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Distal Versus Proximal Radial Artery Access for Cardiac Catheterization: 1-Year Outcomes.
Al-Azizi, Karim; Moubarak, Ghadi; Dib, Chadi; Sayfo, Sameh; Szerlip, Molly; Thomas, Sibi; Hale, Sarah; Zyl, Johanna Van; Settele, Richard M; Gonzalez, Osniel Ramos; Ventura, Stephanie J; DiMaio, J Michael; Mack, Michael J; Potluri, Srinivasa.
Afiliación
  • Al-Azizi K; Department of Cardiology, Baylor Scott and White The Heart Hospital, Plano, Texas. Electronic address: Karim.AlAzizi@BSWHealth.org.
  • Moubarak G; Baylor Scott and White Research Institute, Plano, Texas.
  • Dib C; Department of Cardiology, Baylor Scott and White The Heart Hospital, Plano, Texas.
  • Sayfo S; Department of Cardiology, Baylor Scott and White The Heart Hospital, Plano, Texas.
  • Szerlip M; Department of Cardiology, Baylor Scott and White The Heart Hospital, Plano, Texas; Baylor Scott and White Research Institute, Plano, Texas.
  • Thomas S; Department of Cardiology, Baylor Scott and White The Heart Hospital, Plano, Texas.
  • Hale S; Baylor Scott and White Research Institute, Plano, Texas.
  • Zyl JV; Baylor Scott and White Research Institute, Plano, Texas.
  • Settele RM; Baylor Scott and White Research Institute, Plano, Texas.
  • Gonzalez OR; Baylor Scott and White Research Institute, Plano, Texas.
  • Ventura SJ; Baylor Scott and White Research Institute, Plano, Texas.
  • DiMaio JM; Baylor Scott and White Research Institute, Plano, Texas; Department of Cardiothoracic Surgery, Baylor Scott and White The Heart Hospital, Plano, Texas.
  • Mack MJ; Baylor Scott and White Research Institute, Plano, Texas; Department of Cardiothoracic Surgery, Baylor Scott and White The Heart Hospital, Plano, Texas.
  • Potluri S; Department of Cardiology, Baylor Scott and White The Heart Hospital, Plano, Texas.
Am J Cardiol ; 220: 102-110, 2024 06 01.
Article en En | MEDLINE | ID: mdl-38432334
ABSTRACT
Proximal radial artery (PRA) access for cardiac catheterization is safe but can jeopardize subsequent use of the artery because of occlusion. Distal radial artery (DRA) access in the anatomical snuffbox preserves the RA but safety and potential detrimental effects on hand function are unknown. We aimed to assess hand function and complications after DRA and PRA. In this single-center trial, 300 patients were randomly allocated 11 to cardiac catheterization through DRA or PRA. The primary end point of change in hand function from baseline to 1 year was a composite of the Quick Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, hand grip test, and thumb-forefinger pinch test. The secondary end points included access feasibility and complications. Of 216 patients with 1-year completed follow-up, 112 were randomly allocated to DRA and 104 to PRA, with balanced demographics and procedural characteristics. Both groups had similar access site bleeding rates (DRA 0% vs PRA 1.4%, p = 0.25). Radial artery occlusion occurred in 1 PRA patient versus 2 in DRA. There was no significant difference in change of hand function, median (interquartile range) hand grip (DRA 0.7 [-3 to 4.5] vs PRA 1.3 [-2 to 4.3] kg, p = 0.57), pinch grip (DRA -0.1 [-1.1 to 1] vs PRA -0.3 [-1 to 0.7] kg, p = 0.66), and Quick DASH (DRA 0 [-6.6 to 2.3] vs PRA 0 [-4.6 to 2.9] points, p = 0.58). The composite of hand function was comparable between PRA and DRA. In conclusion, DRA is a safe strategy for cardiac catheterization, with a low complication rate. Compared with PRA, there is no increased risk of hand dysfunction or radial artery occlusion at 1 year.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Cardíaco / Arteria Radial Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Cardiol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cateterismo Cardíaco / Arteria Radial Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Am J Cardiol Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos