Shah B, Burdowski J, Guo Y, et al. Effect Of Left Versus Right Radial Artery Approach For Coronary Angiography On Radiation Parameters In Patients With Predictors Of Transradial Access Failure. Am J Cardiol. 2016 Aug 15;118(4):477-481.

The aim of this study was to determine the effects of left versus right TRA on radiation parameters in patients with predictors of TRA failure. In an intention-to-treat analysis, DAP (34.1 Gy*cm2 [24.9–45.6] vs 41.9 Gy*cm2 [27.3–58.0], p=0.08), fluoroscopy time (3.7 min [2.4–6.3] vs 5.6 min [3.1–8.7], p=0.07), and operator radiation exposure (516 uR [275–967] vs. 730 uR [503–1165], p=0.06) were not significantly different between left and right TRA, but total dose (411 mGy [310–592] vs 537 mGy [368–780], p=0.03) was significantly lower with left versus right TRA. Radiation parameters were lowest in the TFA cohort (DAP 24.5 Gy*cm2 [15.7–33.2], p<0.001; fluoroscopy time 2.3 min [1.5–3.7], p<0.001; operator radiation exposure 387 uR [264–557]; total dose 345 mGy [250–468], p=0.001).

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