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Distal Radial Artery Approach to Prevent Radial Artery Occlusion Trial
- Source :
- JACC: Cardiovascular Interventions. 14:378-385
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Objectives The aim of this study was to compare the rate of proximal radial artery occlusion (RAO) with Doppler ultrasound between distal and conventional radial access 24 h and 30 days after a transradial coronary procedure. Background The use of distal radial access to prevent proximal RAO (PRAO) in the proximal segment at 24 h and 30 days after a procedure, compared with conventional radial access, is unknown. Methods This was a prospective, comparative, longitudinal, randomized study. A total of 282 patients were randomized to either proximal radial access (n = 142) or distal radial access (n = 140) to evaluate the superiority of the distal approach in the prevention of PRAO with Doppler ultrasound 24 h and 30 days after a transradial coronary procedure. Results In the per protocol analysis, the rates of PRAO at 24 h and 30 days were 8.4% and 5.6% in the proximal group and 0.7% and 0.7% in the distal group, respectively (24 h: odds ratio [OR]: 12.8; 95% confidence interval [CI]: 1.6 to 100.0; p = 0.002; 30 days: OR: 8.2; 95% CI: 1.0 to 67.2; p = 0.019). In an intention-to-treat analysis, the 24-h and 30-day rates of PRAO were 8.8% and 6.4% for proximal radial access and 1.2% and 0.6% in the distal radial access group (24 h: OR: 7.4; 95% CI: 1.6 to 34.3; p = 0.003; 30 days: OR: 10.6; 95% CI: 1.3 to 86.4; p = 0.007). Conclusions Distal radial access prevents RAO in the proximal segment at 24 h and 30 days after the procedure compared with conventional radial access.
- Subjects :
- Intention-to-treat analysis
business.industry
medicine.medical_treatment
Percutaneous coronary intervention
Odds ratio
030204 cardiovascular system & hematology
Confidence interval
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
medicine.artery
Occlusion
medicine
Plethysmograph
030212 general & internal medicine
Radial artery
Cardiology and Cardiovascular Medicine
Nuclear medicine
business
Subjects
Details
- ISSN :
- 19368798
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- JACC: Cardiovascular Interventions
- Accession number :
- edsair.doi...........37d27ede93dfa83555130123b670e7da