Save the radial: go distally
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Abstract
Coronary artery disease is the leading cause of death worldwide.
Percutaneous coronary intervention (PCI) is one of the most widely performed medical procedures used to save lives, currently over 3 million annually worldwide.
The femoral artery has been the preferred vascular access site.
However, radial access is gaining extensive popularity due to the benefits of earlier ambulation, fewer access site complications, and decreased rates of bleeding.
Improvements in technology and understanding of the anatomic features of the vascular system have led to new insights into coronary angiography procedures.
Distal radial access, which was first used in 2017, shows a higher success rate and fewer complications than previous sites; therefore, it might be the future for cardiovascular intervention.
For this purpose, we conducted this prospective study at Beirut Cardiac Institute (BCI) comparing the two arms: radial vs. distal radial artery techniques through the anatomical snuffbox, in terms of patient’s length of stay, complication rate, and success rate of each procedure.
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Helfrich CD, Tsai TT, Rao SV, Lemon JM, Eagenis EC, et al. Perceptions of advantages and barriers to radial access percutaneous coronary intervention in VA cardiac catheterization laboratories. Cardiovasc Revasc Med. 2014; 15: 329-333. PubMed: https://pubmed.ncbi.nlm.nih.gov/25282521/
Amoroso G. Transradial approach for percutaneous coronary interventions: the future is now. Interventional Cardiol. 2013; 5: 279-288.
Archbold RA, Robinson NM, Schilling RJ. Radial artery access for coronary angiography and percutaneous coronary intervention. BMJ. 2004; 329: 443–446. PubMed: https://pubmed.ncbi.nlm.nih.gov/15321904/
Kiemeneij F, Laarman GJ. Percutaneous transradial artery approach for coronary stent implantation. Catheter Cardiovasc Diagn. 1993; 30: 173–178. PubMed: https://pubmed.ncbi.nlm.nih.gov/8221875/
Valgimigli M, Gagnor A, Calabró P, Frigoli E, Leonardi S, et al. Radial versus femoral accessin patients with acute coronary syndromes undergoing invasive management: a randomised multi-centre trial. Lancet. 2015; 385: 2465–2476. PubMed: https://pubmed.ncbi.nlm.nih.gov/25791214/
Lee CW, Cho SC. The Transradial Approach for Coronary Intervention: More Comfort, Better Outcome. Korean Circ J. 2018; 48: 728–730. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6072665/
Nairoukh Z, Jahangir S, Adjepong D, Malik BH. Distal Radial Artery Access: The Future of Cardiovascular Intervention. Cureus. 2020; 12: e7201. PubMed: https://pubmed.ncbi.nlm.nih.gov/32269880/
Sgueglia GA, Di Giorgio A, Gaspardone A, Babunashvili A. Anatomic Basis and Physiological Rationale of Distal Radial Artery Access for Percutaneous Coronary and Endovascular Procedures. JACC: Cardiovasc Interv. 2018; 11: 2113–2119. PubMed: https://pubmed.ncbi.nlm.nih.gov/30336816/
Corcos T. Distal radial access for coronary angiography and percutaneous coronary intervention: a state-of-the-art review. Catheter Cardiovasc Interv. 2019; 93: 639-644. PubMed: https://pubmed.ncbi.nlm.nih.gov/30536709/
Sgueglia GA, Di Giorgio A, Gaspardone A, Babunashvili A. Anatomic basis and physiological rationale of distal radial artery access for percutaneous coronary and endovascular procedures. JACC Cardiovasc Interv. 2018; 11: 2113-2119. PubMed: https://pubmed.ncbi.nlm.nih.gov/30336816/
Kaledin AL, Kochanov IN, Podmetin PS, Seletsky SS, Ardeev VN. Distal radial artery in endovascular interventions. ARYA Atheroscler. 2018; 14: 95-100.
Lee JW, Park SW, Son JW, Ahn SG, Lee SH. Real-world experience of the left distal transradial approach for coronary angiography and percutaneous coronary intervention: a prospective observational study (LeDRA). EuroIntervention. 2018; 14: e995-e1003. PubMed: https://pubmed.ncbi.nlm.nih.gov/30222122/
Ziakas A, Koutouzis M, Didagelos M, Tsiafoutis I, Kouparanis A, et al. Right arm distal transradial (snuffbox) access for coronary catheterization: Initial experience. Hellenic J Cardiol. 2020; 61: 106-109. PubMed: https://pubmed.ncbi.nlm.nih.gov/30389385/
Aqel R, Alzughayyar T, Misk R. Radial: time to go distal. Cardiol Cardiovasc Med 2019; 3: 432-437.
Hammami R, Zouari F, Ben Abdessalem MA, Sassi A, Ellouze T, et al. Distal radial approach versus conventional radial approach: a comparative study of feasibility and safety. Libyan J Med. 2021; 16: 1830600. PubMed: https://pubmed.ncbi.nlm.nih.gov/33147107/
Asharaf T, Panhwar Z, Habib S, Memon MA, Shamsi F, et al. Size of radial and ulnar artery in local population. J Pak Med Assoc. 2010; 60: 817-819. PubMed: https://pubmed.ncbi.nlm.nih.gov/21381609/