{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:46:39Z","timestamp":1790700399399,"version":"4.1.0"},"reference-count":15,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T00:00:00Z","timestamp":1730160000000},"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":[[2024,12]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Distal trans\u2010radial access (dTRA) for percutaneous coronary interventions (PCI) is increasingly gaining attention due to its potential to mitigate radial artery occlusion (RAO). However, a comprehensive understanding of the mechanical impact of the devices on the radial artery (RA) wall remains limited. Using a complete intravascular ultrasound (IVUS) evaluation of the RA, including also the vascular access site, we aimed to evaluate all the consequences related to the catheterization on the RA wall, starting from the vascular access, comparing conventional sheath and sheathless approaches.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This is an observational, prospective, multicenter study aimed to assess the entire RA wall immediately after IVUS\u2010guided PCI via\u2010dTRA. IVUS assessment included quantitative measurements (minimal lumen area [MLA], minimal vessel area [MVA]) and qualitative observations (dissections, vasospasm). Study objectives included delineating RA wall structure post\u2010PCI and comparing findings between conventional and sheathless approaches.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Fifty patients (21 [42%] with conventional sheath, 29 [58%] sheathless) were enrolled between March 2023 and February 2024. Female patients were more prevalent in the convention sheath group (38% vs. 7%,\n p<\/jats:italic>\n \u2009<\u20090.001). Sheathless approach utilized 7\u2010French guiding catheters more frequently (33% vs. 86%,\n p<\/jats:italic>\n \u2009<\u20090.001). Post\u2010procedural IVUS identified dissections in 12% of cases, with no significant difference between approaches. Arterial vasospasm was present in a quarter of patients, numerically higher in the conventional sheath group (29% vs. 21%,\n p<\/jats:italic>\n \u2009=\u20090.5). MLA and MVA were comparable between groups, though MLA and MVA were lowest at the proximal segment of the RA only in the conventional sheath group (\n p<\/jats:italic>\n \u2009<\u20090.001). No RAO was documented during the IVUS evaluation.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The intravascular assessment of dTRA after coronary interventions, utilizing either conventional or sheathless approaches, including large\u2010bore guiding catheters, demonstrated a relatively low incidence of access\u2010related complications such as dissection and vasospasm, without affecting the flow and patency of the proximal RA.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ccd.31279","type":"journal-article","created":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T05:19:45Z","timestamp":1730179185000},"page":"1452-1460","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Intravascular Ultrasound Assessment of Distal Trans\u2010Radial Access in Patients Undergoing Percutaneous Coronary Intervention"],"prefix":"10.1002","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3605-505X","authenticated-orcid":false,"given":"Enrico","family":"Poletti","sequence":"first","affiliation":[{"name":"Department of Cardiology Hartcentrum Ziekenhuis aan de Stroom (ZAS) Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6147-0925","authenticated-orcid":false,"given":"Giuseppe","family":"Colletti","sequence":"additional","affiliation":[{"name":"Department of Cardiology Clinique St. Joseph \u2010 Vivalia Arlon Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9825-6589","authenticated-orcid":false,"given":"Carlo","family":"Zivelonghi","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hartcentrum Ziekenhuis aan de Stroom (ZAS) Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0550-9466","authenticated-orcid":false,"given":"Alice","family":"Benedetti","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hartcentrum Ziekenhuis aan de Stroom (ZAS) Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0160-7317","authenticated-orcid":false,"given":"Alice","family":"Moroni","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hartcentrum Ziekenhuis aan de Stroom (ZAS) Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0608-8002","authenticated-orcid":false,"given":"Hicham","family":"El Jattari","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hartcentrum Ziekenhuis aan de Stroom (ZAS) Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Natalis","sequence":"additional","affiliation":[{"name":"Department of Cardiology Clinique St. Joseph \u2010 Vivalia Arlon Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Rubino","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hartcentrum Ziekenhuis aan de Stroom (ZAS) Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hartcentrum Ziekenhuis aan de Stroom (ZAS) Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elias","family":"Bentakhou","sequence":"additional","affiliation":[{"name":"Department of Cardiology H\u00f4pital de Jolimont, La Louvri\u00e8re Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven E. F.","family":"Haine","sequence":"additional","affiliation":[{"name":"Department of Cardiology Antwerp University Hospital and University of Antwerp Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1505-9369","authenticated-orcid":false,"given":"Pierfrancesco","family":"Agostoni","sequence":"additional","affiliation":[{"name":"Department of Cardiology Hartcentrum Ziekenhuis aan de Stroom (ZAS) Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1583-5882","authenticated-orcid":false,"given":"Claudiu","family":"Ungureanu","sequence":"additional","affiliation":[{"name":"Department of Cardiology H\u00f4pital de Jolimont, La Louvri\u00e8re Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.07.043"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22846"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-17-00079"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.10.013"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2021.09.037"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2022.04.032"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2018.04.045"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2019.08.001"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-18-00648"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.25270\/jic\/22.00049"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.5603\/CJ.a2020.0097"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2015.03.010"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2023.05.005"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00089-5"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jjcc.2018.05.008"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.31279","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T07:11:33Z","timestamp":1736838693000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.31279"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,29]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1002\/ccd.31279"],"URL":"https:\/\/doi.org\/10.1002\/ccd.31279","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,29]]},"assertion":[{"value":"2024-09-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}