Optimizing distal radial access: clinical and anatomical predictors of failure from the multicenter DISTAL registry
DRA is a safe, feasible, and effective access strategy for coronary procedures in an all-comer population. The success of the procedure depends on the strength of the arterial pulse, the US guidance, and the experience of the operator. The CIT-derived evidence-based framework provides a practical and reproducible approach to optimize access-site selection and improve procedural outcomes.
Authors
- José Luis Ferreiro (ORCID: https://orcid.org/0000-0003-1202-9575)
- Henriqueta Coimbra
- Alejandro Sánchez Espino
- Tania Ramírez-Martínez (ORCID: https://orcid.org/0000-0002-7258-8590)
- Marcos García-Guimarães (ORCID: https://orcid.org/0000-0001-8509-6184)
- Joan Costa-Mateu (ORCID: https://orcid.org/0009-0001-3416-8923)
- Kristian Rivera (ORCID: https://orcid.org/0000-0002-6598-3576)
- Diego Fernández-Rodríguez (ORCID: https://orcid.org/0000-0002-2793-3631)
- Juan A. Bullones
- María Tornel-Cerezo
- Susana Gorriño
- Esther Papiol (ORCID: https://orcid.org/0009-0003-5928-2532)
- J. Casanova (ORCID: https://orcid.org/0000-0002-6894-2809)
- Fernando Worner
Institutions
- Hospital Regional Universitario de Málaga (ES)
- Hospital Arnau de Vilanova (ES)
- Instituto de Investigación Biomédica de Lleida (ES)
- Hospital Universitario De Cabueñes (ES)
- Complejo Hospitalario Torrecárdenas (ES)
- Hospital Universitari Joan XXIII de Tarragona (ES)
Publication Details
- Journal
- Coronary Artery Disease
- Published
- 2025-12-03
- DOI
- https://doi.org/10.1097/mca.0000000000001599
- Primary Topic
- Vascular Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00