Why the study?
Transradial access is recommended for coronary procedures over the transfemoral approach but has restrictions, prompting comparison of the newer distal transradial approach with traditional proximal transradial access.
Does the distal transradial approach (dTRA) reduce radial artery occlusion compared to the proximal transradial approach (pTRA) in patients undergoing coronary angiography and PCI?
RCT (n=700)
random technique
No
Does the distal transradial approach (dTRA) reduce radial artery occlusion compared to the proximal transradial approach (pTRA) in patients undergoing coronary angiography and PCI?
Answers are grounded in this paper and cite their sources.
The distal transradial approach is a safe alternative to the proximal approach for coronary interventions, offering lower rates of radial artery occlusion and pseudoaneurysm at the cost of increased access difficulty.
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Acar et al. (2023) conducted an RCT in Coronary angiography and percutaneous coronary intervention (n=700). Distal transradial approach (dTRA) vs. Proximal transradial approach (pTRA) was evaluated on Radial artery occlusion (RAO) at follow-up.
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