Coronary disease & ACS

Impact of Anthropometric Measures on Distal vs Conventional Radial Access for Percutaneous Coronary Procedures

JACC AdvPublished international, multicenter, randomized controlled trial

Authors' conclusion

The results of this exploratory analysis are consistent with the main findings of the trial and support the use of DRA in all patients, regardless of anthropometric measures.

Study context

Population
Patients with indications for percutaneous coronary procedure using a 6-F Slender sheath
Participants
650 vs 657
Comparison
Distal radial access (DRA) vs transradial access
  • DRAn = 650
  • Transradial accessn = 657
Primary endpoint
Incidence of forearm RAO (primary endpoint of the trial)
Methodological detailsexploratory analysis
  • Exploratory analysis

Primary result

As reported in the abstract

  • Extremely uncommon

Secondary outcomes

Radial artery spasm, crossover, hemostasis time, and access site complications across tertiles of weight, height, body mass index, and body surface area

Main effect of vascular access remained, with no significant interaction effect
  • Both before and after adjustment for sex and age
  • Exploratory analysis

Original publication

Impact of Anthropometric Measures on Distal vs Conventional Radial Access for Percutaneous Coronary Procedures. JACC Adv. Published 13 January 2025. doi:10.1016/j.jacadv.2024.101565

Composed by AI from the published abstract and checked against it. How Briefs are made →

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