The impacts of percutaneous coronary intervention through the distal transradial artery access in the anatomical snuffbox area on puncture-related conditions and complications in elderly patients
Xu Min
Wang Jing
Li Binbin
Sun Kelu
Zhang Xiaoliang
Wang Jingwu
Abstract：Objective To discuss the impacts of percutaneous coronary intervention(PCI)through the distal transra-dial artery access(dTRA)in the anatomical snuffbox area on puncture-related conditions and complications in elderly patients.Methods From January 2023 to January 2025,126 elderly patients requiring PCI were admitted to the First Department of Cardiology of the 901st Hospital of the Joint Logistic Support Force of the People's Liberation Army of China.They were randomly divided into Group A and Group B,with 63 cases in each group.Group A received dTRA,and Group B received the conventional radial artery approach(cTRA).The puncture situation,surgical condition,vascular ultrasound examination re-sults,complications,and prognosis were compared.Results There were no statistically significant differences between the two groups of patients in terms of the number of punctures,the success rate of the first puncture,the success rate of catheter-ization,the angiography time,the operation time of percutaneous coronary intervention(PCI),the dosage of contrast agent,the total radiation dose,the diameter of the right radial artery,and the occurrence of complications(P＞0.05).Compared with group B,the puncture time of patients in group A was prolonged(t/P=2.713/0.008).The postoperative radial artery compression time was shortened(t/P=10.350/＜0.001),and the diameter of the right distal radial artery(t/P=2.175/0.032),VAS score(t/P=9.700/＜0.001),and the incidence of postoperative radial artery occlusion were all decreased(x2/P=4.308/0.038).Conclusion Performing PCI through dTRA in the anatomical snuffbox area can optimize the puncture situation in elderly patients and re-duce complications.
Keywords：Anatomical snuffbox distal transradial artery accessCoronary intervention therapyComplicationPunc-tureElderly
Publication Date：2025-12-18
Online Publishing Date：2026-01-08(First online date of this platform, not the publication date of the document)
Pages：5( 1424-1428 )