{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T17:29:30Z","timestamp":1787851770499,"version":"build-2784847793"},"reference-count":42,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Heart Journal"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.ahj.2026.107385","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T07:39:56Z","timestamp":1772005196000},"page":"107385","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Operator radiation exposure comparing left-radial artery and right-radial artery approaches: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"297","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3129-8573","authenticated-orcid":false,"given":"Richard","family":"Casazza","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arsalan","family":"Hashmi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Fogel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Shani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ahj.2026.107385_bib0001","article-title":"Radial vs femoral access for percutaneous coronary intervention: temporal trends and outcomes in the USA","author":"Fazel","year":"2025","journal-title":"Eur Heart J"},{"key":"10.1016\/j.ahj.2026.107385_bib0002","doi-asserted-by":"crossref","first-page":"2481","DOI":"10.1016\/j.jacc.2012.06.017","article-title":"Radial versus femoral randomized investigation in ST-segment elevation acute coronary syndrome: the RIFLE-STEACS (Radial Versus Femoral Randomized Investigation in ST-Elevation Acute Coronary Syndrome) study","volume":"60","author":"Romagnoli","year":"2012","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.ahj.2026.107385_bib0003","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1016\/j.jcin.2010.07.011","article-title":"Economic impact of same-day discharge after uncomplicated transradial percutaneous coronary intervention and bolus-only abciximab regimen","volume":"3","author":"Rinfret","year":"2010","journal-title":"JACC Cardiovasc Interv"},{"issue":"4","key":"10.1016\/j.ahj.2026.107385_bib0004","first-page":"1","article-title":"Patient preference for transradial access over transfemoral access for cerebrovascular procedures","volume":"9","author":"Satti","year":"2017","journal-title":"J Vasc Interv Neurol"},{"issue":"3 Pt 1","key":"10.1016\/j.ahj.2026.107385_bib0005","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/S0002-8703(99)70143-2","article-title":"Effect of transradial access on quality of life and cost of cardiac catheterization: a randomized comparison","volume":"138","author":"Cooper","year":"1999","journal-title":"Am Heart J"},{"key":"10.1016\/j.ahj.2026.107385_bib0006","doi-asserted-by":"crossref","first-page":"2530","DOI":"10.1016\/j.jacc.2017.03.018","article-title":"Radiation exposure and vascular access in acute coronary syndromes: the RAD-Matrix trial","volume":"69","author":"Sciahbasi","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.ahj.2026.107385_bib0007","unstructured":"Kumar G, Rab ST. Radiation safety for the interventional cardiologist\u2014A practical approach to protecting ourselves from the dangers of ionizing radiation. Available at https:\/\/radpad.com\/radiation-safety-for-the-interventional-cardiologist\/. Accessed October 3, 2025."},{"issue":"1","key":"10.1016\/j.ahj.2026.107385_bib0008","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.ijcard.2013.11.046","article-title":"Left radial access for percutaneous coronary procedures: from neglected to performer? A meta-analysis of 14 studies including 7,603 procedures","volume":"171","author":"De Rosa","year":"2014","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.ahj.2026.107385_bib0009","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1016\/j.jcin.2015.03.026","article-title":"Effect of vascular access site choice on radiation exposure during coronary angiography: the REVERE trial (randomized evaluation of vascular entry site and radiation exposure)","volume":"8","author":"Pancholy","year":"2015","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.ahj.2026.107385_bib0010","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1016\/j.jcin.2013.11.026","article-title":"Operator radiation exposure and physical discomfort during a right versus left radial approach for coronary interventions: a randomized evaluation","volume":"7","author":"Kado","year":"2014","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.ahj.2026.107385_bib0011","doi-asserted-by":"crossref","first-page":"2187","DOI":"10.1016\/j.jacc.2010.01.039","article-title":"The transradial approach to percutaneous coronary intervention: historical perspective, current concepts, and future directions","volume":"55","author":"Rao","year":"2010","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.ahj.2026.107385_bib0012","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1136\/heartjnl-2012-302895","article-title":"Operator exposure to x-ray in left and right radial access during percutaneous coronary procedures: OPERA randomised study","volume":"99","author":"Dominici","year":"2013","journal-title":"Heart"},{"key":"10.1016\/j.ahj.2026.107385_bib0013","article-title":"Radiation exposure to operators in coronary procedures between left distal and right conventional radial access","author":"Lee","year":"2025","journal-title":"JACC: Cardiovascular Interventions"},{"key":"10.1016\/j.ahj.2026.107385_bib0014","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.ahj.2017.02.012","article-title":"Determinants of operator radiation exposure during percutaneous coronary procedures","volume":"187","author":"Sciahbasi","year":"2017","journal-title":"Am Heart J"},{"issue":"18","key":"10.1016\/j.ahj.2026.107385_bib0015","doi-asserted-by":"crossref","first-page":"e2253","DOI":"10.4244\/EIJ-D-16-00288","article-title":"Radiation dose absorbed by operators during transradial percutaneous coronary procedures comparing different protective drapes: the RADIATION study","volume":"12","author":"Sciahbasi","year":"2017","journal-title":"EuroIntervention"},{"key":"10.1016\/j.ahj.2026.107385_bib0016","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.amjcard.2016.04.045","article-title":"Radiation exposure of the operator during coronary interventions (from the RADIO study)","volume":"118","author":"Kallinikou","year":"2016","journal-title":"Am J Cardiol"},{"issue":"4","key":"10.1016\/j.ahj.2026.107385_bib0017","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/j.amjcard.2016.05.039","article-title":"Effect of left versus right radial artery approach for coronary angiography on radiation parameters in patients with predictors of transradial access failure","volume":"118","author":"Shah","year":"2016","journal-title":"Am J Cardiol"},{"issue":"4","key":"10.1016\/j.ahj.2026.107385_bib0018","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.124.014602","article-title":"Operator radiation exposure comparing the left radial artery approach and a uniform hyper-adducted right radial artery approach: The HARRA Study","volume":"18","author":"Casazza","year":"2025","journal-title":"Circ Cardiovasc Interv"},{"issue":"1","key":"10.1016\/j.ahj.2026.107385_bib0019","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1186\/s13643-023-02217-1","article-title":"Ten circumstances and solutions for finding the sample mean and standard deviation for meta-analysis","volume":"12","author":"Chi","year":"2023","journal-title":"Syst Rev"},{"key":"10.1016\/j.ahj.2026.107385_bib0020","unstructured":"Higgins JPTTJ, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions version 6.3 (updated February 2022). Cochrane, 2022. Available from www.training.cochrane.org\/handbook. 2022."},{"key":"10.1016\/j.ahj.2026.107385_bib0021","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1186\/1471-2288-14-135","article-title":"Estimating the sample mean and standard deviation from the sample size, median, range and\/or interquartile range","volume":"14","author":"Wan","year":"2014","journal-title":"BMC Med Res Methodol"},{"issue":"1","key":"10.1016\/j.ahj.2026.107385_bib0022","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0197-2456(95)00134-4","article-title":"Assessing the quality of reports of randomized clinical trials: is blinding necessary?","volume":"17","author":"Jadad","year":"1996","journal-title":"Control Clin Trials"},{"key":"10.1016\/j.ahj.2026.107385_bib0023","unstructured":"Wells GA, Shea B, O\u2019Connell D, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality if nonrandomized studies in meta-analyses, 2013. Available at: https:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp. Accessed August 24, 2025."},{"issue":"5","key":"10.1016\/j.ahj.2026.107385_bib0024","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/j.jclinepi.2010.09.016","article-title":"Ratio of means for analyzing continuous outcomes in meta-analysis performed as well as mean difference methods","volume":"64","author":"Friedrich","year":"2011","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.ahj.2026.107385_bib0025","doi-asserted-by":"crossref","unstructured":"dos Santos Canellas JV, Ritto FG, Rodolico A, et al. The International Platform of Registered Systematic Review and Meta-analysis Protocols (INPLASY\u00ae) at two years: an analysis of 3,082 registered protocols on inplasy.com, platform features, and website statistics, 2022, PREPRINT (Version 1) available at Research Square [https:\/\/doi.org\/10.21203\/rs.3.rs-1651305\/v1].","DOI":"10.21203\/rs.3.rs-1651305\/v1"},{"key":"10.1016\/j.ahj.2026.107385_bib0026","first-page":"18","article-title":"Impact of a lead glass screen on scatter radiation to eyes and hands in interventional cardiologists","volume":"67","author":"Madder","year":"2006","journal-title":"Catheter Cardiovasc Interv"},{"key":"10.1016\/j.ahj.2026.107385_bib0027","first-page":"260","article-title":"A randomized study comparing the effectiveness of right and left radial approach for coronary angiography","volume":"80","author":"Norgaz","year":"2012","journal-title":"Catheter Cardiovasc Interv"},{"issue":"7","key":"10.1016\/j.ahj.2026.107385_bib0028","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1016\/j.carrev.2019.11.010","article-title":"Cerebral infarcts after coronary angiography and percutaneous coronary intervention: a prospective propensity-score-adjusted comparison of right radial, left radial, and femoral approaches","volume":"21","author":"Marchese","year":"2020","journal-title":"Cardiovasc Revasc Med"},{"issue":"11","key":"10.1016\/j.ahj.2026.107385_bib0029","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1016\/j.jcin.2018.01.252","article-title":"Incidence, determinants, and outcomes of left and right radial access use in patients undergoing percutaneous coronary intervention in the United Kingdom: a national perspective using the BCIS dataset","volume":"11","author":"Rashid","year":"2018","journal-title":"JACC Cardiovasc Interv"},{"issue":"1","key":"10.1016\/j.ahj.2026.107385_bib0030","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1093\/rpd\/ncz131","article-title":"Impact of the table height and the operator\u2019s height on the level of radiation delivered to interventional cardiologists","volume":"187","author":"Faroux","year":"2019","journal-title":"Radiat Prot Dosimetry"},{"issue":"1","key":"10.1016\/j.ahj.2026.107385_bib0031","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1111\/joic.12263","article-title":"Impact of operators' height on individual radiation exposure measurements during catheter-based cardiovascular interventions","volume":"29","author":"Rigatelli","year":"2016","journal-title":"J Interv Cardiol"},{"key":"10.1016\/j.ahj.2026.107385_bib0032","doi-asserted-by":"crossref","unstructured":"Wilczek M, Chieng R, Bell D, et al. Inverse square law. Reference article, Radiopaedia.org https:\/\/doi.org\/10.53347\/rID-12424. Accessed August 19, 2025.","DOI":"10.53347\/rID-12424"},{"key":"10.1016\/j.ahj.2026.107385_bib0033","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.amjcard.2025.04.027","article-title":"The influence of height on occupational radiation exposure of interventional cardiologists during selective coronary angiography using a radial artery approach","volume":"251","author":"Casazza","year":"2025","journal-title":"Am J Cardiol"},{"issue":"1","key":"10.1016\/j.ahj.2026.107385_bib0034","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.hlc.2016.04.021","article-title":"Comparison of safety and effectiveness between right versus left radial arterial access in primary percutaneous coronary intervention for acute ST segment elevation myocardial infarction","volume":"26","author":"Elmahdy","year":"2017","journal-title":"Heart Lung Circ"},{"issue":"2","key":"10.1016\/j.ahj.2026.107385_bib0035","first-page":"263","article-title":"Transradial approach for coronary angiography and interventions in patients with coronary bypass grafts: tips and tricks","volume":"72","author":"Burzotta","year":"2008","journal-title":"Catheter Cardiovasc Interv"},{"issue":"8","key":"10.1016\/j.ahj.2026.107385_bib0036","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1016\/j.jcin.2020.02.013","article-title":"The L-RECORD Study","volume":"13","author":"Tsigkas","year":"2020","journal-title":"JACC Cardiovasc Interv"},{"issue":"11","key":"10.1016\/j.ahj.2026.107385_bib0037","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1016\/j.jcin.2013.08.004","article-title":"A randomized comparison of the transradial and transfemoral approaches for coronary artery bypass graft angiography and intervention: the RADIAL-CABG Trial (RADIAL Versus Femoral Access for Coronary Artery Bypass Graft Angiography and Intervention)","volume":"6","author":"Michael","year":"2013","journal-title":"JACC Cardiovasc Interv"},{"issue":"2","key":"10.1016\/j.ahj.2026.107385_bib0038","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/j.athoracsur.2018.10.066","article-title":"Technical aspects of the use of the radial artery in coronary artery bypass surgery","volume":"108","author":"Gaudino","year":"2019","journal-title":"Ann Thorac Surg"},{"issue":"7","key":"10.1016\/j.ahj.2026.107385_bib0039","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.123.013739","article-title":"Graft patency and clinical outcomes in patients with radial artery grafts previously instrumented for cardiac catheterization","volume":"17","author":"Hamilton","year":"2024","journal-title":"Circ Cardiovasc Interv"},{"key":"10.1016\/j.ahj.2026.107385_bib0040","first-page":"28","article-title":"Peek-a-boo\u201d technique to optimize ergonomics for conventional left radial artery approach to cardiac catheterization","volume":"28","author":"Casazza","year":"2020","journal-title":"Cath Lab Digest"},{"issue":"4","key":"10.1016\/j.ahj.2026.107385_bib0041","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1016\/j.ihj.2022.06.006","article-title":"Could radiation exposure be the Achilles' heel of distal transradial artery access?","volume":"74","author":"Apostolos","year":"2022","journal-title":"Indian Heart J"},{"key":"10.1016\/j.ahj.2026.107385_bib0042","article-title":"Efficacy and safety of distal transradial access for coronary angiography and percutaneous coronary intervention: a meta-analysis","volume":"12","author":"Yang","year":"2025","journal-title":"Front Cardiovasc Med"}],"container-title":["American Heart Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002870326000475?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002870326000475?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T04:02:28Z","timestamp":1779249748000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002870326000475"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":42,"alternative-id":["S0002870326000475"],"URL":"https:\/\/doi.org\/10.1016\/j.ahj.2026.107385","relation":{},"ISSN":["0002-8703"],"issn-type":[{"value":"0002-8703","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Operator radiation exposure comparing left-radial artery and right-radial artery approaches: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"American Heart Journal","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ahj.2026.107385","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"107385"}}