Distal Radial Access for Diagnostic and Interventional Coronary Procedures in an All-comer Population: Observational Registry
Distal radial access (DRA) in the anatomical snuffbox (AS) is a relatively novel approach that can be considered an alternative to trans radial access (TRA) for coronary procedures. Several observational and randomized studies have established its feasibility and safety, with evidence of certain advantages over TRA, such as a reduction in hemostasis time, a lower incidence of complications at the puncture site, and a lower incidence of radial artery occlusion (RAO). Notwithstanding that a recent randomized study reported a similar RAO rate between DRA and TRA, several meta-analyzes confirm the advantages of DRA, despite a consistently higher crossover rate. The objective of this observational study is to assess the performance of the procedure and to compare clinical characteristics in an all-comer population undergoing diagnostic or interventional coronary procedures. The main questions it aims to answer are: * Determine the success rate of DRA and measure the incidence of RAO in an all-comer population undergoing coronary procedures. * Compare the clinical and anatomical characteristics of patients with DRA for coronary procedures and determine predictors of failure of access.
• Patients who have undergone diagnostic or therapeutic coronary procedures using DRA in any clinical setting.
• Patients over 18 years of age.
• Presence of distal radial pulse.
• The Barbeau test was recommended but not mandatory.