Left distal transradial access in the anatomical snuffbox for percutaneous coronary intervention

Abstract

Left distal transradial access (ldTRA) in the anatomical snuffbox (AS) has advantages over standard radial access in terms of comfort levels for the patient and lower risk of thrombotic occlusion of the proximal radial artery. The aim of the present study was to test the feasibility and safety of the procedure. Methods and Results: 51 consecutive patients assigned to a single operator underwent a
diagnostic or therapeutic coronary intervention through ldTRA access from the proximal portion of the AS. The procedures were successfully performed in 82% of the cases; The most common cause of failure was the impossibility of advancing the 0.025” wire beyond the puncture site. Conclusions: The ldTRA approach from the anatomical snuffbox is an attractive and feasible option for both, patients and operators. Additional studies are needed to evaluate the clinical benefits.