The site of arterial access for coronary angiography and intervention has been the focus of research for decades as it is the source of major complications. Transradial access (TRA) reduces complications among patients undergoing percutaneous coronary procedures but is reported with the complication of radial artery occlusion (RAO) that limits the radial artery for future needs. Distal radial access (dTRA) has recently gained global popularity as an alternative access route for vascular procedures. Among the benefits of dTRA are the low risk of entry site bleeding complications, the low rate of radial artery occlusion, and improved patient and operator comfort. This study aims to reveal the feasibility and safety of dTRA and routine TRA procedures in acute coronary syndrome patients. The primary endpoints are forearm radical occlusion rate and major adverse cardiovascular events (MACEs) in the two groups. Investigators conduct this retrospected analysis to demonstrate the difference of the two procedure of Cannulation.
Study Type
OBSERVATIONAL
Enrollment
2,000
dTRA or conventional TRA for radical artery approach
Shenzhen People's hospital
Shenzhen, Guangdong, China
RECRUITINGForearm radical
Doppler ultrasound to determine whether patients suffer forearm radial occlusion
Time frame: 2 years
MACEs
Major Adverse Cardiovascular Events, including cardiovascular death, myocardial infarction and heart failure.
Time frame: 2 years
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