The First Iraqi Experience of Coronary Intervention through the Distal Trans-Radial Artery (d-TRA) Access

Abstract

Background:- Distal trans-radial artery access (d-TRA) being a new site for coronary intervention with advantages over the commonly used access namely traditional trans-radial artery (TRA) & femoral artery access (FA) ,the main advantage being the low incidence of radial artery occlusion (RAO) when compared with TRA, and minimal local complication with shorter stay time after the procedure when compared with both (TRA & FA) ,but still the only disadvantage being the need for a good experience for safe and rapid cannulation of this small artery .It was considered in all coronary interventional procedures, including coronary angiography , Angioplasty with coronary stenting and the interventions of complex coronary procedures. The aim of the study: – To highlight the first Iraqi experience with the d-TRA approach for coronary angiography and intervention and to detect any local vascular and other complications during this access in comparison with the traditional proximal radial artery (TRA) and femoral artery (FA) access. Methods: – the study was done in Iraq, Thiqar, Alrabea cardiac center where a total number of ninety-six cases of patients with different acute and chronic coronary syndrome were included covering the period from the first of January to tenth of April 2022. It’s a prospective, randomize study. Results And Discussion: – A total number of ninety-six patients were included in this study they were randomly arrange into three groups, the first group includes Thirty-two patients with twenty-six cases of them being CCS And six cases were ACS and all the procedures within this group were done through the distal radial artery access(d-TRA). The second group includes another thirty-two cases and they have their coronary procedure done through femoral artery (FA) approach eight of them were ACS and twenty-four cases were CCS. The third group includes thirty-two patients, twenty-two of them were CCS and ten of them were ACS and the vascular access was the traditional radial artery (TRA) access