Distal Versus Conventional Radial Access for Coronary Angiography and Intervention: The DISCO RADIAL Trial

Aminian, Adel; Sgueglia, Gregory A; Wiemer, Marcus; Kefer, Joëlle; Gasparini, Gabriele L; Ruzsa, Zoltan; van Leeuwen, Maarten A H; Ungureanu, Claudiu; Leibundgut, Gregor; Vandeloo, Bert; Kedev, Sashko; Bernat, Ivo; Ratib, Karim; Iglesias, Juan F; Al Hage, Elias; Posteraro, Giuseppe A; Pascut, Dan; Maes, Frederic; Regazzoli, Damiano; Kakonyi, Kornél

doi:10.1016/j.jcin.2022.04.032

Distal Versus Conventional Radial Access for Coronary Angiography and Intervention: The DISCO RADIAL Trial

Journal

JACC: Cardiovascular Interventions

Date Issued

2022

Author(s)

Aminian, Adel

Sgueglia, Gregory A

Wiemer, Marcus

Kefer, Joëlle

Gasparini, Gabriele L

Ruzsa, Zoltan

van Leeuwen, Maarten A H

Ungureanu, Claudiu

Leibundgut, Gregor

Vandeloo, Bert

Bernat, Ivo

Ratib, Karim

Iglesias, Juan F

Al Hage, Elias

Posteraro, Giuseppe A

Pascut, Dan

Maes, Frederic

Regazzoli, Damiano

Kakonyi, Kornél

Meijers, Thomas A

Colletti, Giuseppe

Krivoshei, Lian

Lochy, Stijn

Horák, David

Nolan, James

Degrauwe, Sophie

Tobita, Kazuki

Saito, Shigeru

DOI

10.1016/j.jcin.2022.04.032

Abstract

Currently, transradial access (TRA) is the recommended access for coronary procedures because of increased safety, with radial artery occlusion (RAO) being its most frequent complication, which will increasingly affect patients undergoing multiple procedures during their lifetimes. Recently, distal radial access (DRA) has emerged as a promising alternative access to minimize RAO risk. A large-scale, international, randomized trial comparing RAO with TRA and DRA is lacking.