Key result
The transradial approach for coronary interventions achieved an 88.78% success rate, with an 11.22% crossover rate to femoral access.
Why the study?
The transradial approach has gained popularity worldwide and is preferred in many centers in Nepal, motivating documentation of single-operator experience and complications with the procedure.
Observational (n=214)
No
The transradial approach for coronary interventions demonstrates a high success rate (88.78%) and safety in a single-operator setting in Nepal.
Answers are grounded in this paper and cite their sources.
TRA success in this single-operator series may guide local adoption in Nepal; leaves open need for multicenter validation.
Background The transradial approach (TRA) has gained popularity worldwide and it is the preferred access in many cardiac centers in Nepal. The aim of this study is to document single operator experience with TRA and its complications. Results A total of 214 patients were included with 114(53.27%) males and 100(46.73%) females. The mean age was (62.51 ± 12.47) years. The total transradial success rate was 88.78% for Coronary interventions. The crossover rate from radial to femoral access was 11.22%. The primary causes for crossover were severe tortuosity of the aorta and brachiocephalic trunk, radial artery spasm, puncture failure, and radial loop. Conclusions TRA is safe and can be applied in the majority of cases. The routine assessment of dual hand circulation before TRA might not be necessary.
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Laudari et al. (2023) conducted an observational in Coronary interventions (n=214). Transradial approach was evaluated on Transradial success rate. The transradial approach for coronary interventions achieved an 88.78% success rate, with an 11.22% crossover rate to femoral access.
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