Distal Vs. Proximal Radial Arterial Access For Percutaneous Coronary Angiography and Intervention: Updated Meta-Analysis Of Randomized Controlled Trials

Transradial access (TRA) has been the preferred method of arterial access for cardiac catheterization for more than three decades. 1 Compared to transfemoral access, TRA is associated with lower mortality in high-risk patients, fewer complications at the vascular site, and less bleeding 2. Radial artery occlusion (RAO) is a common complication of TRA, with incidence reported up to 10%3. Although RAO was once considered clinically insignificant due to the dual arterial blood supply of the hand, recent evidence has recognized RAO as an impediment to reintervention in patients requiring coronary bypass surgery with arterial conduits or patients requiring AV fistulas for hemodialysis 4,5.

Source: The American Journal of Cardiology - March 1, 2024 Category: Cardiology Authors: Syed Hamza Mufarrih, Sajjad Haider, Nada Qaisar Qureshi, Mohammad Saud Khan, Mohammed Kazimuddin, Muhammad Shoaib Akbar, Sameer Saleem, Syeda Aleena Mufarrih, Avnish Tripathi, Aniruddha Singh, Mohammad Abdul Waheed Source Type: research