Abstract
Aims: This study aimed to evaluate the feasibility and safety of the left distal transradial approach (ldTRA) as a default route for coronary angiography (CAG) and percutaneous coronary intervention (PCI). Methods and results: Between October 2017 and January 2018, 200 consecutive patients were enrolled in a single centre. The left distal radial artery was punctured with a 20-gauge venipuncture catheter needle by three expert left radial approach operators. The success rates of arterial puncture, CAG, and PCI were 95.5% (191/200), 100% (187/187), and 98.9% (86/87), respectively. Four patients scheduled for staged PCI skipped the routine diagnostic CAG. Puncture time and fluoroscopic time were 3.0±2.8 minutes and 11.3±18.4 minutes, respectively. Haemostasis time was 151.8±39.9 minutes. A total of 15 (7.9%) puncture site complications occurred, including 14 (7.4%) minor haematomas and one (0.5%) arterial dissection, in which the artery was patent at one-month follow-up. Two patients complained of left thumb numbness at one-month follow-up. No distal radial artery occlusion, perforation, pseudoaneurysm, or arteriovenous fistula occurred. Conclusions: The success and complication rates of ldTRA support the feasibility and safety of this procedure. Larger randomised comparison studies are needed to support this preliminary evidence.
| Original language | English |
|---|---|
| Pages (from-to) | e995-e1003 |
| Journal | EuroIntervention |
| Volume | 14 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - 2018 Oct |
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All Science Journal Classification (ASJC) codes
- Cardiology and Cardiovascular Medicine
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Real-world experience of the left distal transradial approach for coronary angiography and percutaneous coronary intervention : A prospective observational study (LeDRA). / Lee, Jun Won; Park, Sang Wook; Son, Jung Woo; Ahn, Sung Gyun; Lee, Seung Hwan.
In: EuroIntervention, Vol. 14, No. 9, 10.2018, p. e995-e1003.Research output: Contribution to journal › Article
TY - JOUR
T1 - Real-world experience of the left distal transradial approach for coronary angiography and percutaneous coronary intervention
T2 - A prospective observational study (LeDRA)
AU - Lee, Jun Won
AU - Park, Sang Wook
AU - Son, Jung Woo
AU - Ahn, Sung Gyun
AU - Lee, Seung Hwan
PY - 2018/10
Y1 - 2018/10
N2 - Aims: This study aimed to evaluate the feasibility and safety of the left distal transradial approach (ldTRA) as a default route for coronary angiography (CAG) and percutaneous coronary intervention (PCI). Methods and results: Between October 2017 and January 2018, 200 consecutive patients were enrolled in a single centre. The left distal radial artery was punctured with a 20-gauge venipuncture catheter needle by three expert left radial approach operators. The success rates of arterial puncture, CAG, and PCI were 95.5% (191/200), 100% (187/187), and 98.9% (86/87), respectively. Four patients scheduled for staged PCI skipped the routine diagnostic CAG. Puncture time and fluoroscopic time were 3.0±2.8 minutes and 11.3±18.4 minutes, respectively. Haemostasis time was 151.8±39.9 minutes. A total of 15 (7.9%) puncture site complications occurred, including 14 (7.4%) minor haematomas and one (0.5%) arterial dissection, in which the artery was patent at one-month follow-up. Two patients complained of left thumb numbness at one-month follow-up. No distal radial artery occlusion, perforation, pseudoaneurysm, or arteriovenous fistula occurred. Conclusions: The success and complication rates of ldTRA support the feasibility and safety of this procedure. Larger randomised comparison studies are needed to support this preliminary evidence.
AB - Aims: This study aimed to evaluate the feasibility and safety of the left distal transradial approach (ldTRA) as a default route for coronary angiography (CAG) and percutaneous coronary intervention (PCI). Methods and results: Between October 2017 and January 2018, 200 consecutive patients were enrolled in a single centre. The left distal radial artery was punctured with a 20-gauge venipuncture catheter needle by three expert left radial approach operators. The success rates of arterial puncture, CAG, and PCI were 95.5% (191/200), 100% (187/187), and 98.9% (86/87), respectively. Four patients scheduled for staged PCI skipped the routine diagnostic CAG. Puncture time and fluoroscopic time were 3.0±2.8 minutes and 11.3±18.4 minutes, respectively. Haemostasis time was 151.8±39.9 minutes. A total of 15 (7.9%) puncture site complications occurred, including 14 (7.4%) minor haematomas and one (0.5%) arterial dissection, in which the artery was patent at one-month follow-up. Two patients complained of left thumb numbness at one-month follow-up. No distal radial artery occlusion, perforation, pseudoaneurysm, or arteriovenous fistula occurred. Conclusions: The success and complication rates of ldTRA support the feasibility and safety of this procedure. Larger randomised comparison studies are needed to support this preliminary evidence.
UR - http://www.scopus.com/inward/record.url?scp=85054712432&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85054712432&partnerID=8YFLogxK
U2 - 10.4244/EIJ-D-18-00635
DO - 10.4244/EIJ-D-18-00635
M3 - Article
C2 - 30222122
AN - SCOPUS:85054712432
VL - 14
SP - e995-e1003
JO - EuroIntervention
JF - EuroIntervention
SN - 1774-024X
IS - 9
ER -