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Feasibility and Safety of the Left Distal Radial Approach in Percutaneous Coronary Intervention for Bifurcation Lesions

Authors
 Oh-Hyun Lee  ;  Ji Woong Roh  ;  Eui Im  ;  Deok-Kyu Cho  ;  Myung Ho Jeong  ;  Donghoon Choi  ;  Yongcheol Kim 
Citation
 JOURNAL OF CLINICAL MEDICINE, Vol.10(10) : 2204, 2021-05 
Journal Title
JOURNAL OF CLINICAL MEDICINE
Issue Date
2021-05
Keywords
distal radial approach ; hematoma ; percutaneous coronary intervention ; radial artery
Abstract
Recently, the left distal radial approach (DRA) for percutaneous coronary intervention (PCI) has been shown to be a feasible option, but there are limited data regarding the feasibility of performing bifurcation PCI via the left DRA. Therefore, this study aimed to describe our experience with the contemporary left DRA to perform PCI of bifurcation lesions. Between December 2017 and December 2019, we identified 106 patients treated with bifurcation PCI via the left DRA. We evaluated the success rate of PCI, access-site complications including major bleeding requiring surgery or transfusion, hematoma, distal and forearm radial artery occlusion, and 30-day mortality. Eleven patients (10.4%) treated with left main bifurcation and true bifurcations accounted for 39.6% of cases, with the left anterior descending artery/diagonal branch being the most frequent bifurcation site (57.5%, 61/106). PCI was performed using a 6-French guiding catheter in 101 (95.3%) cases. Successful PCI for bifurcation lesions via the left DRA was achieved in all 106 patients without access-site cross-over. There was no major bleeding, distal and forearm radial artery occlusion, forearm hematoma, or mortality at 30 days. The left DRA is a safe and feasible alternative access site for bifurcation PCI in selected patients.
Files in This Item:
T202101845.pdf Download
DOI
10.3390/jcm10102204
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yongcheol(김용철) ORCID logo https://orcid.org/0000-0001-5568-4161
Roh, Ji Woong(노지웅)
Lee, Oh Hyun(이오현) ORCID logo https://orcid.org/0000-0001-7070-7720
Im, Eui(임의) ORCID logo https://orcid.org/0000-0002-5333-7593
Cho, Deok Kyu(조덕규)
Choi, Dong Hoon(최동훈) ORCID logo https://orcid.org/0000-0002-2009-9760
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/183995
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