ArticleCardiology journal2025
Impact of obesity on palpation-guided distal radial access for coronary procedures: subgroup analysis of the multicenter, prospective KODRA registry.
Ji Woong Roh, Seok-Jae Heo, Oh-Hyun Lee, Eui Im, Deok-Kyu Cho, Jun-Won Lee, Bong-Ki Lee, Sang-Yong Yoo, Sang Yeub Lee, Chan Joon Kim and 10 more
Abstract readMulticenter Study
In one paragraphArticle in Cardiology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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What it found
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2 · The registryThe trial behind it
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4 · The recordCorrections and comments
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5 · Who and what moneyAuthors and funding
20 authors.
Ji Woong RohDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine and Cardiovascular Center, Yongin Severance Hospital, Yongin, South Korea.ORCID 0000-0003-0895-5146 Seok-Jae HeoDivision of Biostatistics, Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, South Korea, Seoul.ORCID 0000-0002-8764-7995 Oh-Hyun LeeDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine and Cardiovascular Center, Yongin Severance Hospital, Yongin, South Korea.ORCID 0000-0001-7070-7720 Eui ImDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine and Cardiovascular Center, Yongin Severance Hospital, Yongin, South Korea.ORCID 0000-0002-5333-7593 Deok-Kyu ChoDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine and Cardiovascular Center, Yongin Severance Hospital, Yongin, South Korea.ORCID 0000-0001-6130-3994 Jun-Won LeeDivision of Cardiology, Department of Internal Medicine, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, South Korea.ORCID 0000-0001-6206-1704 Bong-Ki LeeDivision of Cardiology, Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, South Korea.ORCID 0000-0002-4289-2284 Sang-Yong YooDivision of Cardiology, Department of Internal Medicine, Good Morning Hospital, Pyeongtaek, South Korea.ORCID 0000-0002-9054-4698 Sang Yeub LeeDivision of Cardiology, Chung-Ang University College of Medicine, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, South Korea.ORCID 0000-0003-1386-349X Chan Joon KimDivision of Cardiology, Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, South Korea.ORCID 0000-0003-2929-8325 Han-Young JinDivision of Cardiology, Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, South Korea.ORCID 0000-0001-7926-986X Jin Sup ParkDivision of Cardiology, Department of Internal Medicine, Pusan National University Hospital, Busan, South Korea.ORCID 0000-0003-4262-5853 Jung Ho HeoDivision of Cardiology, Department of Internal Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, South Korea.ORCID 0000-0002-6491-2426 Do Hoi KimDivision of Cardiology, Department of Internal Medicine, Soonchunhyang University Hospital Gumi, Gumi, South Korea.ORCID 0009-0004-7516-2378 Jin Bae LeeDivision of Cardiology, Department of Internal Medicine, Daegu Catholic University Medical Center, Daegu, South Korea.ORCID 0000-0002-7814-0527 Dong-Kie KimDivision of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, South Korea.ORCID 0000-0002-0268-5395 Jun Ho BaeDivision of Cardiology, Department of Internal Medicine, SM Christianity Hospital, Pohang, South Korea.ORCID 0009-0009-8223-5826 Sung-Yun LeeDivision of Cardiology, Department of Internal Medicine, Seoul Medical Center, Seoul, South Korea.ORCID 0000-0001-5757-7706 Seung-Hwan LeeDivision of Cardiology, Department of Internal Medicine, Konkuk University Chungju Hospital, Chungju, South Korea.ORCID 0000-0002-1186-0917 Yongcheol KimDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine and Cardiovascular Center, Yongin Severance Hospital, Yongin, South Korea. YONGCHEOL@yuhs.ac.ORCID 0000-0001-5568-4161 Funding
No grant is acknowledged in the PubMed record.
6 · The paper itselfAbstract
backgroundThere is limited data on the impact of body mass index (BMI) on distal radial access (DRA). Using a large-scale prospective registry, the influence of obesity on DRA outcomes was evaluated, including cannulation and complications.
methodsUsing data from the prospective, multicenter KODRA (Korean Prospective Registry for Evaluating the Safety and Efficacy of Distal Radial Approach) registry data, 4,638 patients who planned palpation-guided distal radial artery puncture were enrolled into two groups, both with body mass index (BMI) information available: obese (n = 2,205; BMI ≥ 25 kg/m²) and non-obese (n = 2,433). The primary endpoint was the success rate of distal radial artery cannulation. Secondary endpoints included cannulation time, crossover rate, and DRA-related complications.
resultsThe mean age was 66.6 ± 11.7 years and 67.2% were men. No significant difference existed in the success rate of distal radial artery cannulation between the two groups (94.5% in the obese group vs. 94.3% in the non-obese group, p = 0.787). This tendency in cannulation success rate was consistently observed in multiple sensitivity analyses, including multivariable and propensity score-matched analyses. Crossover rate (6.6% vs. 6.7%, p = 0.962) and DRA-related complications (4.3% vs. 4.6%, p = 0.630) were not significantly different between groups. However, cannulation time was significantly longer in the obese group compared to the non-obese group [105 (101-109) sec vs. 100 (97-103) sec, p = 0.046].
conclusionsIn this subgroup analysis of the KODRA registry, obesity was not associated with the success rate for palpation-guided distal radial artery cannulation, crossover rate, and DRA-related complications.
Indexed as
Cardiac CatheterizationCatheterization, PeripheralObesityPalpationPercutaneous Coronary InterventionRadial ArteryAgedBody Mass IndexCoronary AngiographyCoronary Artery DiseaseFemaleHumansMaleMiddle AgedProspective StudiesPuncturescoronary angiographyobesitypercutaneous coronary interventionradial artery
Identifiers
PMID40905084
PMCPMC12782540
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