Comparative characteristics of proximal and distal transradial approaches in clinical practice

Main Article Content

S. V. Salo
O. V. Levchyshyna
A. Yu. Gavrylyshyn
S. S. Shpak

Abstract

The literature review is devoted to the fact that for more than 30 years of the existence of vascular accesses in interventional cardiology, proximal and distal transradial, and the accumulation of knowledge about their advantages and disadvantages, there are still questions about the use of each of them in different clinical situations. Despite the dominance of the proximal transradial approach worldwide, which is associated with fewer potential complications and greater patient comfort compared to the transfemoral approach, more and more data are emerging about the advantages of the distal radial artery puncture. Our own experience, the foreign literature and different clinical studies comparing these two accesses gave us the opportunity to analyze the data we received and make a conclusion about the feasibility and safety of one or another arterial access.

Article Details

Keywords:

history of cardiology, arterial access, radial artery occlusion, transradial access, hand blood supply

References

ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC) 2017.Borja Ibanez, Stefan James, Stefan Agewall, Manuel J Antunes, Chiara Bucciarelli-Ducci, Héctor Bueno. Eur Heart J. 2018;39(2):119-77. https://doi.org/10.1093/eurheartj/ehx393.

Titano JJ, Patel RS. Transradial Access in Interventional Radiology. Advances in Clin Radiology. 2020;2:127-38. https://doi.org/10.1016/j.yacr.2020.06.007.

Piers LH, Vink MA, Amoroso G. Transradial Approach in Primary Percutaneous Coronary Intervention: Lessons from a High-volume Centre. Interv Cardiol. 2016;11(2):88-92. https://doi.org/10.15420/icr.2016:21:3.

Vorobcsuk A, Kónyi A, Aradi D, Horváth IG, Ungi I, Louvard Y, et al. Transradial versus transfemoral percutaneous coronary intervention in acute myocardial infarction: Systematic overview and meta-analysis. Amer Heart J. 2009;158(5):814-21. https://doi.org/10.1016/j.ahj.2009.08.022.

Jolly SS, Amlani S, Hamon M, Yusuf S, Mehta SR. Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: A systematic review and meta-analysis of randomized trials. Amer Heart J. 2009;157(1):132-40. https://doi.org/10.1016/j.ahj.2008.08.023.

Panichkin YuV, Salo SV. Transradial access in patients with chronic coronary heart disease. Praktychna medytsyna. 2003;9(1):98-9 (Ukrainian). Панічкін Ю.В., Сало С.В. Трансрадіальний доступ у пацієнтів із хронічною фор­­­мою ішемічної хвороби серця. Практична медицина. 2003;9(1):98-9.

Застосування дистального трансрадіального доступу для реканалізації хронічних оклюзій променевої артерії. Сало С.В., Гаврилишин А.Ю., Левчишина О.В., Шпак С.С. Укр журн серцево-судинної хірургії. 2022. Т. 30, № 2. https://doi.org/10.30702/ujcvs/22.30(02)/SG024-6771УДК616.13-008.64-089.844.

Ji Woong Roh, Yongcheol Kim. The learning curve of the distal radial access for coronary intervention. Scientific Reports. https://doi.org/10.1038/s41598-021-92742-7.

Norimatsu K, et al. Importance of measurement of the diameter of the distal radial artery in a distal radial approach from the anatomical snuffbox before coronary catheterization. Heart Vessels. 2019;34:1615-20. https://doi.org/10.1007/s00380-019-01404-2.

Kim Y, et al. Gender differences in the distal radial artery diameter for the snuffbox approach. Cardiol J. 2018;25:639-41. https://doi.org/10.5603/CJ.2018.0128.

Warren T. Ball, Waseem Sharieff. Characterization of Operator Learning Curve for Transradial Coronary Interventions. Circulation: Cardiovascular Interventions. 2011;4(4):336-41. https://doi.org/10.1161/CIRCINTERVENTIONS.110.960864

Spaulding C, Lefevre T, Funck F, Thebault B, Chauveau M, Ben Hamda K, Chalet Y, Monsegu H, Tsocanakis O, Py A, Guillard N, Weber S. Left radial approach for coronary angio­­graphy: results of a prospective study. Cathet Cardiovasc Diagn.1996;39:365-70. https://doi.org/10.1002/(SICI)1097-0304(199612)39:4<365::AID-CCD8>3.0.CO;2-B.

Kiemeneij F. Left distal transradial access in the anatomical snuffbox for coronary angiography (ldTRA) and interventions (ldTRI). EuroIntervention. 2017;13:851-7. https://doi.org/10.4244/EIJ-D-17-00079.

Kim Y.et al. Feasibility of primary percutaneous coronary intervention via the distal radial approach in patients with ST-elevation myocardial infarction. Korean J. Intern. Med. 2021;36:S51-61. https://doi.org/10.3904/kjim.2019.420.

Jolly SS, Yusuf S, Cairns J, Niemela K, Xavier D, Widimsky P, Budaj A, Niemela M, Valentin V, Lewis BS, Avezum A, Steg PG, Rao SV, Gao P, Afzal R, Joyner CD, Chrolavicius S, Mehta SR. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet. 2011;377:1409-20. https://doi.org/10.1016/S0140-6736(11)60404-2.

Numasawa Y, Kawamura A, Kohsaka S, Takahashi M, Endo A, Arai T, et al. Anatomical variations affect radial artery spasm and procedural achievement of transradial cardiac catheterization. Heart Vessels. 2014;29(1):49-57. https://doi.org/10.1007/s00380-013-0324-3

Fazan VPS, Borges CT, de Silva JH, Caetano AG, Filho OAR. Superficial palmer arch: an arterial diameter study. J. Anat. 2004;204:307-11. https://doi.org/10.1111/j.0021-8782.2004.00281.x.

Stella PR, Kiemeneij F, Laarman GJ, Odekerken D, Slagboom T, van der Wieken R. Incidence and outcome of radial artery occlusion following transradial artery coronary angioplasty. Cathet Cardiovasc Diagn. 1997;40:156-8. https://doi.org/10.1002/(sici)1097-0304(199702)40:2<156::aid-ccd7>3.0.co;2-a.

Sanmartin M, Gomez M, Rumoroso JR, Sadaba M, Martinez M, Baz JA, Iniquez A. Interruption of blood flow during compression and radial artery occlusion after transradial catheterization. Catheter Cardiovasc Interv. 2007;70:185-9. https://doi.org/10.1002/ccd.21058.

Pancholy S, Coppola J, Patel T, Roke Thomas M. Prevention of radial artery occlusion patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization. Catheter Cardiovasc Interv. 2008;72:335-40. https://doi.org/10.1002/ccd.21639.

Cubero JM, Lombardo J, Pedrosa C, Diaz Bejarano D, Sanchez B, Fernandez V, Gomez C, Vazquez R, Molano FJ, Pastor LF. Radial compression guided by mean artery pressure versus standard compression with a pneumatic device (RACOMAP). Catheter Cardiovasc Interv. 2009;73:467-72. https://doi.org/10.1002/ccd.21900.

Kumar Chugh S, Chugh S, Chugh Y, Rao SV. Feasibility and utility of pre-procedural ultrasound imaging of the arm to facilitate transradial coronary diagnostic and interventional procedures (PRIMAFACIE-TRI). Catheter Cardiovasc Interv. 2013;82:64-73. https://doi.org/10.1002/ccd.24585.

Coomes EA, Haghbayan H, Cheema AN. Distal transradial access for cardiac catheterization: A systematic scoping review. Catheter. Cardiovasc. Interv. 2020;96:1381-9. https://doi.org/10.1002/ccd.28623.

Paper Ivo Bernat, Adel Aminian, Samir Pancholy. Best Practices for the Prevention of Radial Artery Occlusion After Transradial Diagnostic Angiography and Intervention An International Consensus. jacc: cardiovasc interv. 2019;12(22). https://doi.org/10.1016/j.jcin.2019.07.043

Neumann F-J, Sousa-Uva M, Ahlsson A. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2019;40(2):87-165. https://doi.org/10.1093/eurheartj/ehy394.

Hahalis G, Aznaouridis K, Tsigkas G. Radial Artery and Ulnar Artery Occlusions Following Coronary Procedures and the Impact of Anticoagulation: ARTEMIS (Radial and Ulnar ARTEry Occlusion Meta-AnalysIS) Systematic Review and Meta-Analysis. Originally published 23 Aug 2017. https://doi.org/10.1161/JAHA.116.005430. J Amer Heart Ass. 2017.

Kerawala CJ, Martin IC. Palmar arch backflow following radial forearm free flap harvest. Brit J Oral and Maxillofacial Surgery. 2003;41(3):157-60. https://doi.org/10.1016/S0266-4356(03)00023-8.

van Leeuwen MAH, Hollander MR, van der Heijden DJ, van de Ven PM, Opmeer KHM. The ACRA Anatomy Study (Assessment of Disability After Coronary Procedures Using Radial Access). Originally published 10 Nov 2017 https://doi.org/10.1161/CIRCINTERVENTIONS.117.005753 Circulation: Cardiovasc Interv. 2017;10:e005753.

Rashid M, Kwok CS, Pancholy S. Radial Artery Occlusion After Transradial Interventions: A Systematic Review and Meta-Analysis. Originally published 25 Jan 2016 https://doi.org/10.1161/JAHA.115.002686. J Amer Heart Ass. 2016;5:e002686.

Bernat PI, Aminian A, Pancholy S. Best Practices for the Prevention of Radial Artery Occlusion After Transradial Diagnostic Angiography and Intervention: An International Consensus. J Am Coll Cardiol Intv. 2019;12(22):2235-46. PMID: 31753298 DOI: https://doi.org/10.1016/j.jcin.2019.07.043.

Tsigkas G, Papageorgiou A. Distal or Traditional Transradial Access Site for Coronary Procedures: A Single-Center, Randomized Study Author links open overlay panel. https://doi.org/10.1016/j.jcin.2021.09.037 JACC: Cardiovasc Interv. 2022;15(1): 22-32.

Pancholy SB, Patel TM. Effect of duration of hemostatic compression on radial artery occlusion after transradial access 21584923. DOI: https://doi.org/10.1002/ccd.22963.

Aminian A, Sgueglia GA, Wiemer M. Distal Versus Conventional Radial Accessfor Coronary Angiography and Intervention. The DISCO RADIAL Trial. https://doi.org/10.1016/j.jcin.2022.04.032.

Guering Eid-Lidt, Agustín Rivera Rodríguez, Joaquín Jimenez Castellanos, Julio I Farjat Pasos, Kathia E Estrada López, Jorge Gaspar. Distal Radial Artery Approach to Prevent Radial Artery Occlusion Trial. JACC: Cardiovasc Interventions. 2021;14(4):378-85. https://doi.org/10.1016/j.jcin.2020.10.013.

Sgueglia GA, Hassan A, Harb S. International Hand Function Study Following Distal Radial Access: The RATATOUILLE Study Author links open overlay panel. JACC: Cardiovasc Interventions. 2022;15(12):1205-15. https://doi.org/10.1016/j.jcin.2022.04.023.

Pancholy S, Coppola J, Patel T, Roke-Thomas M. Prevention of radial artery occlusion-patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization. PMID: 18726956 DOI: https://doi.org/10.1002/ccd.21639.

Surya Dharma, Sasko Kedev, Tejas Patel, Ferdinand Kiemeneij, IC Gilchrist. A novel approach to reduce radial artery occlusion after transradial catheterization: postprocedural/prehemostasis intra-arterial nitroglycerin. Catheter Cardiovasc Interv. 2015;85(5):818-25. PMID: 25179153 DOI: https://doi.org/10.1002/ccd.25661.

Pancholy SB, Bernat I, Bertrand OF, Patel TM. Prevention of Radial Artery Occlusion After Transradial Catheterization: The PROPHET-II Randomized Trial. JACC Cardiovasc Interv. 2016;9(19):1992-9. PMID: 27712733 DOI: https://doi.org/10.1016/j.jcin.2016.07.020.

Dangoisse V, Guédès A, Chenu P. Usefulness of a Gentle and Short Hemostasis Using the Transradial Band Device after Transradial Access for Percutaneous Coronary Angiography and Interventions to Reduce the Radial Artery Occlusion Rate (from the Prospective and Randomized CRASOC I, II, and III Studies). Amer J Cardiol. 2017;120(3):374-9. https://doi.org/10.1016/j.amjcard.2017.04.037.

Most read articles by the same author(s)