Abstract

JACC

Lots of interesting abstracts and cases were submitted for TCTAP 2022. Below are the accepted ones after a thorough review by our official reviewers. Don’t miss the opportunity to expand your knowledge and interact with authors as well as virtual participants by sharing your opinion in the comment section!

TCTAP A-088

Retrospective Single Centre Experience in Distal Radial Puncture- Queen Elizabeth II-Sabah Heart Centre

By Chong Mow Chu, You Zhuan Tan

Presenter

Chong Mow Chu

Authors

Chong Mow Chu1, You Zhuan Tan2

Affiliation

Gleneagles Hospital Kota Kinabalu, Malaysia1, National Institutes of Health, Malaysia2
View Study Report
TCTAP A-088
Vascular Access (Transradial)

Retrospective Single Centre Experience in Distal Radial Puncture- Queen Elizabeth II-Sabah Heart Centre

Chong Mow Chu1, You Zhuan Tan2

Gleneagles Hospital Kota Kinabalu, Malaysia1, National Institutes of Health, Malaysia2

Background

Distal radial artery excess for coronary angiogram has been introduced since 2017. It is known to have good success rate and low risk of complication. There are few advantages for this procedure compare to the conventional radial puncture. This is a retrospective single center study on the distal radial approach as a feasible vascular excess option on day-to-day practice in government hospital.  To assess the success rate with distal radial approach, complication rate and to review optimal tourniquet time to secure hemostasis.  

Methods

Retrospective single center, single operator, case series. Total of 35 patients had distal radial puncture performed. Patient was recruited if he has good distal radial pulse, who had planned for angiogram. Verbal consent and explanation by operator before the procedure. Primary end point is procedure success which is defined as the ability to complete the task after successful puncture of distal radial artery. Secondary end point is looking at tourniquet time needed to establish hemostasis.


Results

•     Good procedure success rate of 97%. 1 patient require to convert to femoral approach. Very low complication rate 3%. 1 patient developed vasovagal episode. Median average compression time of 30-60mins.

Conclusion

Distal radial puncture is an alternative vascular excess with good procedure success with minimal complication that is feasible in day-to-day practice in a busy government hospital.

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