Distal transradial artery access in the anatomical snuffbox for coronary angiography as an alternative access site for faster hemostasis

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Shunsuke AoiTak Kwan

Abstract

This study investigated the feasibility, safety, and the potential benefit of faster hemostasis with the distal transradial artery access (TRA). TRA has been shown to be associated with lower bleeding and vascular complications. Limited data are available regarding the new technique of accessing the distal radial artery in the anatomical snuffbox. We retrospectively reviewed 202 consecutive patients who underwent coronary angiography and intervention with distal TRA. Two hundred and six conventional TRA cases were collected as a comparison arm. Out of 408 patients, successful distal radial access was obtained in 99.5% (201/202) in the distal TRA cases and 99.0% (204/206) in the conventional TRA cases. The rate of access site crossover was 2.0% (4/202) for distal TRA. Right distal radial artery was accessed in 176 cases (87.6%). Mean access time from local anesthesia to radial flush was 7.3 min. Ninety cases (44.8%) were percutaneous coronary interventions (PCIs) and the mean heparin dose used was 4,448 units (6,009 units for PCI and 3,182 units for diagnostic catheterization). Mean time to remove TR band was 104.7 min (120.8 min for PCI and 91.7 min for diagnostics). Follow-up ultrasound study showed two partial occlusions (1.0...Continue Reading

Associated Clinical Trials

References

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Citations

Nov 2, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Iosif Xenogiannis, Emmanouil S Brilakis
Nov 22, 2020·Cardiovascular Intervention and Therapeutics·Fuminobu Yoshimachi, Yuji Ikari
Jan 18, 2021·JACC. Cardiovascular Imaging·Gregory A SguegliaAngela Di Giorgio
Feb 20, 2021·JACC. Cardiovascular Interventions·Guering Eid-LidtJorge Gaspar
Apr 2, 2021·The Journal of Vascular Access·Gianluca RigatelliLoris Roncon
Apr 24, 2021·JACC. Cardiovascular Interventions·Gregory A SguegliaStefan Harb
May 1, 2021·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Karim M Al-AziziSrinivasa Potluri
May 3, 2021·Journal of Vascular and Interventional Radiology : JVIR·Antony GayedMarcelo Guimaraes
May 28, 2021·Frontiers in Cardiovascular Medicine·Cheng-Jui LinChiung-Jen Wu
Jun 2, 2021·Cardiology in Review·Matthaios DidagelosAntonios Ziakas
May 30, 2021·Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft·Zygmunt DomagałaMirosław Trzaska
Jun 15, 2021·Current Problems in Cardiology·Bartosz HudzikMladen I Vidovich
Jul 26, 2021·International Journal of Cardiology·Francesco Costa, Mamas A Mamas
Jul 25, 2021·BMJ Case Reports·Audrey B NguyenScott L Hansen
Nov 17, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Andrea PacchioniGabriele Luigi Gasparini

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