An-Najah National University and An-Najah National University Hospital (NNUH), conducted a clinical study which is the first of its kind in the area and among few clinical studies in the world.


The research article compared distal radial access to standard forearm radial access (FRA) in terms of feasibility, outcomes, and complications. It was published in the Journal of Interventional Cardiology, which is a peer-reviewed, Open Access journal that provides a forum for cardiologists determined to stay current in the diagnosis, investigation, and management of patients with cardiovascular disease and its associated complications. The journal publishes original research articles and review articles focusing on new procedures and techniques in all major subject areas in the field of interventional cardiology.

The article was conducted by a research team from the University and NNUH, led by Dr. Younis Daralammouri, Head of the Department of Cardiology and Catheterization.

According to Dr. Daralammouri, the three-year study revealed that the distal radial approach in cardiac catheterization appears to be a promising technique. It is possible and safe for both coronary angiography and interventions. "The success rate is undoubtedly dependent on the patient's selection and the operator’s expertise." He added. 

He also pointed out that in the study, a high success rate was achieved, but there was an increase in puncture time, attempts, and pain. However, shorter procedure times, fluoroscopy times, and hemostasis times were reported. A learning curve is expected to improve puncture-related outcomes’ overtime. Apparently, this strategy should be included in arterial access choices in the catheterization laboratory, especially in situations when the radial artery must be preserved (hemodialysis, radial graft, etc.). More studies with a larger population after a longer learning period is needed.

For more details about the research article, please click here.


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