ArticleJACC. Case reports2026
Ultrasound-Guided Distal Radial Artery Recanalization (RETRY Study): Initial Case Series and Early Experience.
Article in JACC. Case reports, 2026. 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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Abstract
backgroundRadial artery occlusion (RAO) is the most common complication of transradial access. Existing revascularization protocols are not yet standardized, and different revascularization techniques may be employed across centers.
aimsAn innovative protocol named RETRY, which targets the recanalization of the proximal radial artery via distal radial access using specific wire techniques and drug-coated balloons, could be feasible and safe.
methodsWe prospectively collected and analyzed data from 12 consecutive patients undergoing attempted recanalization of RAO via distal radial access between January 2024 and July 2025. Demographic, clinical, and procedural variables were recorded. The primary endpoint was technical success, defined as successful recanalization with restoration of antegrade radial flow on angiography. Secondary outcomes included complications and radial patency at follow-up.
resultsMean patient age was 61.5 ± 12.1 years; mean body mass index was 29.1 ± 3.3 kg/m
conclusionsThe RETRY protocol for RAO recanalization, based on ultrasound-guided distal radial access and drug-coated balloon angioplasty, is feasible, safe, and associated with excellent technical success and favorable short-term patency. As a prospective feasibility study, these findings warrant validation in larger, comparative trials with longer follow-up.
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