Volume 12 Issue 3
Examination of the safety and effectiveness of distal trans-radial access for coronary intervention in individuals with low BMI
1Dr Adeel ur Rehman, 2Qazi Muhammad Tufail, 3Muhammad Irfan Safi Rizvi, 4Dr Mansoor Ali, 5Umar Khan, 6Hadi Raza, 7Kashif Lodhi
1Rawalpindi Institute of Cardiology,
2Cardiology Deptt, Shaikh Zayed Hospital Lahore
3UHS Lahore
4SR Medicine, Shahida Islam Medical Complex, Lodhran, Pakistan
5PIMS
6UHS, Lahore
7Department of Agricultural, Food and Environmental Sciences. Università Politécnica delle Marche Via Brecce Bianche 10, 60131 Ancona (AN) Italy
ABSTRACT
OBJECTIVE: The research aimed for examining the safety and effectiveness of distal trans-radial access (dTRA), a new coronary intervention procedure, in individuals with low BMI.
METHODS: The research comprised 67 individuals who had a coronary intervention. The sample was split into two groups: 38 patients had traditional trans-radial access (cTRA) and 29 patients got direct trans-radial access (dTRA).
RESULTS: The research outcomes indicated that the success rates for puncture procedures in both groups, dTRA and cTRA, were not significantly different. Specifically, the success rate for dTRA was found to be 96.6% while cTRA recorded a success rate of 97.4%. This difference was not considered to be statistically significant as the p-value was 0.846, which means there was an 84.6% chance that the results were due to random chance and not a true difference between the groups. This indicates that both dTRA and cTRA are effective in puncture procedures and can produce similar results in terms of success rate. It is crucial to consider these results alongside the limitations of the research. Despite the overall results indicating a similar success rate between the two groups, there was a disparity in success rates for single-needle puncture procedures. In this aspect, the cTRA group outperformed the dTRA group with a success rate of 81.6% compared to 51.7% for the dTRA group. This difference was statistically significant with a p-value of 0.020, indicating that the results were not due to random chance. However, the dTRA group did have some advantages over the cTRA group. The compression hemostasis time, the time required for the bleeding to stop, was faster for the dTRA group, with a p-value of 0.01. Additionally, the incidence of radial artery occlusion was less frequent in the dTRA group compared to the cTRA group, with a p-value of 0.007 (4% compared to 33.3% in the cTRA group).
CONCLUSIONS: The research shows that in individuals with low BMI, coronary intervention with dTRA is both secure and efficient. This approach offers a less complicated, more effective, and efficient alternative to conventional trans-radial access.
KEYWORDS: trans-radial, BMI, percutaneous coronary intervention
