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FEASIBILITY OF LEFT DISTAL RADIAL ACCESS FOR CORONARY ANGIOGRAPHY AND PERCUTANEOUS CORONARY INTERVENTION
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Abstract
Background: Coronary angiography (CAG) and pertacuneous coronary intervention (PCI) via left distal radial artery (Snuffbox) is novel vasscular access, which has potential benefits from left radial approach and decreases operator discomfort during procedure. However, in Viet Nam, the feasibility of CAG and PCI via snuffbox approach is still concerned due to the lack of data regarding the coronary procedure. Objective: The objective of this study was to determine the feasibility and safety of the left snuffbox approach for CAG and PCI. Methods: We performed a cross-sectional retrospective study of 32 adults who were accessed via left snuffbox at Vinmec Central Park hospital from March 2021 to December 2021. We recorded patient characteristics, procedural information and procedural complications. Results: A total of 32 individuals were eligible (average age: 66,7 ± 10,6; 78% males), the diameter of left radial artery was 2,81 ± 0,36 mm and left distal radial artery was 2,53 ± 0,27 mm. The success rate was 93,8%, two patients experienced spasm requiring crossover to left radial artery and right radial artery. The access time was 5,37 ± 3,7 min and all of patients were finished CAG and PCI without crossover to other approachs. Regarding vascular complication, mild hematoma (EASY I), not requiring surgery or transfusion, was 13,3%. There were no cases of moderate to severe hematoma or bleeding. Conclusions: In Viet Nam, CAG and PCI via left distal radial artery was safety and feasibility
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Keywords
left distal radial artery, snuffbox, coronary angiography, pertacuneous coronary intervention.
References
2. Kiemeneij F, "Left distal transradial access in the anatomical snuffbox for coronary angiography (ldTRA) and interventions (ldTRI)", EuroIntervention, 2017, 13 (7), 851-857.
3. Kim Y, Ahn Y, Kim I, et al. "Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach", Korean Circ J, 2018, 48 (12), 1120-1130.
4. Lee J W, Park S W, Son J W, et al. "Real-world experience of the left distal transradial approach for coronary angiography and percutaneous coronary intervention: a prospective observational study (LeDRA)", EuroIntervention, 2018, 14 (9), e995-e1003.
5. Nairoukh Z, Jahangir S, Adjepong D, et al. "Distal Radial Artery Access: The Future of Cardiovascular Intervention", Cureus, 2020, 12 (3), e7201.
6. Norimatsu K, Kusumoto T, Yoshimoto K, et al. "Importance of measurement of the diameter of the distal radial artery in a distal radial approach from the anatomical snuffbox before coronary catheterization", Heart Vessels, 2019, 34 (10), 1615-1620.
7. Shah B, Burdowski J, Guo Y, et al. "Effect of Left Versus Right Radial Artery Approach for Coronary Angiography on Radiation Parameters in Patients With Predictors of Transradial Access Failure", Am J Cardiol, 2016, 118 (4), 477-81.
8. Soydan E, Akın M. "Coronary angiography using the left distal radial approach - An alternative site to conventional radial coronary angiography", Anatol J Cardiol, 2018, 19 (4), 243-248.