Related Experiment Video

Updated: Oct 1, 2025

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
05:31

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients

Published on: September 20, 2020

5.7K

Meta-Analysis Comparing Distal Radial Versus Traditional Radial Percutaneous Coronary Intervention or Angiography

Yasar Sattar1, Usama Talib2, Mohammed Faisaluddin3

  • 1Division of Cardiovascular Medicine, West Virgina University, Morgantown, WV.

The American Journal of Cardiology
|March 6, 2022
PubMed

Insights

Distal radial (DR) access for percutaneous coronary intervention (PCI) shows a lower risk of radial artery occlusion (RAO) compared to traditional radial (TR) access. Other procedural complications were similar between DR and TR access methods.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Vascular Access Techniques

Background:

  • Limited comparative data exists for distal radial (DR) versus traditional radial (TR) access in coronary angiography and percutaneous coronary intervention (PCI).
  • Understanding the safety and efficacy of different radial access sites is crucial for optimizing patient outcomes in interventional cardiology.

Purpose of the Study:

  • To compare the outcomes of distal radial (DR) access versus traditional radial (TR) access for coronary angiography and PCI.
  • To evaluate the rates of radial artery occlusion (RAO), access failure, and other access site-related complications between DR and TR access.

Main Methods:

  • A systematic review and meta-analysis of studies comparing DR and TR access for PCI was conducted.
  • Online databases (Medline, Cochrane Central) were searched to identify relevant studies.
  • Primary outcomes included radial artery occlusion (RAO) and access failure; secondary outcomes comprised hematoma, bleeding, pain, spasm, dissection, and crossover rates. A random-effect model was used for analysis.

Main Results:

  • The meta-analysis included 16 studies with 9,973 patients (DR: 4,750; TR: 5,523).
  • Distal radial (DR) access was associated with a significantly lower risk of radial artery occlusion (RAO) compared to traditional radial (TR) access (OR 0.51, p=0.02).
  • No significant differences were observed in access failure rates, hematoma, bleeding, pain, spasm, dissection, or crossover between DR and TR access.

Conclusions:

  • Distal radial (DR) access demonstrates a lower incidence of radial artery occlusion (RAO) compared to traditional radial (TR) access.
  • Procedural complications such as access failure, bleeding, and pain are comparable between DR and TR access methods.
  • DR access may be a favorable alternative to TR access, particularly for reducing the risk of radial artery occlusion.

More Related Videos

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia07:25

Predicting Amputation using Local Circulating Mononuclear Progenitor Cells in Angioplasty-treated Patients with Critical Limb Ischemia

Published on: September 22, 2020

3.5K
Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

5.3K

Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
44
Assessment of apical radial pulse01:25

Assessment of apical radial pulse

Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
905
Assessment of radial pulse01:11

Assessment of radial pulse

Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
1.0K
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
52
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
44