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COMPARISON OF THE RIGHT AND LEFT DISTAL RADIAL ACCESS FOR CORONARY PROCEDURES

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06 Pages : 40-49

http://dx.doi.org/10.31703/gdddr.2022(VII-I).06      10.31703/gdddr.2022(VII-I).06      Published : Mar 2022

Comparison of the Right and Left Distal Radial Access for Coronary Procedures

Abstract

    Distal radial coronary access is effective. This study examined if the access location affects vascular access and procedure success. A prospective database was created to compare rDRA and lDRA using propensity score matching. “Access time, coronary procedure success, radial spasm, ionising radiation exposure, and patient comfort were observed. The rDRA and lDRA compared 182 of 385 procedures. Approach success was comparable (97.6%vs.97.6%, p=1.0), access time (sec) was shorter (39 (25-60)vs.50 (29-90); p=0.0026), and procedural success was 100% vs. 100% (p=1.000). Radial spasm was not statistically significant (2.2%vs.6.62%, p=0.150). There were no significant differences between the groups in dose-area product (32 (20-57.1) Gy.m2 vs. 32.5 (19.4-46.3) Gy.m2; p=0.487) or fluoroscopy time (min; 4.4 (2.6-9)vs.4.3 (2.5-7.5); p=0.215.”No study population had vascular access concerns. Those undergoing coronary procedures spent about same time in the catheterization laboratory after switching to the rDRA as they did with the lDRA, but the rDRA required less time to get access to the heart.

    Distal Radial Access, Coronary Procedures, Catheterization, Coronary Diagnosis

    (1) Kashif Ullah Shah
    MBBS, FCPS, Depatment of Cardiology, Hayatabad Medical Complex, Peshawar, KP, Pakistan.
    (2) Irfan Ali Khan
    MBBS, FCPS, Depatment of Cardiology, Hayatabad Medical Complex, Peshawar, KP, Pakistan.
    (3) Zia ur Rehman
    MBBS, FCPS, Depatment of Cardiology, Hayatabad Medical Complex, Peshawar, KP, Pakistan.
    (4) Qazi Najeeb Ullah Amin
    MBBS, FCPS, Depatment of Cardiology, Hayatabad Medical Complex, Peshawar, KP, Pakistan.
    (5) Farman Ullah
    MBBS, FCPS, Depatment of Cardiology, Hayatabad Medical Complex, Peshawar, KP, Pakistan.
    (6) Sami Ullah
    MBBS, FCPS, Depatment of Cardiology, Hayatabad Medical Complex, Peshawar, KP, Pakistan.
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Cite this article

APA

    APA : Shah, K. U., Khan, I. A., & Rehman, Z. u. (2022). Comparison of the Right and Left Distal Radial Access for Coronary Procedures. Global Drug Design & Development Review, VII(I), 40-49. https://doi.org/10.31703/gdddr.2022(VII-I).06

CHICAGO

    CHICAGO : Shah, Kashif Ullah, Irfan Ali Khan, and Zia ur Rehman. 2022. "Comparison of the Right and Left Distal Radial Access for Coronary Procedures." Global Drug Design & Development Review, VII (I): 40-49 doi: 10.31703/gdddr.2022(VII-I).06

HARVARD

    HARVARD : SHAH, K. U., KHAN, I. A. & REHMAN, Z. U. 2022. Comparison of the Right and Left Distal Radial Access for Coronary Procedures. Global Drug Design & Development Review, VII, 40-49.

MHRA

    MHRA : Shah, Kashif Ullah, Irfan Ali Khan, and Zia ur Rehman. 2022. "Comparison of the Right and Left Distal Radial Access for Coronary Procedures." Global Drug Design & Development Review, VII: 40-49

MLA

    MLA : Shah, Kashif Ullah, Irfan Ali Khan, and Zia ur Rehman. "Comparison of the Right and Left Distal Radial Access for Coronary Procedures." Global Drug Design & Development Review, VII.I (2022): 40-49 Print.

OXFORD

    OXFORD : Shah, Kashif Ullah, Khan, Irfan Ali, and Rehman, Zia ur (2022), "Comparison of the Right and Left Distal Radial Access for Coronary Procedures", Global Drug Design & Development Review, VII (I), 40-49

TURABIAN

    TURABIAN : Shah, Kashif Ullah, Irfan Ali Khan, and Zia ur Rehman. "Comparison of the Right and Left Distal Radial Access for Coronary Procedures." Global Drug Design & Development Review VII, no. I (2022): 40-49. https://doi.org/10.31703/gdddr.2022(VII-I).06