Left Distal Transradial Approach for Coronary Intervention: Insights from Early Clinical Experience and Future Directions

Left distal transradial approach is a novel technique for coronary intervention. This technique is convenient for specialists to operate and welcomed for right-handed patients. The anatomical snuffbox and the first intermetacarpal are two available puncture sites on the basis of hand anatomy. In tec...

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Main Authors: Hao Feng, Zhenfei Fang, Shenghua Zhou, Xinqun Hu
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2019/8671306
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author Hao Feng
Zhenfei Fang
Shenghua Zhou
Xinqun Hu
author_facet Hao Feng
Zhenfei Fang
Shenghua Zhou
Xinqun Hu
author_sort Hao Feng
collection DOAJ
description Left distal transradial approach is a novel technique for coronary intervention. This technique is convenient for specialists to operate and welcomed for right-handed patients. The anatomical snuffbox and the first intermetacarpal are two available puncture sites on the basis of hand anatomy. In technical aspects, main differences between left distal transradial approach and conventional transradial approach are patient’s special position, puncture procedure, sheath choice, and hemostasis methods. According to the preliminary data, this technique is feasible and safe and it has low rate of complications including radial artery occlusion in forearm. Left distal transradial approach is a quite promising strategy of coronary intervention and deserves further exploration. In this review article, we describe the main technical characteristics and the results obtained from early clinical experiences. We also discuss the main challenges and future perspectives on this novel technique.
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institution Kabale University
issn 2090-8016
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language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Cardiology Research and Practice
spelling doaj-art-4d2a7232e1754b50b47991f272893ebe2025-02-03T01:33:29ZengWileyCardiology Research and Practice2090-80162090-05972019-01-01201910.1155/2019/86713068671306Left Distal Transradial Approach for Coronary Intervention: Insights from Early Clinical Experience and Future DirectionsHao Feng0Zhenfei Fang1Shenghua Zhou2Xinqun Hu3Department of Cardiology, The Second Xiangya Hospital of Central South University, Changsha, ChinaDepartment of Cardiology, The Second Xiangya Hospital of Central South University, Changsha, ChinaDepartment of Cardiology, The Second Xiangya Hospital of Central South University, Changsha, ChinaDepartment of Cardiology, The Second Xiangya Hospital of Central South University, Changsha, ChinaLeft distal transradial approach is a novel technique for coronary intervention. This technique is convenient for specialists to operate and welcomed for right-handed patients. The anatomical snuffbox and the first intermetacarpal are two available puncture sites on the basis of hand anatomy. In technical aspects, main differences between left distal transradial approach and conventional transradial approach are patient’s special position, puncture procedure, sheath choice, and hemostasis methods. According to the preliminary data, this technique is feasible and safe and it has low rate of complications including radial artery occlusion in forearm. Left distal transradial approach is a quite promising strategy of coronary intervention and deserves further exploration. In this review article, we describe the main technical characteristics and the results obtained from early clinical experiences. We also discuss the main challenges and future perspectives on this novel technique.http://dx.doi.org/10.1155/2019/8671306
spellingShingle Hao Feng
Zhenfei Fang
Shenghua Zhou
Xinqun Hu
Left Distal Transradial Approach for Coronary Intervention: Insights from Early Clinical Experience and Future Directions
Cardiology Research and Practice
title Left Distal Transradial Approach for Coronary Intervention: Insights from Early Clinical Experience and Future Directions
title_full Left Distal Transradial Approach for Coronary Intervention: Insights from Early Clinical Experience and Future Directions
title_fullStr Left Distal Transradial Approach for Coronary Intervention: Insights from Early Clinical Experience and Future Directions
title_full_unstemmed Left Distal Transradial Approach for Coronary Intervention: Insights from Early Clinical Experience and Future Directions
title_short Left Distal Transradial Approach for Coronary Intervention: Insights from Early Clinical Experience and Future Directions
title_sort left distal transradial approach for coronary intervention insights from early clinical experience and future directions
url http://dx.doi.org/10.1155/2019/8671306
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AT shenghuazhou leftdistaltransradialapproachforcoronaryinterventioninsightsfromearlyclinicalexperienceandfuturedirections
AT xinqunhu leftdistaltransradialapproachforcoronaryinterventioninsightsfromearlyclinicalexperienceandfuturedirections