Key result
Distal trans-radial access achieves high procedural success with a ~1% access-site complication rate.
Why the study?
The distal radial approach has emerged to mitigate radial artery occlusion after PCI, but data on its efficacy in North African populations remain scarce.
Does distal trans-radial artery access provide feasible and safe vascular access with low complication rates in North African patients undergoing cardiac catheterization?
Observational (n=95)
No
Does distal trans-radial artery access provide feasible and safe vascular access with low complication rates in North African patients undergoing cardiac catheterization?
Answers are grounded in this paper and cite their sources.
This single-center retrospective cohort demonstrates that distal trans-radial artery access for cardiac catheterization is feasible and safe in a North African population, with 100% procedural completion and a 1.05% complication rate.
The radial approach for percutaneous coronary interventions (PCIs) is a commonly employed technique, although it carries the risk of radial artery occlusion, which can limit future access options (1). To address this concern, the distal radial (dTRA) approach has garnered attention as a potential solution to mitigate vascular complications (3). However, data on its efficacy in North African populations remain scarce. This retrospective study aimed to evaluate the feasibility, safety, and complication rates of dTRA access for cardiac catheterization. Ninety-five patients underwent dTRA catheterization at Avicenne Military Hospital in Marrakech between January 2023 and April 2024. Results demonstrated a low complication rate (1.05%) and successful completion of procedures in all patients. Larger studies are warranted to validate the efficacy of dTRA compared to traditional radial access methods (7).
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Hendy et al. (2026) conducted an observational in Coronary artery disease undergoing cardiac catheterization (70.52% chronic coronary syndrome) (n=95). Distal trans-radial artery (dTRA) access for cardiac catheterization was evaluated on Access-site complication rate (primarily minor hematoma formation). Distal trans-radial artery access for cardiac catheterization achieved 100% procedural success with a 1.05% access-site complication rate in 95 patients.
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