Evidence map›Paper›PMID 40656779›Full record

ReviewCardiovascular diagnosis and therapy2025

Distal radial access in interventional cardiology: technique, pitfalls and recommendations.

Kristian Rivera, Diego Fernández-Rodríguez, José Luis Ferreiro

Abstract readReview
In one paragraph

Review in Cardiovascular diagnosis and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Feasibility of the distal transradial approach with an 8-Fr balloon guide catheter for neurointerventional procedures.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kristian RiveraDepartment of Cardiology, Arnau de Vilanova University Hospital, Lleida, Spain.ORCID https://orcid.org/0000-0002-6598-3576
Diego Fernández-RodríguezDepartment of Cardiology, Arnau de Vilanova University Hospital, Lleida, Spain.ORCID https://orcid.org/0000-0002-2793-3631
José Luis FerreiroDepartment of Cardiology, Joan XXIII University Hospital, Institut d'Investigació Sanitària Pere Virgili (IISPV), Tarragona, Spain.ORCID https://orcid.org/0000-0003-1202-9575

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Distal radial access (DRA) is a relatively novel approach in interventional cardiology and represents an evolution of transradial techniques. This approach involves accessing the distal radial artery (DRart) in the anatomical snuffbox, offering an alternative to traditional radial and femoral access, with demonstrated benefits over conventional transradial access (TRA), such as a lower rate of radial artery occlusion, shorter hemostasis time, and improved patient comfort. DRA is technically more demanding compared to TRA. The smaller size of the DRart and the anatomical landmarks that surround it make it more difficult to cannulate, especially for operators who are less experienced with the approach. This increased difficulty can result in higher initial failure rates and longer procedural times, all of which contribute to a steeper learning curve. This review aims to provide a comprehensive guide to the use of DRA for the interventional cardiologist to take full advantage of the approach by summarizing current evidence and experienced operator recommendations, focusing on practical recommendations on techniques to improve procedural success, minimize complications, and optimize results.

Indexed as

access-related complicationscoronary angiographyDistal radial access (DRA)Doppler ultrasound (Doppler US)hemostasis

Identifiers

PMID40656779
PMCPMC12246993

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.