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Updated: Nov 19, 2025

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Published on: May 19, 2022
Bilateral Distal Transradial Access for Ostial Left Anterior Descending Chronic Total Occlusion Recanalization
Marcos Danillo P Oliveira1, Flavio G Lyra, Valter Trigueiro C Neto
1Napoleão de Barros, nº 715 Vila Clementino, Sao Paulo-SP, Brazil, postal code 04024-002. mdmarcosdanillo@gmail.com.
Abstract:
The adoption of distal transradial access (dTRA) as default approach for coronary angiography and interventions was recently published. As a refinement of conventional (proximal) TRA, this technique has many advantages in terms of patient and operator comfort, access-site bleeding, faster hemostasis, and risk of radial artery occlusion. Bilateral dTRA for complex chronic total occlusion percutaneous coronary intervention by experienced operators is feasible and safe.
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