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Author Spotlight: Innovative Technique for Coronary Angiography in Marginal Donors
06:25

Author Spotlight: Innovative Technique for Coronary Angiography in Marginal Donors

Published on: July 12, 2024

860

Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach

Yongcheol Kim1, Youngkeun Ahn2, Inna Kim1

  • 1Department of Cardiology, Cardiovascular Center, Chonnam National University Hospital, Gwangju, Korea.

Korean Circulation Journal
|August 9, 2018
PubMed

Insights

The left snuffbox approach is a feasible and safe alternative for coronary angiography and percutaneous coronary intervention, demonstrating high success rates comparable to conventional radial artery access.

Area of Science:

  • Cardiovascular Interventions
  • Vascular Access Techniques
  • Interventional Cardiology

Background:

  • The feasibility of accessing the radial artery via the left snuffbox for coronary procedures remains a concern.
  • Conventional radial artery access is widely used but alternative sites are being explored.

Purpose of the Study:

  • To investigate the efficacy and safety of the left snuffbox approach for coronary angiography (CAG) and percutaneous coronary intervention (PCI).

Main Methods:

  • The study included 150 patients undergoing CAG or PCI for suspected myocardial ischemia.
  • Radial artery cannulation via the left snuffbox approach was attempted.
  • Quantitative computed angiography assessed radial artery diameter in 101 patients.

Main Results:

  • Successful radial artery cannulation via the snuffbox was achieved in 88.0% of patients.
  • Coronary angiography was successful in all 132 cannulated patients.
  • Percutaneous coronary intervention success rate was 97.6% in 42 cases, with a low complication rate (4.9%).

Conclusions:

  • The left snuffbox approach is a suitable alternative for CAG and PCI.
  • It offers comparable efficacy and safety to the conventional radial approach.
Abstract

Keywords:
Coronary angiographyPercutaneous coronary interventionRadial artery

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