Analysis of the Efficacy and Safety of Coronary Catheterization through Distal Transradial Access: A Single-Center Data
Background and Aims. The distal transradial access (dTRA) is a new puncture site for coronary catheterization. We sought to evaluate the feasibility, safety, and complication rates of using the dTRA for cardiac catheterization in Chinese patients. Methods. A total of 263 consecutive patients who und...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Cardiovascular Therapeutics |
| Online Access: | http://dx.doi.org/10.1155/2023/2560659 |
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| author | Huanhuan Wang Dan Liu Jidong Guo Nuerbahati Heisha Lei Wang Qiang Zhang Yihui Han Xiping Wang Bo Zhang Jinqing Yuan Lijian Gao |
| author_facet | Huanhuan Wang Dan Liu Jidong Guo Nuerbahati Heisha Lei Wang Qiang Zhang Yihui Han Xiping Wang Bo Zhang Jinqing Yuan Lijian Gao |
| author_sort | Huanhuan Wang |
| collection | DOAJ |
| description | Background and Aims. The distal transradial access (dTRA) is a new puncture site for coronary catheterization. We sought to evaluate the feasibility, safety, and complication rates of using the dTRA for cardiac catheterization in Chinese patients. Methods. A total of 263 consecutive patients who underwent catheterization through the dTRA were enrolled. The primary endpoint of the study was the rate of conversion to another access site due to the impossibility of successful artery puncture or intubation. Secondary safety endpoints were the rates of bleeding-related complications and nerve disorders. Results. Among 263 patients, the puncture success rate was 96.2% (253/263). Eleven patients were successfully punctured, but the guide wire was difficult to advance. One patient had intubation failure, and the success rate of intubation was 91.6% (241/263). Two hundred thirty-three patients underwent puncture via the right dTRA, 5 patients underwent puncture via the left dTRA, and 3 patients underwent puncture via the bilateral dTRA. A total of 158 (65.6%) patients underwent coronary angiography, and 83 (34.4%) patients underwent percutaneous coronary intervention. After the procedure, only 2 (0.8%) patients had mild bleeding at the puncture site, 2 (0.8%) had a forearm hematoma, and no patient had a nerve disorder. Conclusions. DTRA has a low incidence of complications, making it a safe and effective technique for cardiac catheterization. |
| format | Article |
| id | doaj-art-aa32d9b3ac264485b3a126a4bed99b4a |
| institution | Kabale University |
| issn | 1755-5922 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiovascular Therapeutics |
| spelling | doaj-art-aa32d9b3ac264485b3a126a4bed99b4a2025-02-03T06:42:42ZengWileyCardiovascular Therapeutics1755-59222023-01-01202310.1155/2023/2560659Analysis of the Efficacy and Safety of Coronary Catheterization through Distal Transradial Access: A Single-Center DataHuanhuan Wang0Dan Liu1Jidong Guo2Nuerbahati Heisha3Lei Wang4Qiang Zhang5Yihui Han6Xiping Wang7Bo Zhang8Jinqing Yuan9Lijian Gao10National Clinical Research Center for Cardiovascular DiseaseShihezi People’s HospitalShihezi People’s HospitalShihezi People’s HospitalShihezi People’s HospitalShihezi People’s HospitalShihezi People’s HospitalShihezi People’s HospitalYunnan Fuwai Cardiovascular HospitalNational Clinical Research Center for Cardiovascular DiseaseNational Clinical Research Center for Cardiovascular DiseaseBackground and Aims. The distal transradial access (dTRA) is a new puncture site for coronary catheterization. We sought to evaluate the feasibility, safety, and complication rates of using the dTRA for cardiac catheterization in Chinese patients. Methods. A total of 263 consecutive patients who underwent catheterization through the dTRA were enrolled. The primary endpoint of the study was the rate of conversion to another access site due to the impossibility of successful artery puncture or intubation. Secondary safety endpoints were the rates of bleeding-related complications and nerve disorders. Results. Among 263 patients, the puncture success rate was 96.2% (253/263). Eleven patients were successfully punctured, but the guide wire was difficult to advance. One patient had intubation failure, and the success rate of intubation was 91.6% (241/263). Two hundred thirty-three patients underwent puncture via the right dTRA, 5 patients underwent puncture via the left dTRA, and 3 patients underwent puncture via the bilateral dTRA. A total of 158 (65.6%) patients underwent coronary angiography, and 83 (34.4%) patients underwent percutaneous coronary intervention. After the procedure, only 2 (0.8%) patients had mild bleeding at the puncture site, 2 (0.8%) had a forearm hematoma, and no patient had a nerve disorder. Conclusions. DTRA has a low incidence of complications, making it a safe and effective technique for cardiac catheterization.http://dx.doi.org/10.1155/2023/2560659 |
| spellingShingle | Huanhuan Wang Dan Liu Jidong Guo Nuerbahati Heisha Lei Wang Qiang Zhang Yihui Han Xiping Wang Bo Zhang Jinqing Yuan Lijian Gao Analysis of the Efficacy and Safety of Coronary Catheterization through Distal Transradial Access: A Single-Center Data Cardiovascular Therapeutics |
| title | Analysis of the Efficacy and Safety of Coronary Catheterization through Distal Transradial Access: A Single-Center Data |
| title_full | Analysis of the Efficacy and Safety of Coronary Catheterization through Distal Transradial Access: A Single-Center Data |
| title_fullStr | Analysis of the Efficacy and Safety of Coronary Catheterization through Distal Transradial Access: A Single-Center Data |
| title_full_unstemmed | Analysis of the Efficacy and Safety of Coronary Catheterization through Distal Transradial Access: A Single-Center Data |
| title_short | Analysis of the Efficacy and Safety of Coronary Catheterization through Distal Transradial Access: A Single-Center Data |
| title_sort | analysis of the efficacy and safety of coronary catheterization through distal transradial access a single center data |
| url | http://dx.doi.org/10.1155/2023/2560659 |
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