Feasibility and Safety of the Distal Transradial Artery for Coronary Diagnostic or Interventional Catheterization

Overview

Journal J Interv Cardiol

Publisher Wiley

Specialty Cardiology & Vascular Diseases

Date 2020 Dec 31

PMID 33380922

Citations 15

Authors

Yaowang Lin

Xin Sun

Ruimian Chen

Huadong Liu

Xinli Pang

Jie Chen

Shaohong Dong

Affiliations

Soon will be listed here.

Abstract

Background: This prospective study compared the success rate and safety of a distal transradial artery (dTRA) approach to that of the conventional transradial artery (TRA) for coronary angiography or percutaneous coronary intervention.

Methods: From January 2019 to April 2020, nine hundred consecutive patients (height < 190 cm) scheduled for coronary angiography or percutaneous coronary interventions were randomly and equally assigned to receive either dTRA or conventional TRA catheterization.

Results: Successful access was achieved in 96.00% and 96.67% of the dTRA and conventional TRA groups, respectively (=0.814). Compared with the TRA group, patients in the dTRA experienced significantly less hemostatic band removal time (150.5 ± 50.5 cf. 210.6 ± 60.5 min, =0.032); minor bleeding of the access site (2.44% cf. 6.44%, =0.038); hemostatic band cost (USD; 0.1 cf. 59.4, =0); and postprocedural radial artery occlusion (1.56% cf. 3.78%, =0.035). A lower body mass index was a higher risk factor for dTRA access failure (odds ratio = 0.79, =0.024), with a cutoff of 22.04 kg/m.

Conclusion: Compared to conventional TRA, dTRA had a comparable high success rate, with fewer associated complications. Clinicians should use the dTRA with caution in patients with low body mass index.

Citing Articles

Risk factors for puncture-related complications after cerebrovascular angiography and neuroendovascular intervention with distal transradial approach.

Wang W, Ma Y, Wang C, Shi P, Lv W, Fan G BMC Neurol. 2024; 24(1):432.

PMID: 39506670 PMC: 11539764. DOI: 10.1186/s12883-024-03940-5.

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.

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.

PMID: 39077141 PMC: 11267333. DOI: 10.31083/j.rcm2310331.

Comparison of long-term radial artery occlusion via distal vs. conventional transradial access (CONDITION): a randomized controlled trial.

Chen T, Li L, Li F, Lu W, Shi G, Li W BMC Med. 2024; 22(1):62.

PMID: 38331793 PMC: 10854098. DOI: 10.1186/s12916-024-03281-7.

Preventing and Managing Radial Artery Occlusion following Transradial Procedures: Strategies and Considerations.

Tsigkas G, Papanikolaou A, Apostolos A, Kramvis A, Timpilis F, Latta A J Cardiovasc Dev Dis. 2023; 10(7).

PMID: 37504539 PMC: 10380353. DOI: 10.3390/jcdd10070283.

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