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Distal Radial Artery Access: The Future of Cardiovascular Intervention

Zaid Nairoukh1, Saira Jahangir2, Dennis Adjepong3

  • 1Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.

Cureus
|April 10, 2020
PubMed

Insights

Distal radial access, a newer technique for cardiovascular interventions, demonstrates higher success rates and fewer complications compared to traditional methods. This approach may become the standard for future procedures.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Vascular Access

Background:

  • Historically, femoral artery access was standard for coronary interventions.
  • Transition to radial artery access improved outcomes and patient comfort.
  • Recent evolution includes distal radial artery access, emerging as a promising alternative.

Purpose of the Study:

  • To comprehensively review and summarize the existing literature on distal radial artery access since its inception in 2017.
  • To analyze the technique, success rates, benefits, drawbacks, and noncardiac applications of distal radial access.

Main Methods:

  • Systematic review of articles published from 2017 to the present focusing on distal radial access.
  • Synthesis of data regarding procedural technique, efficacy, and safety profiles.

Main Results:

  • Distal radial access shows a higher success rate compared to other arterial access sites.
  • This technique is associated with a lower incidence of complications.
  • Despite current guideline limitations, its efficacy suggests significant potential.

Conclusions:

  • Distal radial artery access represents a significant advancement in cardiovascular intervention.
  • It offers superior outcomes and may become the preferred access site in the future.
  • Further research and guideline incorporation are warranted.

Keywords:
cardiovascular interventioncoronary angiographycoronary angioplastycoronary interventiondistal radial artery accessdistal radial artery approachsnuffbox accesssnuffbox approach

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