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JACC March 12, 2019

Volume 73, Issue 9

Interventional Cardiology
A COMPARISON OF FEASIBILITY AND SAFETY USING TRANSRADIAL VERSUS DISTAL
TRANSRADIAL APPROACH IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY AND
PERCUTANEOUS CORONARY INTERVENTION
Poster Contributions
Poster Hall, Hall F
Sunday, March 17, 2019, 9:45 a.m.-10:30 a.m.

Session Title: Interventional Cardiology: Vascular Access and Complications 2

Abstract Category: 26. Interventional Cardiology: Vascular Access and Complications
Presentation Number: 1203-050

Authors: Shinsuke Mori, Yoshiaki Ito, Toshihiko Kishida, Tomoya Fukagawa, Shigemitsu Shirai, Kenji Makino, Yohsuke Honda, Masakazu
Tsutsumi, Yasunari Sakamoto, Norihiro Kobayashi, Motoharu Araki, Masahiro Yamawaki, Keisuke Hirano, Saiseikai Yokohama City
Eastern Hospital, Yokohama, Japan
Background: This study aimed to compare the feasibility and safety in transradial approach (TRA) versus distal transradial approach
(dTRA) in patients undergoing coronary angiography (CAG) and percutaneous coronary intervention (PCI).
Methods: We included total 95 patients who inderwent elective CAG or PCI prospectively. 53 patients were performed TRA in August 2018
and 43 patients were performed dTRA in September 2018. We compared the feasibility and safety in TRA and dTRA.
Results: Patient’s characteristics, lesion characteristics were similar in the both groups. The success rate of arterial puncture was similar
in the both groups (TRA 94.3% vs. dTRA 92.9%, p=0.768). CAG and PCI were succeeded in all cases. The rate of PCI (TRA 41.1% vs.
dTRA 35.9%, p=0.6109), the total fluoroscopy time (TRA 8.8±6.2 min vs. dTRA 10.1±6.6 min, p=0.3402), and contrast medium use (TRA
76.6±39.6ml vs. dTRA 70.3±32.8ml, p=0.4203) were similar in the both groups. The rate of any vascular access site complication (TRA
23.2% vs. dTRA 12.8%, p=0.2035), and numerical pain rating scale of hemostasis (TRA 2.0±2.8 vs. dTRA 1.3±1.8, p=0.1262) were similar
in the both groups. Loss of pulse of radial artery after procedure was significantly higher in the TRA group (TRA 10.7% vs. dTRA 0%,
p=0.0347).
Conclusion: The distal transradial approach in CAG or PCI is as feasible and safe as the transradial approach. And the distal transradial
approach can prevent a radial artery from obstruction.