The left distal transradial access site could give a safe alternate site for transradial coronary intervention (The Litaunent Study)

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Küçük Resim

Tarih

2023

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

SAGE Publications Inc

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Transradial Access (TRA) is the suggested method when performing coronary procedures. TRA has several advantages over the transfemoral approach, but also some restrictions. The present study compared the efficacy and safety of the traditional proximal transradial approach (pTRA) with a newer technique known as the distal transradial approach (dTRA) for performing a coronary angiography (CAG) and percutaneous coronary intervention (PCI). Patients (n = 700) were placed into one of two categories (dTRA or pTRA) based on a random technique. The primary endpoint was RAO at follow-up. The secondary endpoints included the time required for sheath insertion, the rate of successful sheath insertion, rate of successful completion of CAG and PCI, total procedure time, total fluoroscopy time, total radiation dose, total contrast volume used, pain perception (visual analog scale 0-10), and hemostasis duration. dTRA patients had more skin punctures, failed punctures, failed wiring, overlap of access sites, sheath insertion time, and pain evaluation scale, while the pTRA group had more hemostasis time and first-time cannulation. RAO and pseudoaneurysm (PseA) were lower in the dTRA group. In this randomized study, dTRA had lower RAO and PseA than pTRA. However, multicenter, larger-patient trials are needed to provide definitive evidence.

Açıklama

Anahtar Kelimeler

Angiography, Artery, Coronary, Distal, Radial Access, Angiography

Kaynak

Antiology

WoS Q Değeri

Q2

Scopus Q Değeri

Q2

Cilt

Sayı

Künye

Acar, E., Izci, S., Donmez, I., Yilmaz, M. F., Ozgul, N., Kayabası, O., ... & Kirma, C. (2023). The L eft D i stal t ransradial a ccess site co u ld give a safe alter n ate sit e for tra n sradial coronary in t ervention (The Litaunent Study). Angiology, 00033197231183226.