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Published on: September 20, 2020
Advancement in Coronary Angiography or Percutaneous Coronary Intervention Using the Distal Transradial Artery Access
Gang Cao1, Hua-Xiu Cai2, Jun Cao1
1Department of Cardiology, Ganzhou Municipal Hospital, Ganzhou, China.
Insights
The distal transradial access path offers a safe and effective alternative for coronary angiography and percutaneous coronary intervention. This new approach shows promise for patients with acute coronary syndrome and complex coronary artery disease.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Access
Background:
- Increasing incidence of coronary heart disease drives demand for angiography and percutaneous coronary intervention (PCI).
- Traditional femoral and radial artery access for PCI have limitations due to postoperative complications.
- A novel distal transradial access path has emerged for these cardiovascular procedures.
Purpose of the Study:
- To review current literature on the efficacy and safety of the distal transradial access path.
- To evaluate its potential as a primary access route for specific patient populations.
Main Methods:
- Systematic review of recent, relevant articles on distal transradial access.
- Analysis of studies focusing on coronary angiography and PCI outcomes.
Main Results:
- Distal transradial access is demonstrated as safe and effective for coronary angiography and PCI.
- The approach is particularly beneficial for patients with acute coronary syndrome (ACS) and complex coronary artery disease (CAD).
Conclusions:
- Distal transradial access presents a viable and safe alternative to traditional methods.
- It is anticipated to become a preferred choice for ACS and complex CAD patients undergoing coronary procedures.
Abstract:
As the incidence of coronary heart disease increases annually, coronary angiography and percutaneous coronary intervention procedures are also increasing. The femoral artery and radial artery paths are commonly used for percutaneous coronary intervention, but their clinical application is limited to a certain extent due to many postoperative complications. The distal transradial access path is a new surgical path for coronary angiography and percutaneous coronary intervention. In this study, we reviewed the most relevant and recent articles related to distal transradial access and found that coronary angiography or interventional therapy using the distal transradial access path is safe and effective in patients with acute coronary syndrome and complex coronary artery disease. The distal transradial access path is expected to be the first choice for coronary angiography or percutaneous coronary intervention in patients with acute coronary syndrome and complex coronary artery disease.
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