• Mehmet Kis and Elton Soydan.
• Department of Cardiology, EGE University, Izmir, Turkey.
• J Coll Physicians Surg Pak. 2020 Nov 1; 30 (11): 1121-1125.

ObjectiveTo compare radial vasomotor functions at three different access sites namely right, left main radial artery, and left distal radial (LDR) artery.Study DesignObservational study.Place And Duration Of StudyDepartment of Cardiology, EGE University, Turkey, from September 2017 to February 2018.MethodologyForty-one patients scheduled for transradial elective coronary angiography and intervention were consecutively enrolled. Access site decision was left free to operators being blind of the study. Main radial vasomotor function measured through flow mediated vasodilation test was compared between other radial access sites on admission, 1 day and 2 months post-catheterisation.ResultsFive patients were intervened through the left main radial, whereas the LDR and the right main radial access were used in 17 and 19 patients respectively. In contrast to other radial access sites, LDR approach showed significantly less influenced vasomotor functions the day after the procedure. This feature continued to be preserved for two months of follow-up.  Conclusion: Left distal radial branch in the anatomic snuffbox is a reliable access in terms of vasomotor function preservation compared to conventional left and right radial artery accesses. Key Words: Transradial access, Flow mediated vasodilatation, Endothelial function.6re6445.

9 keywords...

hide…