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Review
. 2021 Sep-Oct;73(5):539-543.
doi: 10.1016/j.ihj.2021.08.007. Epub 2021 Aug 25.

Anatomical snuff box approach for percutaneous coronary interventions - Current status

Surender Deora  1 , Dushyant Agrawal  2 , Rahul Choudhary  2 , Atul Kaushik  2 , Tejas M Patel  3
Affiliations
Review

Anatomical snuff box approach for percutaneous coronary interventions - Current status

Surender Deora et al. Indian Heart J. 2021 Sep-Oct.

Abstract

Anatomical snuff box or distal radial artery approach for various percutaneous coronary angiograms and interventions has gained increased interest in recent years. The main advantage is the ergonomic comfort to the patient as it allows the patient's arm to be in more natural position. The safety and feasibility of this novel approach has been studied in past few years but still the data is limited and the distal radial artery approach has not been included in the guidelines. The present review focuses on the latest evidence, technique, advantages and disadvantages of this distal radial artery access.

Keywords: Anatomical snuff box; Coronary interventions; Distal radial artery.

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Conflict of interest statement

Declaration of competing interest Nil.

Figures

Fig. 1
Fig. 1
Right hand in semi prone position showing a triangular depression (anatomical snuff box) on the dorso-radial aspect.
Fig. 2
Fig. 2
Right hand in semi prone position showing neurovascular anatomy of anatomical snuff box.
Fig. 3
Fig. 3
Right hand supine position showing anatomy of superficial and deep palmar arch.
Fig. 4
Fig. 4
Semi prone position of right hand showing 6 French sheath in distal radial artery.
See this image and copyright information in PMC

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