{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T04:48:46Z","timestamp":1767761326342,"version":"3.48.0"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"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":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    To conduct a meta\u2010analysis to investigate the X\u2010ray radiation exposure between left and right radial approach (LRA\/RRA) during percutaneous coronary procedures. A systematic literature search from the inception of Scopus, Embase, Pubmed, and Web of science databases were systematic searched until July 2025 was performed for studies that compared the radiation exposure between LRA and RRA. 19 randomized controlled trials (RCTs) with 9443 individuals were included in our meta\u2010analysis. The overall effect showed a significantly reduction in fluoroscopy time (FT) and dose area product (DAP) for the LRA group compared to the RRA group (standardized mean difference [SMD] 0.105, 95% confidence interval [CI]: 0.037\u20130.174, I\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u200954.9%,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.003; SMD 0.09, 95% CI: 0.016\u20130.163, I\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u200951.3%,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.017). The pooled results did not show any significant different of cumulative air kerma (CAK) between RRA group and LRA group during percutaneous coronary procedure (SMD 0.067, 95% CI: \u22120.001 TO 0.135, I\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u200922.5%,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.055). Both the operator's radiation dose and the DAP\u2010normalized thorax dose were significantly lower with LRA compared to RRA during percutaneous coronary procedure (SMD 0.297, 95% CI: 0.023\u20130.71, I\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u200984.4%,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.034; SMD 0.392, 95% CI: 0.251\u20130.533, I\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090%,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.000). The LRA was associated with a significant reduction in FT, DAP and the operator's radiation exposure compared to the RRA during percutaneous coronary procedures.\n                  <\/jats:p>","DOI":"10.1002\/ccd.70360","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T19:25:48Z","timestamp":1763666748000},"page":"407-416","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Radiation Exposure to X\u2010Ray Between Left and Right Radial Approach During Coronary Procedures: A Meta\u2010Analysis Based on Randomized Controlled Trials"],"prefix":"10.1002","volume":"107","author":[{"given":"Youjin","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Institute of Cardiovascular disease, Second Affiliated Hospital of Nanchang University Nanchang Jiangxi PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shixin","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Institute of Cardiovascular disease, Second Affiliated Hospital of Nanchang University Nanchang Jiangxi PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Institute of Cardiovascular disease, Second Affiliated Hospital of Nanchang University Nanchang Jiangxi PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine Institute of Cardiovascular disease, Second Affiliated Hospital of Nanchang University Nanchang Jiangxi PR China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehae177"},{"issue":"2022","key":"e_1_2_11_3_1","first-page":"e18","article-title":"ACC\/AHA\/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"145","author":"Lawton J. S.","year":"2021","journal-title":"Circulation"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28672"},{"key":"e_1_2_11_5_1","first-page":"1","article-title":"Transradial Versus Transfemoral Approach for Diagnostic Coronary Angiography and Percutaneous Coronary Intervention in People With Coronary Artery Disease","volume":"4","author":"Kolkailah A. A.","year":"2018","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26519"},{"key":"e_1_2_11_7_1","first-page":"142","article-title":"Simultaneous Vertebral and Sub Clavian Artery Stenting","volume":"13","author":"Maciejewski D. R.","year":"2017","journal-title":"Postepy w kardiologii interwencyjnej = Advances in Interventional Cardiology"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.exer.2021.108772"},{"key":"e_1_2_11_9_1","first-page":"23379","article-title":"Radiation\u2010Induced Skin Injury: Pathogenesis, Treatment, and Management","volume":"12","author":"Yang X.","year":"2020","journal-title":"Aging (Albany NY)"},{"key":"e_1_2_11_10_1","first-page":"135","article-title":"Radiation\u2002Exposure\u2002in Computed Tomography","volume":"120","author":"Bos D.","year":"2023","journal-title":"Deutsches \u00c4rzteblatt international"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10769"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2012.09.024"},{"key":"e_1_2_11_13_1","first-page":"1003","article-title":"Randomized Comparative Study of Left Versus Right Radial Approach in the Setting of Primary Percutaneous Coronary Intervention for ST\u2010Elevation Myocardial Infarction","volume":"10","author":"Fu Q.","year":"2015","journal-title":"Clinical Interventions in Aging"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.2147\/CIA.S64235"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3329\/uhj.v11i1.27596"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.23474"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.23463"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2012-302895"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2017.58.3.521"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2016.05.039"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-8932(09)71028-0"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2010.08.065"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2013.11.026"},{"key":"e_1_2_11_24_1","first-page":"110","article-title":"Comparison Between the Right and Left Radial Approach in Coronariography","volume":"13","author":"C\u00e1zares\u2010D\u00edazleal A. C.","year":"2020","journal-title":"Journal of Cardiovascular Disease Research"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60081193"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.124.014602"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/1522-726X(200102)52:2<181::AID-CCD1044>3.0.CO;2-G"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.111.961185"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2015.03.026"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9030764"},{"issue":"2020","key":"e_1_2_11_31_1","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.rec.2020.09.019","article-title":"Comparison of Safety and Effectiveness Between the Right and Left Radial Artery Approach in Percutaneous Coronary Intervention","volume":"75","author":"Tokarek T.","year":"2022","journal-title":"Revista Espa\u00f1ola de Cardiolog\u00eda (English Edition)"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.03.018"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.7326\/M14-2385"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/0962280216669183"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-135"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2021.01.014"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26519"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.2174\/0118744710283181231229112417"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0078499"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2011.11.100"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43044-024-00501-6"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-021-08029-y"},{"key":"e_1_2_11_44_1","article-title":"Reduction in Primary Operator Radiation Dose Exposure During Coronary Angioplasty Using Radiation Absorbing Drape","volume":"15","author":"Sharma A. B.","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1088\/1361-6498\/acf867"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.70360","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T04:39:46Z","timestamp":1767760786000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.70360"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,20]]},"references-count":44,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/ccd.70360"],"URL":"https:\/\/doi.org\/10.1002\/ccd.70360","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2025,11,20]]},"assertion":[{"value":"2025-09-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}