{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:58:38Z","timestamp":1788483518166,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T00:00:00Z","timestamp":1710201600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The radial first approach in cardiac catheterization is preferred for its benefits in patient comfort and recovery time. Yet, challenges persist due to characteristics like small, deep, calcified, and mobile radial arteries. Utilizing ultrasound before and during procedures can improve success rates. However, the adoption of its use is still limited and subject to debate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To utilize routine preprocedural ultrasound (US) and compare US guided with palpation guided radial access, focusing on operator efficiency and outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Consenting adult patients undergoing elective radial cardiac catheterization were divided into palpation and US groups. Routine preprocedural assessment of radial artery characteristics was performed using handheld US. Baseline data, US findings, procedural outcomes, and clinical outcomes were compared in 182 participants (91 in each group). US guided radial access had significantly higher first pass success rates (76.92% vs. 49.45%, <jats:italic>p<\/jats:italic> 0.0001), fewer number of attempts (1.46\u2009\u00b1\u20091 vs. 1.99\u2009\u00b1\u20091.46, <jats:italic>p<\/jats:italic> 0.004), and shorter amount of time (93.62\u2009\u00b1\u200944.04 vs. 120.44\u2009\u00b1\u200967.1, <jats:italic>p<\/jats:italic> 0.002) compared with palpation guidance. The palpation group had\u00a0significantly higher incidence of spasm (15.38% vs. 3.3%, <jats:italic>p<\/jats:italic> 0.0052). Subgroup analysis indicated consistent benefits of US guidance, especially in calcified radial arteries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This prospective, nonrandomized, single\u2010center study demonstrated that real\u2010time procedural US improved the operator's time and effort and enhanced patient comfort compared with palpation. US guidance use was particularly favorable in the presence of calcifications observed on baseline preoperative US.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.31005","type":"journal-article","created":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T05:56:14Z","timestamp":1710222974000},"page":"722-730","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Routine preprocedural ultrasound in palpation versus ultrasound guided radial access for cardiac catheterization"],"prefix":"10.1002","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4102-1740","authenticated-orcid":false,"given":"Bryan Rene F.","family":"Toledano","sequence":"first","affiliation":[{"name":"Cardiac Catheterization Department Cardiovascular Institute, The Medical City Hospital Pasig City Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristy B.","family":"Garganera","sequence":"additional","affiliation":[{"name":"Cardiac Catheterization Department Cardiovascular Institute, The Medical City Hospital Pasig City Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Paolo A.","family":"Prado","sequence":"additional","affiliation":[{"name":"Cardiac Catheterization Department Cardiovascular Institute, The Medical City Hospital Pasig City Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelangelo L.","family":"Sabas","sequence":"additional","affiliation":[{"name":"Cardiac Catheterization Department Cardiovascular Institute, The Medical City Hospital Pasig City 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