{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T06:19:16Z","timestamp":1771222756455,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The distal transradial approach (dTRA) is increasingly preferred for coronary angiography (CAG) and\/or percutaneous coronary intervention (PCI) because of its advantages in patient comfort and vascular access. However, the effect of sheath size on these outcomes remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To compare the effects of 5\u2010French (Fr) and 6\u2010Fr sheaths in dTRA on vascular complications, hemostasis duration, and patient comfort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on patients who underwent dTRA for CAG between January 2020 and October 2023. Participants were categorized into two groups based on sheath size (5\u2010 vs. 6\u2010Fr). Data on procedural details, complications, hemostasis duration, and patient discomfort were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>\n                      A total of 228 patients were included, with 72 in the 5\u2010Fr group and 156 in the 6\u2010Fr group. The study found no significant difference in vascular complications between the two groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.18). However, hemostasis duration was significantly shorter in the 5\u2010Fr group compared to the 6\u2010Fr group (97.8\u2009\u00b1\u200927.6 vs. 122.0\u2009\u00b1\u200924.9\u2009min;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Severe pain was more frequent in the 6\u2010Fr group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.036). Regression analysis showed that severe pain, puncture time, and the use of P2Y12 receptor antagonists (P2Y12 inhibitors) were significantly associated with vascular complications (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In our study, sheath size\u2014specifically the comparison between 5\u2010 and 6\u2010Fr\u2014did not significantly affect vascular complications in the dTRA. However, using a 5\u2010Fr sheath may reduce hemostasis time and patient discomfort compared to a 6\u2010Fr sheath. Procedural factors such as puncture time and severe pain, as well as P2Y12 inhibitor use, should be carefully considered to minimize complications. These findings support the safe application of the dTRA with sheath size tailored to individual patient characteristics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70187","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T12:01:21Z","timestamp":1758024081000},"page":"3212-3218","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of 5\u2010 and 6\u2010Fr Sheaths on Hemostasis Duration and Access Site Complications in Distal Transradial Approach"],"prefix":"10.1002","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0505-9784","authenticated-orcid":false,"given":"Adem","family":"Aktan","sequence":"first","affiliation":[{"name":"Department of Cardiology Mardin Artuklu University Faculty of Medicine Mardin Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8338-4948","authenticated-orcid":false,"given":"Raif","family":"K\u0131l\u0131\u00e7","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mardin Artuklu University Faculty of Medicine Mardin Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8470-1928","authenticated-orcid":false,"given":"Tuncay","family":"G\u00fczel","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Health Science University Gazi Ya\u015fargil Training and Research Hospital Diyarbak\u0131r Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3780-7137","authenticated-orcid":false,"given":"Ali","family":"Evsen","sequence":"additional","affiliation":[{"name":"Department of Cardiology Da\u011fkap\u0131 State Hospital Diyarbak\u0131r Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5638-3897","authenticated-orcid":false,"given":"Bar\u0131\u015f","family":"Acun","sequence":"additional","affiliation":[{"name":"Department of Cardiology K\u0131z\u0131ltepe State Hospital Mardin Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7480-9983","authenticated-orcid":false,"given":"Muhammed Ra\u015fit","family":"Tan\u0131rcan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mardin Training and Research Hospital Mardin Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8145-9574","authenticated-orcid":false,"given":"Mehmet Z\u00fclk\u00fcf","family":"Karahan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Mardin Artuklu University Faculty of Medicine Mardin Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-17-00079"},{"issue":"4","key":"e_1_2_7_3_1","first-page":"243","article-title":"Coronary Angiography Using the Left Distal Radial Approach\u2014An Alternative Site to Conventional Radial Coronary Angiography","volume":"19","author":"Soydan E.","year":"2018","journal-title":"Anatolian Journal of Cardiology"},{"issue":"12","key":"e_1_2_7_4_1","first-page":"1120","article-title":"Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach. Korean","volume":"48","author":"Kim Y.","year":"2018","journal-title":"Circulation Journal"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2021.04.001"},{"key":"e_1_2_7_6_1","article-title":"Distal Transradial Access in Anatomical Snuffbox for Coronary Angiography and Intervention: An Updated Meta\u2010Analysis","volume":"1","author":"Liang C.","year":"2021","journal-title":"Journal of Interventional Cardiology"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30602"},{"key":"e_1_2_7_8_1","unstructured":"S.Rathore Impact of Length and Coating of Intruducer Sheath and Compression Haemostatic Devices on Clinical Outcomes and Vascular Injury in Relation to Transradial Coronary Procedures. The University of Liverpool (United Kingdom). 2012."},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-16-00816"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.23736\/S2724-5683.23.06337-8"},{"issue":"22","key":"e_1_2_7_11_1","first-page":"2297","article-title":"Distal Vs Conventional Radial Access for Coronary Angiography and\/or Intervention: A Meta\u2010Analysis of Randomized Trials","volume":"15","author":"Ferrante G.","year":"2022","journal-title":"Journal of the American College of Cardiology: Cardiovascular Interventions"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26657"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/11297298241270537"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22246"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2018.04.045"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2018.09.018"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000002170"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.20230198"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25232"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.5603\/CJ.a2020.0003"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-18-00635"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000018330"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70187","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccd.70187","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70187","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T05:54:40Z","timestamp":1771221280000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70187"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,16]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/ccd.70187"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70187","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,16]]},"assertion":[{"value":"2025-05-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}