A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations

Hongyu Hu, Qiang Fu, Wei Chen, Dezhao Wang, Xu Hua, Buxing Chen Department of Cardiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, People’s Republic of ChinaBackground: The efficacy of coronary angiography may be different in the right radial approach (RRA) and the l...

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Autores principales:	Hu HY, Fu Q, Chen W, Wang DZ, Hua X, Chen BX
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Left radial approach Right radial approach Coronary angiography Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/bf2bbb67c85746cc894c7fc1ad2f3f89
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spelling	oai:doaj.org-article:bf2bbb67c85746cc894c7fc1ad2f3f892021-12-02T02:45:27ZA prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations1178-1998https://doaj.org/article/bf2bbb67c85746cc894c7fc1ad2f3f892014-06-01T00:00:00Zhttps://www.dovepress.com/a-prospective-randomized-comparison-of-left-and-right-radial-approach--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Hongyu Hu, Qiang Fu, Wei Chen, Dezhao Wang, Xu Hua, Buxing Chen Department of Cardiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, People’s Republic of ChinaBackground: The efficacy of coronary angiography may be different in the right radial approach (RRA) and the left radial approach (LRA) due to more common vascular tortuosity in the RRA. The aim of the study was to determine whether LRA is a valid alternative for coronary angiography compared with RRA in Asian populations. Methods: This is a single-center, prospective, randomized controlled study. A total of 1,400 consecutive patients undergoing diagnostic coronary angiography were recruited and randomized to the RRA (number [n]=700) or LRA (n=700) group. The primary end point was total procedural duration. Secondary end points included fluoroscopy time, dose of radiation including cumulative air kerma and dose area product, contrast volume, and the incidence of vascular complications. Results: Coronary procedural success was achieved in 682 of 700 (97.4%) patients in the RRA and 680 of 700 (97.1%) in the LRA. The total procedural time (RRA 14.1±6.3 minutes versus LRA 13.2±6.0 minutes; P=0.006) and fluoroscopy time (RRA 3.8±3.3 minutes versus LRA 3.4±2.8 minutes; P=0.046) were significantly shorter via LRA in comparison to RRA. The percentage of hydrophilic wire use was also lower in the LRA group (14% [RRA] versus 10% [LRA]; P=0.016). The dose of radiation and contrast volume were not different between the two approaches. No cases of major bleeding and vascular complications requiring surgical intervention were reported, other than with one patient who experienced a symptomatic stroke and died in the RRA group compared with none in the LRA group. Conclusion: The LRA seems to be a feasible alternative for coronary angiography in Asian patients due to shorter procedural duration and fluoroscopy time, as well as less hydrophilic wire use in comparison to RRA. Keywords: left radial approach, right radial approach, coronary angiographyHu HYFu QChen WWang DZHua XChen BXDove Medical PressarticleLeft radial approachRight radial approachCoronary angiographyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 963-968 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Left radial approach Right radial approach Coronary angiography Geriatrics RC952-954.6
spellingShingle	Left radial approach Right radial approach Coronary angiography Geriatrics RC952-954.6 Hu HY Fu Q Chen W Wang DZ Hua X Chen BX A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations
description	Hongyu Hu, Qiang Fu, Wei Chen, Dezhao Wang, Xu Hua, Buxing Chen Department of Cardiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, People’s Republic of ChinaBackground: The efficacy of coronary angiography may be different in the right radial approach (RRA) and the left radial approach (LRA) due to more common vascular tortuosity in the RRA. The aim of the study was to determine whether LRA is a valid alternative for coronary angiography compared with RRA in Asian populations. Methods: This is a single-center, prospective, randomized controlled study. A total of 1,400 consecutive patients undergoing diagnostic coronary angiography were recruited and randomized to the RRA (number [n]=700) or LRA (n=700) group. The primary end point was total procedural duration. Secondary end points included fluoroscopy time, dose of radiation including cumulative air kerma and dose area product, contrast volume, and the incidence of vascular complications. Results: Coronary procedural success was achieved in 682 of 700 (97.4%) patients in the RRA and 680 of 700 (97.1%) in the LRA. The total procedural time (RRA 14.1±6.3 minutes versus LRA 13.2±6.0 minutes; P=0.006) and fluoroscopy time (RRA 3.8±3.3 minutes versus LRA 3.4±2.8 minutes; P=0.046) were significantly shorter via LRA in comparison to RRA. The percentage of hydrophilic wire use was also lower in the LRA group (14% [RRA] versus 10% [LRA]; P=0.016). The dose of radiation and contrast volume were not different between the two approaches. No cases of major bleeding and vascular complications requiring surgical intervention were reported, other than with one patient who experienced a symptomatic stroke and died in the RRA group compared with none in the LRA group. Conclusion: The LRA seems to be a feasible alternative for coronary angiography in Asian patients due to shorter procedural duration and fluoroscopy time, as well as less hydrophilic wire use in comparison to RRA. Keywords: left radial approach, right radial approach, coronary angiography
format	article
author	Hu HY Fu Q Chen W Wang DZ Hua X Chen BX
author_facet	Hu HY Fu Q Chen W Wang DZ Hua X Chen BX
author_sort	Hu HY
title	A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations
title_short	A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations
title_full	A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations
title_fullStr	A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations
title_full_unstemmed	A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations
title_sort	prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in asian populations
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/bf2bbb67c85746cc894c7fc1ad2f3f89
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A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations

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