Distal Radial Access: A Review Article

Cardiovasc Revasc Med. 2020 Mar;21(3):412-416. doi: 10.1016/j.carrev.2019.06.003. Epub 2019 Jun 8.

Abstract

Transradial approach (TRA) for coronary angiography and interventions has been increasingly used over the last decades and has become the default strategy in the majority of catheterization laboratories worldwide. Recently, a novel transradial access site, the distal radial access (DRA), has been proposed as an alternative to traditional TRA. Several case reports and case series have been published on this new approach over the last year showing overall good success rates. Aim of this review is to present the possible benefits and drawbacks of DRA and offer guidance on its successful use.

Keywords: Anatomical snuffbox; Distal radial access.

Publication types

  • Review
  • Video-Audio Media

MeSH terms

  • Hemorrhage / etiology
  • Hemorrhage / prevention & control
  • Hemostatic Techniques
  • Humans
  • Percutaneous Coronary Intervention* / adverse effects
  • Punctures
  • Radial Artery* / diagnostic imaging
  • Risk Factors
  • Treatment Outcome