Mukesh PalsaniaCalcutta National Medical College, India
Title: Percutaneous coronary interventions by Distal radial route - A retrospective observational study in a single centre
Study Objective: This study sought to determine the safety, feasibility and advantages of the distal radial artery as access site for percutaneous coronary interventions.
Background: Traditionally transfemoral and proximal radial access sites are chosen for pci but both these access sites have periprocedural complications with respect to bleeding and radial artery occlusion respectively. Distal radial arterial access has advantages over the two in terms of patient comfort an almost nil periprocedural complications.
Methods: Between March and August 2019 a total of 73 patients were taken up for distal radial intervention ( 33only CAG, 40 adhoc PCI) after obtaining written informed consent before procedure.
Results: Off all the patients undergone cag and pci the success rate for puncture and access was 98% with 4 failures with crossover to proximal radial threof.Periprocedural course remained uneventful and radial pulse palpable well in both distal and proximal course at the time of discharge.Follow-up for further 3 months also showed no access site related complications.
Conclusion: Among patients undergoing pci distal radial access is definitely a low risk ,feasible procedure without any periprocedural complications. It should ,therefore be recommended the first choice access site for all pci procedues
Key words:percutneous coronary intervention,distal radial route,safety and feasibility
Dr Mukesh palsania completed his mbbs and MD general medicine from Rajasthan university of health Sciences, He has done certified DM course in cardiology from cnmc kolkata india specializing in the field of coronary(cag, angioplasty) and devices(pacemaker, icd, crt implantation). His willingness and desire to learn new things helps keep him up to date with latest innovation s in the field of cardiology. His area of expertize include but not limited to,angiography, angioplasty, pacemaker, icd, crt implantaion.