Document Type
Original Article
Abstract
Background: Proximal trans-radial approach (pTRA) has become the default choice for coronary catheterization, recently, distal TRA (dTRA) has gained sound acceptance as an alternative access to overcome undeniable pTRA pitfalls. Nonetheless, dTRA is technically challenging because of smaller size.
Aim of the work: to assess safety and feasibility of dTRA compared to pTRA using ultrasound guidance.
Patients and methods: A prospective observational study enrolled 100 patients eligible for coronary catheterization. The patients were divided into; group I (pTRA=50-patients) and group II (dTRA=50-patients), which in turn subdivided into group A (blind dTRA=25-patients) and group B (ultrasound-guided dTRA=25-patients). The demographic, pre/post-procedural data were collected. The primary endpoints were radial puncture and procedure success, the secondary endpoints were number of puncture attempts, total puncture, procedure and radiation times and local vascular complications.
Results: Percutaneous coronary intervention (PCI) was accomplished in 23% and 21% in pTRA and dTRA respectively. Successful radial cannulation (94% versus 90%) and procedure completion (92% versus 90%) were not different between both groups (p= 0.71 and 1.0 respectively). Number of punctures attempts as well as cannulation time were significantly less in pTRA group (p=0.017 and 0.001 respectively). In the dTRA group, the ultrasound-guidance recompletion a significantly lower of vascular puncture attempts (p=0.001). Despite the incidence of complications were recognized more frequently in the pTRA group, however, it didn’t reach statistical significance.
Conclusion: Distal radial approach is safe and feasible alternative route for coronary catheterization. The ultrasound guidance helped to overcome the puncture challenges of this relatively new technique.
Keywords
Traditional radial; distal radial; US guided distal radial.
How to Cite This Article
Mohammad, Hossam Eldeen Sedeek; Abdelghani, Mohammad; Hassan, Ahmed Kamel Abdelghany; Taghreed, A; and Sallam, Mansour Mohammed
(2023)
"Ultrasound-Guided Distal Radial versus Traditional Radial Approach for Coronary Catheterization,"
Al-Azhar International Medical Journal: Vol. 4:
Iss.
1, Article 20.
DOI: https://doi.org/10.58675/2682-339X.1638
