Distal radial approach versus conventional radial approach: a comparative study of feasibility and safety

The distal radial approach (DRA) is suggested to have benefits over the conventional radial approach (CRA) in terms of local complications and comfort of both patient and operator. Therefore, we aimed to compare the feasibility and safety of DRA and CRA in a real life population. We conducted a pros...

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Autores principales:	Rania Hammami, Fatma Zouari, Mohamed Aymen Ben Abdessalem, Awatef Sassi, Tarek Ellouze, Amine Bahloul, Souad Mallek, Faten Triki, Abdallah Mahdhaoui, Gouider Jeridi, Leila Abid, Selma Charfeddine, Samir Kammoun, Jihen Jdidi
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	distal radial artery cannulation failure local complications ultrasound doppler Medicine R
Acceso en línea:	https://doaj.org/article/280f89dc2c574b48b5517c78b033894f
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spelling	oai:doaj.org-article:280f89dc2c574b48b5517c78b033894f2021-11-26T11:19:48ZDistal radial approach versus conventional radial approach: a comparative study of feasibility and safety1993-28201819-635710.1080/19932820.2020.1830600https://doaj.org/article/280f89dc2c574b48b5517c78b033894f2021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/19932820.2020.1830600https://doaj.org/toc/1993-2820https://doaj.org/toc/1819-6357The distal radial approach (DRA) is suggested to have benefits over the conventional radial approach (CRA) in terms of local complications and comfort of both patient and operator. Therefore, we aimed to compare the feasibility and safety of DRA and CRA in a real life population. We conducted a prospective, observational multicentric trial, including all patients undergoing coronary procedures in September 2019. Patients with impalpable proximal or distal radial pulse were excluded. Thus, the choice of the approach is left to the operator discretion. The primary endpoints were cannulation failure and procedure failure. The secondary endpoints were time of puncture, local complications and radial occlusion assessed by Doppler performed one day after the procedure. We enrolled 177 patients divided into two groups: CRA (n = 95) and DRA (n = 82). Percutaneous intervention was achieved in 37% in CRA group and 34% in DRA group (p = 0.7). Cannulation time was not significantly different between the two sets (p = 0.16). Cannulation failure was significantly higher in DRA group (4.8% vs 2%, p < 0.0008). Successful catheterization was achieved in 98% for the CRA group and in 88% for the DRA group (p = 0.008). Radial artery occlusion, detected by ultrasonography, was found in 3 patients in the CRA group (3.1%) and nobody in the DRA group (p = 0.25). The median diameter of the radial artery diameter was higher in the DRA than the CRA group (2.2 mm vs 2.1 mm; p = 0.007). The distal radial approach is feasible and safe for coronary angiography and interventions, but needs a learning curve.Rania HammamiFatma ZouariMohamed Aymen Ben AbdessalemAwatef SassiTarek EllouzeAmine BahloulSouad MallekFaten TrikiAbdallah MahdhaouiGouider JeridiLeila AbidSelma CharfeddineSamir KammounJihen JdidiTaylor & Francis Grouparticledistal radial arterycannulation failurelocal complicationsultrasound dopplerMedicineRENLibyan Journal of Medicine, Vol 16, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	distal radial artery cannulation failure local complications ultrasound doppler Medicine R
spellingShingle	distal radial artery cannulation failure local complications ultrasound doppler Medicine R Rania Hammami Fatma Zouari Mohamed Aymen Ben Abdessalem Awatef Sassi Tarek Ellouze Amine Bahloul Souad Mallek Faten Triki Abdallah Mahdhaoui Gouider Jeridi Leila Abid Selma Charfeddine Samir Kammoun Jihen Jdidi Distal radial approach versus conventional radial approach: a comparative study of feasibility and safety
description	The distal radial approach (DRA) is suggested to have benefits over the conventional radial approach (CRA) in terms of local complications and comfort of both patient and operator. Therefore, we aimed to compare the feasibility and safety of DRA and CRA in a real life population. We conducted a prospective, observational multicentric trial, including all patients undergoing coronary procedures in September 2019. Patients with impalpable proximal or distal radial pulse were excluded. Thus, the choice of the approach is left to the operator discretion. The primary endpoints were cannulation failure and procedure failure. The secondary endpoints were time of puncture, local complications and radial occlusion assessed by Doppler performed one day after the procedure. We enrolled 177 patients divided into two groups: CRA (n = 95) and DRA (n = 82). Percutaneous intervention was achieved in 37% in CRA group and 34% in DRA group (p = 0.7). Cannulation time was not significantly different between the two sets (p = 0.16). Cannulation failure was significantly higher in DRA group (4.8% vs 2%, p < 0.0008). Successful catheterization was achieved in 98% for the CRA group and in 88% for the DRA group (p = 0.008). Radial artery occlusion, detected by ultrasonography, was found in 3 patients in the CRA group (3.1%) and nobody in the DRA group (p = 0.25). The median diameter of the radial artery diameter was higher in the DRA than the CRA group (2.2 mm vs 2.1 mm; p = 0.007). The distal radial approach is feasible and safe for coronary angiography and interventions, but needs a learning curve.
format	article
author	Rania Hammami Fatma Zouari Mohamed Aymen Ben Abdessalem Awatef Sassi Tarek Ellouze Amine Bahloul Souad Mallek Faten Triki Abdallah Mahdhaoui Gouider Jeridi Leila Abid Selma Charfeddine Samir Kammoun Jihen Jdidi
author_facet	Rania Hammami Fatma Zouari Mohamed Aymen Ben Abdessalem Awatef Sassi Tarek Ellouze Amine Bahloul Souad Mallek Faten Triki Abdallah Mahdhaoui Gouider Jeridi Leila Abid Selma Charfeddine Samir Kammoun Jihen Jdidi
author_sort	Rania Hammami
title	Distal radial approach versus conventional radial approach: a comparative study of feasibility and safety
title_short	Distal radial approach versus conventional radial approach: a comparative study of feasibility and safety
title_full	Distal radial approach versus conventional radial approach: a comparative study of feasibility and safety
title_fullStr	Distal radial approach versus conventional radial approach: a comparative study of feasibility and safety
title_full_unstemmed	Distal radial approach versus conventional radial approach: a comparative study of feasibility and safety
title_sort	distal radial approach versus conventional radial approach: a comparative study of feasibility and safety
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/280f89dc2c574b48b5517c78b033894f
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Distal radial approach versus conventional radial approach: a comparative study of feasibility and safety

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