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

Bibliographic Details
Title: Comparison of radial artery occlusion between traditional radial access and distal radial access for coronary angiography and intervention: A prospective cohort study
Authors: Ali Zahedmehr, Amir Dousti, Mohammad Javad Alemzadeh-Ansari, Abdullah Gharibzadeh, Mehdi Sheibani, Mohammadhossein Mozafarybazargany, Ata Firouzi, Seifollah Abdi, Zahra Hosseini, Mohammadreza Baay, Armin Elahifar, Mohsen Maadani, Farshad Shakerian, Reza Kiani, Hossein Toreyhi, Jamal Moosavi, Bahram Mohebbi, Amir Abdi, Ehsan Khalilipur, Parham Sadeghipour
Source: Heliyon, Vol 10, Iss 20, Pp e39451- (2024)
Publisher Information: Elsevier, 2024.
Publication Year: 2024
Collection: LCC:Science (General)
LCC:Social sciences (General)
Subject Terms: Coronary artery disease, Radial artery occlusion, Distal radial access, Science (General), Q1-390, Social sciences (General), H1-99
More Details: Background: The radial approach is now recommended as the default strategy in diagnostic coronary angiography and percutaneous coronary intervention. Radial artery occlusion (RAO) is the most common complication that limits subsequent angiographic procedures through this access. Recently, distal radial access (DRA) has been recommended as an alternative access site. Despite lower RAO rates in DRA in some recent clinical trials, concerns remain regarding possible complications and limitations due to the small size of the distal radial artery. Objective: The present study aimed to compare traditional radial access (TRA) and DRA concerning RAO in percutaneous coronary procedures. Methods: In the present prospective cohort study, percutaneous coronary procedures were performed via DRA or TRA in 2 study groups. All consecutive participants underwent DRA from September 2021 to March 2022 and TRA from April 2022 to June 2022. Ultrasonography was performed preprocedurally in the DRA group, and patients with small distal artery diameters (
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2405-8440
Relation: http://www.sciencedirect.com/science/article/pii/S2405844024154825; https://doaj.org/toc/2405-8440
DOI: 10.1016/j.heliyon.2024.e39451
Access URL: https://doaj.org/article/e95d798150ac41258f8fedec23ee4ad5
Accession Number: edsdoj.95d798150ac41258f8fedec23ee4ad5
Database: Directory of Open Access Journals
More Details
ISSN:24058440
DOI:10.1016/j.heliyon.2024.e39451
Published in:Heliyon
Language:English