A new operative classification of both anatomic vascular variants and physiopathologic conditions affecting transradial cardiovascular procedures

Burzotta, Francesco; Trani, Carlo; Vita, Maria De; Crea, Filippo

doi:10.1016/j.ijcard.2009.06.025

Cited by 20 publications

(17 citation statements)

References 19 publications

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“…However, they have also demonstrated that in centers with a systematic transradial approach the rate of crossover to femoral is very low [10, 11], confirmed by a rate of % 3.8 in our study. According to a recent classification [12] most of the failures and subsequent crossover to femoral approach are localized in the forearm and consist of puncture or radial failure. Likewise, the most common failure in our study was the lack of canalization, and there were no significant differences between the two groups in terms of lack of canalizition, radial and subclavian failures.…”

Section: Discussionmentioning

confidence: 99%

A randomized study comparing the effectiveness of right and left radial approach for coronary angiography

Norgaz

Görgülü

Dağdelen

2012

Cathet Cardio Intervent

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Section: Discussionmentioning

confidence: 99%

A randomized study comparing the effectiveness of right and left radial approach for coronary angiography

Norgaz

Görgülü

Dağdelen

2012

Cathet Cardio Intervent

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“…Indeed, we observed highly significant differences in fluoroscopy between the 2 approaches. Because a series of anatomical variations may be encountered during the arterial path from both wrists to the ascending aorta, 15 another possible advantage of Of note, a double incidence of subclavian tortuosity in the female RRA compared with female LRA was observed (40 vs. 15), and this difference was highly significant (P=0.001) (Figure 3). …”

Section: Discussionmentioning

confidence: 99%

Coronary Procedures by Left vs. Right Transradial Approach in Bangladeshi Diabetic Population

Khan

Kabir

2016

Univ. Heart J.

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Background: Radial arterial approach is the usual option for coronary procedures in our hospital. Our aim was to evaluate the safety and efficacy of left radial approach (LRA) compared with right radial approach (RRA) for coronary procedures.Methods: This study is a single centre, single operator randomized study. Only diabetic patients more than 18 years old with bilateral normal allens test requiring coronary procedures (CAG and PCI) were included in this study. Study period was since January, 2011 to February, 2012. Primary PCI were excluded from this study. The patients were randomized to LRA or RRA arm for coronary procedures. Primary endpoint for diagnostic CAG was contrast volume and fluroscopy time and secondary endpoint was the prevalence of high grade subclavian tortuosity and number of diagnostic catheters used. Size of the conventional guide catheter (5 or 6 F) was compared in both arms irrespective of left or right coronary PCI.Results: Total 512 diabetic patients were enrolled for CAG and equally divided into LRA (256 patients) or RRA (256 patients) arms. Total 290 PCI was performed (145 LRA and 145 RRA). In CAG, LRA arm showed significantly lower fluroscopy time (p = 0.006) and contrast volume (p= 0.005) though more use of double diagnostic catheter (5 F TIG and JR) was present in LRA group. In PCI, RRA arm needed signicantly more 5 F guide catheter (p=0.001). Subclavian tortuosity were more observed in female RRA group.Conclusions: In diabetic population, CAG by left radial approach was superior to right in terms of amount of contrast and fluroscopy time. Subclavian tortuousity was more observed in right and especially more in female. In PCI, 6 F conventional guide catheters were commonly used in both approache though 5 F guide catheter were used more in right radial approach due to extreme subclavian tortuousity and diffuse disease. Dedicated sheathless guide catheter may resolve this issue.University Heart Journal Vol. 11, No. 1, January 2015; 26-29

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“…Firstly, when dealing with a CTO, it may be important to achieve a stable coronary cannulation with the guiding catheter. Because of the wide spectrum of anatomical variations encountered between the forearm and the aortic root , multiple points of contact can affect the guiding catheter torque transmission from a radial access. Accordingly, the learning curve of individual radial operators is characterized by the development of an appropriate selection of guiding catheter shape and radial approach side (right or left) to achieve the best cannulation in the various clinical conditions.…”

Section: Technical Issues Of Tra For Cto Pcimentioning

confidence: 99%

Radial approach for percutaneous coronary interventions on chronic total occlusions: Technical issues and data review

Burzotta

Vita

Lefèvre

et al. 2013

Cathet Cardio Intervent

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A new operative classification of both anatomic vascular variants and physiopathologic conditions affecting transradial cardiovascular procedures

Cited by 20 publications

References 19 publications

A randomized study comparing the effectiveness of right and left radial approach for coronary angiography

A randomized study comparing the effectiveness of right and left radial approach for coronary angiography

Coronary Procedures by Left vs. Right Transradial Approach in Bangladeshi Diabetic Population

Radial approach for percutaneous coronary interventions on chronic total occlusions: Technical issues and data review

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