scholarly journals TCT-322 Prevention of Radial Artery Occlusion After Transradial Access Using Nitroglycerin (Patens Trial)

2021 ◽  
Vol 78 (19) ◽  
pp. B131
Author(s):  
Roberto Léo da Silva ◽  
Rodrigo Joaquim ◽  
Pedro Beraldo ◽  
Alexandre Abizaid ◽  
Ramiro Vieira ◽  
...  
Keyword(s):  
Radial Artery ◽  
Artery Occlusion ◽  
Transradial Access ◽  
Radial Artery Occlusion

Radial Artery Occlusion With Distal Radial Access Compared to Conventional Transradial Access

2021 ◽  
Vol 14 (9) ◽  
pp. 1043
Author(s):  
Gregory A. Sgueglia ◽  
Angelo Santoliquido ◽  
Achille Gaspardone ◽  
Angela Di Giorgio
Keyword(s):  
Radial Artery ◽  
Artery Occlusion ◽  
Radial Access ◽  
Transradial Access ◽  
Radial Artery Occlusion

scholarly journals Distal Transradial Access in Anatomical Snuffbox for Coronary Angiography and Intervention: An Updated Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Chendi Liang ◽  
Qinghua Han ◽  
Yongping Jia ◽  
Chunyu Fan ◽  
Gang Qin
Keyword(s):  
Radial Artery ◽  
Meta Analysis ◽  
Artery Occlusion ◽  
Access Time ◽  
Device Removal ◽  
Dose Area Product ◽  
Removal Time ◽  
Transradial Access ◽  
Radial Artery Occlusion ◽  
Area Product

Objective. The previous meta-analysis has assessed that distal transradial access (dTRA) in anatomical snuffbox is safe and effective for coronary angiography and intervention and can reduce radial artery occlusion. However, since the publication of the previous meta-analysis, several observational studies have been added, so we performed an updated meta-analysis to include more eligible studies to compare distal transradial access in anatomical snuffbox with conventional transradial access (cTRA). Method. Pubmed, Embase, and Cochrane Library databases were searched for relevant studies from the literature published until 5 January 2021 to evaluate catheterization/puncture failure, hematoma, radial artery spasm, radial artery occlusion (RAO), access time, fluoroscopy time, radiation dose area product, total procedure time, and hemostatic device removal time. The pooled odds ratio (OR), weighted mean difference (WMD), and standardized mean difference (SMD) with 95% confidence interval (95% CI) were calculated for dichotomous and continuous variables, respectively. Results. A total of 9,054 patients from 14 studies were included in the meta-analysis, and we found no significant difference in catheterization/puncture failure (OR = 1.94, 95CI [0.97, 3.86], P = 0.06 ), hematoma (OR = 0.97, 95CI [0.55, 1.73], P = 0.926 ), radial artery spasm (OR = 0.76, 95CI [0.43, 1.36], P = 0.354 ), total procedure time (SMD = 0.23, 95CI [−0.21, 0.68], P = 0.308 ), or radiation dose area product (WMD = 216.88 Gy/cm2, 95CI [−126.24, 560.00], P = 0.215 ), but dTRA had a lower incidence of RAO (OR = 0.39, 95CI [0.23, 0.66], P < 0.001 ), shorter hemostatic device removal time (WMD = −66.62 min, 95CI [−76.68, −56.56], P < 0.001 ), longer access time (SMD = 0.32, 95CI [0.08, 0.56], P = 0.008 ), and longer fluoroscopy time (SMD = 0.16, 95CI [−0.00, 0.33], P = 0.05 ) than cTRA. Conclusion. Compared with the cTRA, the dTRA has a lower incidence of radial artery occlusion and shorter hemostatic device removal time, which is worthy of further evaluation in clinical practice.

scholarly journals Recanalization of the occluded radial artery via distal transradial access in the anatomic snuffbox

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Feng Li ◽  
Gan-Wei Shi ◽  
Bi-Feng Zhang ◽  
Xiao-Long Yu ◽  
Hao-Min Huang ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Angiography ◽  
Radial Artery ◽  
Coronary Intervention ◽  
Artery Occlusion ◽  
Transradial Access ◽  
Vascular Ultrasonography ◽  
Percutaneous Coronary ◽  
Radial Artery Occlusion ◽  
The Right

Abstract Background Radial artery occlusion is a common complication after coronary angiography and percutaneous coronary intervention via the transradial access. In recent years, coronary angiography and percutaneous coronary intervention via the distal transradial access has gradually emerged, but recanalization of the occluded radial artery through the distal transradial access has rarely been reported. Case presentation A 67-year-old female with arterial hypertension and diabetes mellitus was admitted to the hospital due to chest pain for three hours. She was diagnosed with acute myocardial infarction. After admission, the patient successfully underwent emergency coronary angiography and percutaneous coronary intervention through the right transradial access. Radial artery occlusion was found after the operation, and recanalization was successfully performed through the right distal transradial access before discharge. Immediately after the operation and one month later, vascular ultrasonography showed that the antegrade flow was normal. Conclusions This report presents a case of radial artery occlusion after emergency coronary angiography and percutaneous coronary intervention in which recanalization was successfully performed through the right distal transradial access. This case demonstrates that recanalization of a radial artery occlusion via the distal transradial access is safe and feasible.

scholarly journals Routine snuffbox approach do not reduce radial artery occlusion in comparison with conventional transradial access

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
L Kozinski ◽  
A Dabrowska-Kugacka ◽  
Z Orzalkiewicz
Keyword(s):  
Radial Artery ◽  
Hemodynamic Instability ◽  
Artery Occlusion ◽  
Similar Frequency ◽  
Funding Sources ◽  
Transradial Access ◽  
St Elevation ◽  
Coronary Procedures ◽  
Radial Artery Occlusion

Abstract Background/Introduction Postprocedural radial artery occlusion (RAO) is still the Achilles' heel of conventional transradial approach (cTRA) as it limits its reuse for future coronary procedures. A distal transradial access (dTRA) via the anatomical snuffbox has been proposed as an alternative. It is hypothesised that dTRA may reduce the incidence of RAO. Purpose To assess whether routine dTRA reduce the risk of RAO in consecutive patients undergoing coronary angiography or intervention, in comparison with cTRA. Methods Out of 465 subjects, 400 patients were included in a prospective, single-center, randomized (1:1) study. Hemodynamic instability, ST-elevation myocardial infarction, forearm artery occlusion or prior radial access failure were the exclusion criteria. Ultrasound-guided follow-up was obtained after 1 day and 60 days to evaluate the incidence of acute and late RAO. Results Baseline characteristics of patients were matched. Results are presented in table 1. Conclusion(s) The incidence of postprocedural acute and late RAO after routine dTRA and cTRA is low and occur with similar frequency when evaluated by ultrasound. FUNDunding Acknowledgement Type of funding sources: None. Table 1

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