)

Overview

Journal Indian Heart J

Publisher Elsevier

Specialty Cardiology & Vascular Diseases

Date 2020 Nov 15

PMID 33189208

Citations 10

Authors

Awadhesh Kumar Sharma

M M Razi

Neeraj Prakash

Akhil Sharma

Sameer Sarraf

Santosh Sinha

Umeshwar Pandey

Ramesh Thakur

C M Verma

Vinay Krishna

Affiliations

Soon will be listed here.

Abstract

Objectives: This is an open-label randomized control trial with a parallel assignment with single masking comparing patients undergoing coronary angiography via dorsal radial and classical radial access.

Methods: Study done at three tertiary cardiac care centers for two years. A total of 970 patients were finally recruited for the study. Patients were randomly selected for dorsal radial artery access Group A (485 patients) and classical radial artery access Group B (485 patients) without any bias for age & sex.

Results: On comparative assessment both techniques are found to be equal in terms of procedural success rate. While dorsal access was superior in terms of fewer incidences of forearm radial artery occlusion, radial artery spasm, less post-procedure persistence of pain, and hand clumsiness. In comparison to this, the number of puncture attempts and time to achieve post-procedure hemostasis is less in classical radial access.

Conclusion: So both techniques have pros and coins and it is the discretion of interventionists to adopt which technique.

Citing Articles

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

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Incidence and Predictors of Early and Late Radial Artery Occlusion after Percutaneous Coronary Intervention and Coronary Angiography: A Systematic Review and Meta-Analysis.

Khalid A, Mautong H, Ahmed K, Aloul Z, Montero-Cabezas J, Marasco S J Clin Med. 2024; 13(19).

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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.

Arterial Accesses in Coronary Angiography and Intervention-Review with a Focus on Prognostic Relevance.

Langer C, Prog R Rev Cardiovasc Med. 2024; 23(10):331.

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Can Distal Radial Access Replace Conventional Radial Access for Coronary Catheterization? A Study Comparing Puncture Time, Attempts, Patient and Operator Comfort.

Lalani K, Devasia T, Paramasivam G Anatol J Cardiol. 2024; .

PMID: 39044621 PMC: 11426398. DOI: 10.14744/AnatolJCardiol.2024.4363.

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