Radial Artery Occlusion Following Cardiac Catheterization by Conventional Radial Approach versus Distal Radial Approach: Incidence and Predictors

Purpose: In comparison to transfemoral approach, transradial access (TRA) has developed be the conventional entry site and is quickly expanding. Radial artery occlusion (RAO) which can occur during intervention, impairs radial (RA) future site, prohibits from being used as an arterial conduit. Aim of this research was comparing incidence predictors RAO among individuals receiving elective cardiac catheterization by vs distal access.
 Methodology: This prospective study enrolled 120 patients June 2022 January 2023 (84 males, 36 females; mean age 68.5 (10.4) years with 62 had via approach (CRA) others (DRA). Clinical follow up at 24 hours 30 days recorded analysis all included participants.
 Findings: reported no substantial difference groups in terms socio-demographic clinical characteristics. Time sheath insertion Procedure time were long who Distal statistically significant (P <0.01). Moreover, higher CRA than those DRA >0.05). demonstrated that significantly high younger patients, smoker, DM previous CAD. Also, hemostasis <0.05). Smoking, DM, increased diminished blood supply wrist throughout strong for occlusion.
 Recommendations: Maintaining patency must done procedures using approach. may useful lower through shortening sustaining flow hemostasis. Encouraging interventional cardiologists more practicing about utilizing recommended due its advantages like safety less vascular complications.