Distal transradial access for angiography and PCI. Compared with classic transfemoral access, proximal (conventional) transradial access (pTRA) has been associated with fewer access-site-related complications, earlier patient ambulation, and greater postprocedural comfort. In ACS patients, pTRA has also been linked to lower mortality rates. Distal transradial access (dTRA) offers advantages over pTRA, including faster hemostasis and lower rates of proximal radial artery occlusion, the most common complication of pTRA. Despite the increasing adoption of dTRA by interventionalists worldwide, data on routine coronary angiography and/or percutaneous coronary intervention (PCI) via dTRA remain limited. In this study, we aimed to evaluate differences (chronic vs. ACS) using a large-scale, real-world registry of consecutive and all-comers patients. Radialfirst @InvasiveCardiol hmpgloballearningnetwork.com…

In this new paper @InvasiveCardiol, yet another publication from our PhD student Marcos D. Oliveira @unifesp, the adoption of distal radial access as the standard strategy for coronary angiography and percutaneous coronary intervention is safe and feasible in both men and women, with low rates of crossover and complications. hmpgloballearningnetwork.com…

I started using distal radial access for interventional procedures in 2017 at Hospital Albert Einstein in São Paulo @hosp_einstein. The inspiration came from a Twitter/X post by Prof. Ferdinand Kiemeneij. Since then, on the same topic, I supervised Marcos Danillo's master's dissertation and now his doctorate at the Escola Paulista de Medicine. This new publication @InvasiveCardiol adds to more than a dozen that we have written in the same topic. Whether distal radial access will become the preferred one for our specialty, only time will tell. hmpgloballearningnetwork.com… Adriano Caixeta