Key result
Left radial access reduces fluoroscopy time and contrast volume vs right radial in elderly patients.
Why the study?
The optimal choice between left and right radial artery access for coronary procedures in patients aged 70 years and older remains controversial.
Meta-Analysis (n=1,094)
Standardized Mean Difference: -0.41 (95% CI -0.67–-0.42)
p-value: p=<0.01
Supports preferring left radial access in elderly patients to minimize exposure; extends radial access evidence to this demographic.
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Gonçalves et al. (2025) conducted a meta-analysis in Coronary procedures (n=1,094). Left radial access vs. Right radial access was evaluated on Fluoroscopy time (SMD -0.41, 95% CI -0.67 to -0.42, p=<0.01). Left radial access significantly reduced fluoroscopy time (SMD -0.41) and contrast volume compared to right radial access in elderly patients undergoing coronary procedures.
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