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Comparing distal and proximal radial access for percutaneous coronary intervention and angiography: a comprehensive meta-analysis and systematic review of randomized controlled trials.
Coron Artery Dis
December 2024
Medical Research Group of Egypt (MRGE), Negida Academy, Arlington, Massachusetts, USA.
Background: Distal radial access (DRA) through the anatomical snuff-box is a novel technique for coronary procedures. Emerging evidence suggests that DRA is associated with a lower risk of certain complications compared to proximal radial access (PRA).
Methods: A systematic review was conducted to compare clinical and procedural outcomes between both access sites for coronary angiography and percutaneous coronary intervention.
Clot formation risk in the clearing fluid after arterial catheter blood sampling: coagulation factors consumption over time - a prospective pilot study.
J Clin Monit Comput
December 2024
Nantes Université, CHU Nantes, INSERM, Service d'anesthésie-réanimation, Hôpital Laënnec, CIC 1413, Nantes, F-44000, France.
After blood sampling from an arterial catheter, the reinjection of the clearing fluid (a mixture of saline solution and blood) is proposed to limit blood loss. However, reinjecting clots may cause embolic complications. The primary objective was to assess fibrinogen consumption in the clearing fluid as an indicator of clot formation over time.
View Article and Find Full Text PDFSUCCESSFUL EMERGENCY ARTERIAL EMBOLIZATION FOR MASSIVE GASTRODUODENAL BLEEDING IN HIGH-RISK PATIENT. CASE REPORT.
Georgian Med News
September 2024
2A. Tsereteli State University, Faculty of Medicine, Kutaisi, Georgia.
Massive upper gastrointestinal bleeding still remains a challenge, which can cause serious clinical problems especially in high-risk patients. We present a rare case of patient with complex pathology successfully managed by endovascular treatment. A 78-year-old man with a medical history of chronic bronchitis, several minor strokes, type II diabetes, a 30-year history of smoking, and a family history of cardiovascular disease, presented with severe pain on the left side of his chest radiating to his left arm.
View Article and Find Full Text PDFA randomised control trial to compare conventional and haemostatic dressings in radial arterial access: Assessment of Radial Artery Complications Whilst Achieving Rapid Haemostasis (ARCH Trial).
Int J Cardiol
February 2025
Liverpool Heart & Chest Hospital NHS Foundation Trust, Thomas Drive, L14 3PE Liverpool, UK. Electronic address:
Objectives: This trial aimed to compare conventional and haemostatic dressings in achieving rapid and effective radial artery haemostasis following coronary procedures.
Background: In small studies, using a haemostatic dressing is associated with expedited haemostasis and a reduced duration of external radial compression.
Methods: Patients were randomised to one of three compression strategies: 120-min (min) with conventional dressing (C2) vs 60-min with conventional dressing (C1) vs 60-min with haemostatic dressing (H1).
Ultra-low contrast strategy for routine coronary procedures via distal transradial access: real-world experience with consecutive all-comers patients from the DISTRACTION registry.
J Invasive Cardiol
November 2024
Department of Interventional Cardiology, Hospital Universitário I, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil. Email:
Objectives: The association of contrast volume to the risk of contrast-related acute kidney injury (CR-AKI) appears to have resulted in a change in daily practice toward using lower contrast volume for all patients. Distal transradial access (dTRA) has advantages in terms of faster haemostasis and lower rates of proximal radial artery occlusion. The present study aimed to describe the authors' experience with the combination of ultra-low contrast (ULC) strategy and dTRA for routine coronary procedures in a real-world and broad population of all-comers patients.
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