A randomized study comparing the effectiveness of right and left radial approach for coronary angiography

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Tugrul NorgazSinan Dagdelen

Abstract

Our aim was to compare the effectiveness between right radial approach (RRA) and left radial approach (LRA) by means of a randomized study in a large unselected patient population undergoing diagnostic coronary angiography. Totally, 1,000 patients were randomized to undergo to RRA (n = 500) or LRA (n = 500). Procedure success was defined as coronary angiography completed with the initial radial artery approach without changing to another route. Performance of the procedure: Total procedural duration, the number of catheters and guidewires used were recorded. Safety of the procedure: The parameters collected for radiation exposure were dose area product (DAP) and fluoroscopy time. The percentage of success was not different between the two aproaches (LRA, 94.0%; RRA,93.8%; P = 0.96). The crossover rate to femoral was low, accounting for 38 cases (3.8%), without differences between RRA and LRA (20 and 18 cases, respectively, P > 0.05). An almost triple incidence of operator-reported subclavian tortuosity in the RRA compared with LRA was observed (44 cases vs. 15 cases, P < 0.001). With respect to the total procedural duration there was no difference between those two aproaches (LRA, 8.54 ± 4.09 min vs. RRA, 8.63 ± 5.20; P = 0.772...Continue Reading

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Citations

Sep 22, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Stephen Balter
Mar 21, 2016·Journal of cardiology·Yusuke AdachiHideo Fujita
Apr 3, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Rachit M ShahIon S Jovin
Jan 13, 2015·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Stefano RigattieriFrancesco Rocco Pugliese
Jun 25, 2015·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·S L XiaX Gao
Aug 9, 2018·Korean Circulation Journal·Yongcheol KimMyung Ho Jeong
May 24, 2019·Heart·Stephen H Dorman, Daniel R Obaid
Jul 25, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Douglass A Morrison
Jan 15, 2021·Scientific Reports·Nohra ChalouhiPascal Jabbour

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