Comparison of distal radial artery access and conventional transradial access for percutaneous coronary intervention
GAO Le
LIAO Li-qun
LU Jian-yong
DENG Min-jie
RONG Cui-yue
GongRen Hospital of WuZhou,Wuzhou city,Guangxi Province 543000,China
摘要：Background Distal radial artery access(DRA)has emerged as an alternative to conventional transradial access(TRA)for percutaneous coronary interventions(PCI).This study aims to compare the efficacy and safety of DRA versus TRA.Methods A total of 873 participants were enrolled,divided into the DRA group(n=236)and the TRA group(n=637).The primary endpoint was the success rate of access puncture.Secondary endpoints included procedural efficiency,patient comfort,and complication rates.Baseline characteristics,procedural data,and out-comes were analyzed and compared between the two groups.Results The success rates for access puncture showed no significant statistical difference between the DRA and TRA groups.However,the DRA group required more puncture attempts.DRA showed significant advantages,including shorter hemostasis times,reduced access puncture and postprocedural pain,and lower incidences of radial artery occlusion(2.1％vs.6.1％,P=0.043)and hematoma(1.7％vs.5.2％,P=0.037).Conclusions DRA is a viable alternative to TRA for performing PCI,offer-ing comparable success rates and procedural efficiency with improved patient comfort and reduced complications.
机标关键词：percutaneousaccessdistalarterycomparisonconventionalcoronaryintervention
论文发表日期：2024-06-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：6( 123-128 )
英文信息