Distal transradial access decreases radial artery occlusion rate in percutaneous coronary interventions.

BACKGROUND

To investigate the incidence of complications such as radial artery occlusion (RAO) after distal or conventional transradial access in percutaneous coronary interventions, and to compare the advantages and disadvantages of those two approaches.

METHODS

In this retrospective study, the data of 110 patients received either distal transradial access (dTRA) (n=56 cases) or conventional transradial access (cTRA) (n=54 cases) in percutaneous coronary interventions were analyzed to compare the incidence of RAO.

RESULTS

The incidence of RAO in the dTRA group significantly decreased compared with that in the cTRA group (P<0.05). Univariate analysis indicated that smoking (r=0.064, P=0.011), dTRA (r=0.431, P<0.001), cTRA (r=0.088, P=0.015), radial artery spasm (r=-0.021, P=0.016), and postoperative arterial compression time (r=0.081, P<0.001) were exposure factors for the incidence of RAO. In multivariable analysis, independent risk factors for RAO were postoperative arterial compression time (P=0.038) and dTRA (P<0.001).

CONCLUSIONS

dTRA shortened the postoperative arterial compression time and decreased the incidence of RAO compared with conventional transradial approach.