Anatomical, topographic and clinical aspects of distal radial access for percutaneous coronary interventions

E.N. Prazdnikov

Yevdokimov Moscow State University of Medicine and Dentistry

ORCID: 0000-0002-5817-0702

B.I. Milenkin

A.I. Yevdokimov Moscow State University of Medicine and Dentistry;
Vorokhobov City Clinical Hospital No.67

G.A. Baranov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

S.E. Ovcharov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2022;6(2): 20–25

Anatomical, topographic and clinical aspects of distal radial access for percutaneous coronary interventions

Authors:

E.N. Prazdnikov, B.I. Milenkin, G.A. Baranov, S.E. Ovcharov

More about the authors

DOI: 10.17116/operhirurg2022602120

Read: 3129 times

Open to cite this article

Prazdnikov EN, Milenkin BI, Baranov GA, Ovcharov SE. Anatomical, topographic and clinical aspects of distal radial access for percutaneous coronary interventions. Russian Journal of Operative Surgery and Clinical Anatomy. 2022;6(2):20‑25. (In Russ., In Engl.).
https://doi.org/10.17116/operhirurg2022602120

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OBJECTIVE

To study the features of the distal radial access at the back of the hand for percutaneous coronary interventions (PCI) based on anatomical, topographic and basic clinical aspects.

MATERIAL AND METHODS

Prospective register of patients 2019—2021 (104 patients) who underwent PCI by puncture of the radial artery on the back of the left hand.

RESULTS

The success rate of puncture of the radial artery on the back of the left hand was 96.2% (100 patients). In 84 (84%) patients, artery puncture was successful at the first attempt, in 14 (14%) — at the second and in 2 (2%) — at the third. The average arterial puncture time was 18 seconds. The time of hemostasis during endovascular intervention of diagnostic coronary angiography (45% of cases) was 6 hours, and during stenting in patients receiving antithrombotic therapy (55% of cases) — 12 hours. Hemorrhagic complications at the puncture site were noted in 4 (4%) patients, the maximum size of the hematoma was less than 5 cm; in 1 (1%) — a flat subcutaneous hematoma measuring about 10×5 cm.

CONCLUSION

The use of distal radial access in clinical practice has shown its technical feasibility. Distal radial access at the back of the hand can be recommended for the development and introduction into the treatment process during endovascular interventions as a rational alternative to the traditional puncture of the radial artery in the lower third of the forearm.

Keywords:

vascular access

distal radial access

percutaneous coronary interventions

Authors:

E.N. Prazdnikov

Yevdokimov Moscow State University of Medicine and Dentistry

ORCID: 0000-0002-5817-0702

B.I. Milenkin

A.I. Yevdokimov Moscow State University of Medicine and Dentistry;
Vorokhobov City Clinical Hospital No.67

G.A. Baranov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

S.E. Ovcharov

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Received:

10.01.2022

Accepted:

18.02.2022

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