Trans-Snuff Box Approach As a New Access Site for Coronary Angiography and Angioplasty Versus Trans-Radial Approach in Terms of Feasibility, Safety, and Complications

Trans-Snuff Box Approach As a New Access Site for Coronary Angiography and Angioplasty Versus Trans-Radial Approach in Terms of Feasibility, Safety, and Complications Publisher

Roghanidehkordi F¹ ; Riazi A¹ ; Shafie D² ; Khosravi A³ ; Sadeghi M⁴ ; Vakhshoori M² ; Massoudi S⁵ ; Kermanialghoraishi M¹

Show Affiliations

1. Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
2. Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
3. Hypertension Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
4. Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
5. Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Source: ARYA Atherosclerosis Published:2020

Abstract

BACKGROUND: The feasibility and safety of coronary angiography (CAG) and angioplasty via trans-snuffbox approach (TSA) is still concerned; therefore, in this study, we aimed to assess possible complications occurring after TSA versus trans-radial approach (TRA). METHODS: This prospective observational study was undertaken from June 2017 till March 2018. Individuals aged at least 18 years who were admitted for CAG through upper extremity were eligible and categorized to TSA (n = 70) and TRA (n = 56) groups. Occurrence of complications including hematoma, pain or paresthesia, pseudoaneurysm formation, arterial obstruction, limb ischemia, and major adverse cardiovascular events (MACE) including death, myocardial infarction (MI), stroke, and emergency vessel revascularization was assessed after the procedure and in two separate visits three and six months afterwards. RESULTS: The mean age of participants in TSA and TRA groups was 55.1 ± 9.7 and 56.5 ± 9.6 years, respectively (P = 0.415). Men were the dominant group in both approaches [TSA: 44 (62.8%), TRA: 36 (64.3%), P = 0.868]. Success rates in TSA and TRA were 88.6% and 94.6%, respectively (P = 0.230). Radial artery occlusion (RAO) was reported in two (3.2%) and one (1.8%) case in TRA and TSA, respectively (P = 0.653). MACE incidence was not significantly different in TSA compared with TRA group (1.8% vs. 4.8%, respectively, P = 0.389). There was no major procedural complication, neither in TSA nor in TRA category. CONCLUSION: Our results revealed that TSA could be classified as an alternative modality to other common CAG and angioplasty methods due to its high safety rate and lower complications. Several comprehensive population-based studies are necessary for confirming these findings. © 2020, Isfahan University of Medical Sciences(IUMS). All rights reserved.

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Style	Citing Format
MLA	Roghanidehkordi F, et al.. "Trans-Snuff Box Approach As a New Access Site for Coronary Angiography and Angioplasty Versus Trans-Radial Approach in Terms of Feasibility, Safety, and Complications." ARYA Atherosclerosis, vol. 16, no. 6, 2020, pp. 1-6.
APA	Roghanidehkordi F, Riazi A, Shafie D, Khosravi A, Sadeghi M, Vakhshoori M, Massoudi S, Kermanialghoraishi M (2020). Trans-Snuff Box Approach As a New Access Site for Coronary Angiography and Angioplasty Versus Trans-Radial Approach in Terms of Feasibility, Safety, and Complications. ARYA Atherosclerosis, 16(6), 1-6.
Chicago	Roghanidehkordi F, Riazi A, Shafie D, Khosravi A, Sadeghi M, Vakhshoori M, Massoudi S, Kermanialghoraishi M. "Trans-Snuff Box Approach As a New Access Site for Coronary Angiography and Angioplasty Versus Trans-Radial Approach in Terms of Feasibility, Safety, and Complications." ARYA Atherosclerosis 16, no. 6 (2020): 1-6.
Harvard	Roghanidehkordi F et al. (2020) 'Trans-Snuff Box Approach As a New Access Site for Coronary Angiography and Angioplasty Versus Trans-Radial Approach in Terms of Feasibility, Safety, and Complications', ARYA Atherosclerosis, 16(6), pp. 1-6.
Vancouver	Roghanidehkordi F, Riazi A, Shafie D, Khosravi A, Sadeghi M, Vakhshoori M, et al.. Trans-Snuff Box Approach As a New Access Site for Coronary Angiography and Angioplasty Versus Trans-Radial Approach in Terms of Feasibility, Safety, and Complications. ARYA Atherosclerosis. 2020;16(6):1-6.
BibTex	@article{ author = {Roghanidehkordi F and Riazi A and Shafie D and Khosravi A and Sadeghi M and Vakhshoori M and Massoudi S and Kermanialghoraishi M}, title = {Trans-Snuff Box Approach As a New Access Site for Coronary Angiography and Angioplasty Versus Trans-Radial Approach in Terms of Feasibility, Safety, and Complications}, journal = {ARYA Atherosclerosis}, volume = {16}, number = {6}, pages = {1-6}, year = {2020} }
RIS	TY - JOUR AU - Roghanidehkordi F AU - Riazi A AU - Shafie D AU - Khosravi A AU - Sadeghi M AU - Vakhshoori M AU - Massoudi S AU - Kermanialghoraishi M TI - Trans-Snuff Box Approach As a New Access Site for Coronary Angiography and Angioplasty Versus Trans-Radial Approach in Terms of Feasibility, Safety, and Complications JO - ARYA Atherosclerosis VL - 16 IS - 6 SP - 1 EP - 6 PY - 2020 ER -

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