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

Abstract

LRA for coronary angiography is associated with the same success rate and procedural duration time compared with RRA. However, the fluoroscopy time is significantly shorter in favor of LRA.

Patient radiation exposure in right versus left trans-radial approach for coronary procedures

“…Norgaz et al observed an almost triple incidence of operator-reported subclavian tortuosity and a significant increase in fluoroscopy time in RR compared with LR [13]; similarly, in the TALENT randomized study both RR and age ≥ 70 years were independent predictors of subclavian tortuosity at multivariate analysis [14].…”

Left Radial Access Is Preferable to Right Radial Access for the Diagnostic or Interventional Coronary Procedures: A Meta-Analysis Involving 22 Randomized Clinical Trials and 10287 Patients

“…The initial search for the randomized clinical trials that compared the left with the right radial access for the diagnostic or interventional coronary procedures yielded 435 potentially relevant articles. Applying further inclusion/exclusion criteria left a total of 22 articles [1], [2], [4]–[9], [13]–[26] involving 5317 patients assigned to the left radial access and 4970 patients assigned to the right radial access in final analyses. All qualified articles were published between 2001 and 2013, and ten of them were written in Chinese language [5], [18]–[26].…”

“…Four of 22 qualified articles recorded outcomes separately by the diagnostic and interventional coronary procedures [4], [7], [18], [24], and one article additionally recorded outcomes from experts [9]. Nine articles involved patients of Caucasian descent [1], [4], [6], [9], [13]–[17], 12 articles of Asian descent [2], [5], [8], [18]–[26], and one article of mixed descents [7]. The average success rate of cardiac catheterization was 96.22% and 95.39% for the left and the right radial accesses, respectively (Table S1).…”

Comparison of transradial coronary procedures via right radial versus left radial artery approach: A meta‐analysis

“…More recently, radial artery access is also linked to reduced mortality in comparison to femoral access in patients with acute myocardial infarction . There are a limited number of studies comparing the left versus right radial approach for coronary procedures . The right radial approach is traditionally favored by many operators, primarily because of associated ease with the standard access setup .…”