Research Article
Volume 7 Issue 5 - 2020
Comparative Assessment of DOrsal Radial Artery Access with Classical Radial Artery Access for Percutaneous Coronary Angiography-A Randomized Control Trial (DORA Trial)
Awadhesh kumar Sharma1*, Sameer Sarraf2, MM Razi1, Akhil Sharma3, Santosh Sinha4, Umeshwar Pandey5 and Neeraj Prakash6
1Assistant Professor, Department of Cardiology, LPS Institute of Cardiology, Kanpur,UP, India
2Assistant Professor, Department of Cardiology, Uttar Pradesh University of Medical Science, Saifai, Etawah, UP, India
3Associate Professor, Department of Cardiology, King George Medical University, Lucknow, UP, India
4Associate Professor, Department of Cardiology, LPS Institute of Cardiology, Kanpur, UP, India
5Professor, Department of Cardiology, LPS Institute of Cardiology, Kanpur, UP, India
6Assistant Professor, Department of Cardiothoracic surgury, LPS Institute of Cardiology, Kanpur, UP, India
*Corresponding Author: Awadhesh Kumar Sharma, Department of Cardiology, LPS Institute of Cardiology, Kanpur, UP, India.
Received: March 19, 2020; Published: April 14, 2020




Abstract

In percutaneous cardiac catheterization both for diagnostic and intervention purposes, vascular access site is a controversial field from the start of this technique. Percutaneous radial artery approach for coronary angiography was invented by Lucien Campeau at Montreal Heart Institute (Canada) in 1986 with publication of the first 100 cases in 1989. And thereafter, this technique advocated for percutaneous coronary intervention (PCI) by Kiemeneij. In spite of frequent use of dorsal radial artery access for percutaneous interventions, there was no head to head trial comparing dorsal radial access with classical radial artery access. This is first open label randomized control trial with parallel assignment with single masking comparing patients undergoing coronary angiography via dorsal radial and classical radial assess. Study done at three tertiary cardiac care centers between January 2019 to January 2020. Total of 985 patients were recruited for the study, out of which fifteen patients were found to be unsuitable and five patients denied for procedure. So, the total of 970 patients were finally recruited for the study. Patients were randomly selected for dorsal radial artery access Group A (485 patients) and classical radial artery access Group B (485 patients) assess without any bias for age and sex. First time on comparative assessment of dorsal versus classical radial artery vascular access it is found equal in terms of procedural success rate and complication in the form of incidences of radial artery hematoma. While dorsal access was superior in terms of less incidences of radial artery occlusion, radial artery spasm. Post procedure persistence of pain and hand clumsiness is also less in dorsal radial artery access. In comparison to this, number of puncture attempts and time to achieve post procedure haemostasis is less in classical radial access. So, both techniques have pros and coins and it is the discretion of interventionist to adopt which technique.

Keywords: Percutaneous Angiography; Radial Angiography; Dorsal Radial Artery; Snuff Box; Radial Artery Occlusion; Radial Artery Spasm

References

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Citation: Awadhesh Kumar Sharma., et al. “Comparative Assessment of DOrsal Radial Artery Access with Classical Radial Artery Access for Percutaneous Coronary Angiography-A Randomized Control Trial (DORA Trial)”. EC Cardiology 7.5 (2020): 41-52.

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