A Comparative Analysis between Ultrasound-Guided and Conventional Distal Transradial Access for Coronary Angiography and Intervention

Joint Authors

Sakamoto, Yasunari
Mori, Shinsuke
Hirano, Keisuke
Yamawaki, Masahiro
Kobayashi, Norihiro
Tsutsumi, Masakazu
Honda, Yohsuke
Makino, Kenji
Shirai, Shigemitsu
Ito, Yoshiaki

Source

Journal of Interventional Cardiology

Issue

Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2020-09-08

Country of Publication

Egypt

No. of Pages

8

Main Subjects

Diseases

Abstract EN

Objectives.

To compare feasibility and safety between ultrasound-guided and conventional distal transradial access (dTRA).

Background.

Distal transradial access, a new technique for coronary angiography (CAG) and percutaneous coronary interventions (PCI), is safe and feasible and will become popular worldwide.

Ultrasound-guided dTRA has been advocated to reduce failure rate and access-site complications.

However, to date, the comparison of feasibility and safety between ultrasound-guided and conventional dTRA has not been reported.

Method.

Overall, 137 patients (144 procedures) who underwent CAG or PCI using dTRA between September 2018 and February 2019 were investigated.

These patients were classified into two groups: C (dTRA with conventional punctures; 76 patients, 79 procedures) and U (dTRA with ultrasound-guided punctures; 61 patients, 65 procedures) groups.

Successful procedural rate, procedural outcomes, and complication rate during hospital stays were compared between the two groups.

Results.

The procedural success rate was significantly higher in the U group than in the C group (97% vs.

87%, P=0.0384).

However, the rate of PCI, puncture time, total fluoroscopy time, the volume of contrast medium, the rate of access-site ecchymosis, and incidence of nerve disorder were similar between the two groups.

Additionally, radial artery occlusion after the procedure did not occur in this study.

Conclusion.

The ultrasound-guided dTRA for CAG or PCI was associated with a lower failure rate than conventional dTRA.

However, there were no significant differences in puncture time and complication rate between the two procedures.

American Psychological Association (APA)

Mori, Shinsuke& Hirano, Keisuke& Yamawaki, Masahiro& Kobayashi, Norihiro& Sakamoto, Yasunari& Tsutsumi, Masakazu…[et al.]. 2020. A Comparative Analysis between Ultrasound-Guided and Conventional Distal Transradial Access for Coronary Angiography and Intervention. Journal of Interventional Cardiology،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1187853

Modern Language Association (MLA)

Mori, Shinsuke…[et al.]. A Comparative Analysis between Ultrasound-Guided and Conventional Distal Transradial Access for Coronary Angiography and Intervention. Journal of Interventional Cardiology No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1187853

American Medical Association (AMA)

Mori, Shinsuke& Hirano, Keisuke& Yamawaki, Masahiro& Kobayashi, Norihiro& Sakamoto, Yasunari& Tsutsumi, Masakazu…[et al.]. A Comparative Analysis between Ultrasound-Guided and Conventional Distal Transradial Access for Coronary Angiography and Intervention. Journal of Interventional Cardiology. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1187853

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1187853