Comparison of the feasibility and safety between distal transradial access and conventional transradial access in patients with acute chest pain: a single-center cohort study using propensity score matching

Distal transradial access (dTRA) has been suggested to have great advantages over cTRA. However, there is a lack of preliminary data on dTRA in patients undergoing emergency coronary angiography (CAG) or percutaneous coronary intervention (PCI). To explore the feasibility and safety of distal transr...

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Bibliographic Details
Published in:BMC geriatrics 2023-06, Vol.23 (1), p.348-348, Article 348
Main Authors: Li, Wenhua, Wang, Juan, Liang, Xiaofang, Wang, Qiang, Chen, Tao, Song, Yanbin, Shi, Ganwei, Li, Feng, Li, Yong, Xiao, Jianqiang, Cai, Gaojun
Format: Article
Language:English
Subjects:
Acute chest pain
Acute coronary syndromes
Aged patients
Angiography
Body mass index
Care and treatment
Chest
Chest pain
Cholesterol
Cohort analysis
Coronary vessels
Distal transradial access
Electrocardiography
Emergency medical care
Emergency procedure
Fistula
Geriatrics
Hematoma
Hemostasis
High density lipoprotein
Ischemia
Local anesthesia
Myocardial infarction
Older people
Pain
Patient outcomes
Patients
Radial artery occlusion
Trinucleotide repeats
Veins & arteries
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Summary:Distal transradial access (dTRA) has been suggested to have great advantages over cTRA. However, there is a lack of preliminary data on dTRA in patients undergoing emergency coronary angiography (CAG) or percutaneous coronary intervention (PCI). To explore the feasibility and safety of distal transradial access in patients with acute chest pain. A total of 1269 patients complaining of acute chest pain in our emergency department from January 2020 to February 2022 were retrospectively included. The patients who met the inclusion criteria were divided into the conventional transradial access (cTRA) group (n = 238) and the dTRA group (n = 158). Propensity score matching was used to minimize the baseline differences. The cannulation success rate in the dTRA group was significantly lower than that in the cTRA group (87.41% vs. 94.81%, p  0.05). Compared with the cTRA group, the hemostasis duration was significantly shorter [4(4, 4) h vs. 10(8, 10) h, p 
ISSN:1471-2318
1471-2318
DOI:10.1186/s12877-023-04058-y