Have a personal or library account? Click to login
Right versus left radial approach in percutaneous coronary interventions: A comparative study of access efficiency and procedural outcomes Cover

Right versus left radial approach in percutaneous coronary interventions: A comparative study of access efficiency and procedural outcomes

Open Access
|Sep 2025

Figures & Tables

Figure 1

Rates of procedural outcomes among the two groups.
Rates of procedural outcomes among the two groups.

Figure 2

Difference in median exposure time (in seconds) between the studied groups.
Difference in median exposure time (in seconds) between the studied groups.

Outcome findings of the studied groups (≥ 65 years [n=53])

ParameterTotal (n = 53)RRA (n = 18)LRA (n = 35)P-value
Age (Mean ± SD(67.6 ± 3.368.8 ± 5.267.0 ± 1.30.055*
RA Spasm9.0 (17.0%)6.0 (33.3%)3.0 (8.6%)0.048****
Radial Tortuosity5.0 (9.4%)4.0 (22.2%)1.0 (2.9%)0.040****
Subclavian Tortuosity17.0 (32.1%)11.0 (61.1%)6.0 (17.1%)0.001***
Exposure Time (seconds) Median (IQR)190.00 (101.00–372.00)314.00 (214.25–488.5)110.00 (90.5–234.5)< .001**
Patient Comfort51.0 (96.2%)16.0 (88.9%)35.0 (100.0%)0.044***

Multivariable logistic regression model for predictors of subclavian tortuosity_

PredictorpOdds ratio95% Confidence Interval
LowerUpper
RRA (LRA as reference)0.0026.10261.902419.576
Age ≥ 65 years0.0035.88841.833018.917

Outcome findings of the studied groups_

ParameterTotal (n = 100)RRA (n = 52)LRA (n = 48)P-value
RA Spasm27.0 (27.0%)23.0 (44.2%)4.0 (8.3%)< 0.001**
Radial Tortuosity13.0 (13.0%)12.0 (23.1%)1.0 (2.1%)0.002**
Subclavian Tortuosity24.0 (24.0%)17.0 (32.7%)7.0 (14.6%)0.034**
LM Cannulation Easiness90.0 (90.0%)44.0 (84.6%)46.0 (95.8%)0.062**
RCA Cannulation Easiness91.0 (91.0%)46.0 (88.5%)45.0 (93.8%)0.356**
Exposure Time (seconds) Median (IQR)202.50 (109.75–348.75)254.00 (161–469.50)129.00 (87.75–246.50)< 0.001*
Complications-------0 (0%)0 (0%)-------
Patient Comfort87.0 (87.0%)39.0 (75.0%)48.0 (100.0%)< 0.001*
Cross-over (other radial side)6.0 (6.0%)5.0 (9.6%)1.0 (2.1%)0.207***
Cross-over (radial/femoral)4.0 (4.0%)3.0 (5.8%)1.0 (2.1%)0.619***

Baseline characteristics of the studied groups_

ParameterTotal (n = 100)RRA (n = 52)LRA (n = 48)P-value
Age (years)Mean ± SD63.2 ± 6.362.1 ± 6.464.5 ± 6.10.056*
SexMale51.0 (51.0%)22.0 (42.3%)29.0 (60.4%)0.070**
Female49.0 (49.0%)30.0 (57.7%)19.0 (39.6%)
SmokingYes47.0 (47.0%)21.0 (40.4%)26.0 (54.2%)0.168**
Family HistoryPositive12.0 (12.0%)9.0 (17.3%)3.0 (6.2%)0.125***
ComorbiditiesDM36.0 (36.0%)19.0 (36.5%)17.0 (35.4%)0.907**
HTN64.0 (64.0%)32.0 (61.5%)32.0 (66.7%)0.594**
IHD61.0 (61.0%)28.0 (53.8%)33.0 (68.8%)0.127**
Post-CABG2.0 (2.0%)0.0 (0.0%)2.0 (4.2%)0.228***
VHD9.0 (9.0%)5.0 (9.6%)4.0 (8.3%)1.000***
DOI: https://doi.org/10.2478/rjc-2025-0030 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
Language: English
Published on: Sep 8, 2025
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Kerillos A. Ayoub, Salwa R. Demitry, Mahmoud Abdelsabour, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.

AHEAD OF PRINT