{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:06:38Z","timestamp":1756339598897,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,9,21]]},"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>Conventional radial access has become the default access for coronary angiography. Sometime, it is difficult to take a conventional radial access, especially in patients having severe arthropathies leading to limited wrist joint mobility. In such scenarios, distal transradial access (dTRA) can be adopted. We describe a case of an elderly male patient having rheumatoid arthritis with arthropathies. He presented to us with unstable angina; coronary angiogram was advised for ischaemia assessment. Right dTRA was adopted due to severe joint deformity at wrist joint, limiting joint extension. A successful coronary angiogram was performed via the right dTRA without major discomfort and complications. Haemostasis was secured with TR band radial artery compression device. In this case report, we have evaluated the importance of practising dTRA in a patient with severe arthropathies.<\/jats:p>","DOI":"10.1136\/bcr-2021-245251","type":"journal-article","created":{"date-parts":[[2021,10,27]],"date-time":"2021-10-27T13:08:28Z","timestamp":1635340108000},"page":"e245251","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Distal transradial artery access for coronary angiography in a patient having rheumatoid arthritis-related severe arthropathies"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5988-8708","authenticated-orcid":false,"given":"Nasir","family":"Rahman","sequence":"first","affiliation":[{"name":"Cardiology, The Aga Khan University Hospital Main Campus Karachi, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ihsan","family":"Ullah","sequence":"additional","affiliation":[{"name":"Cardiology, The Aga Khan University Hospital Main Campus Karachi, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Awais","family":"Farhad","sequence":"additional","affiliation":[{"name":"Cardiology, The Aga Khan University Hospital Main Campus Karachi, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghufran","family":"Adnan","sequence":"additional","affiliation":[{"name":"Cardiology, The Aga Khan University Hospital Main Campus Karachi, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,10,27]]},"reference":[{"key":"2025082712293647000_14.10.e245251.1","doi-asserted-by":"crossref","first-page":"513","DOI":"10.21037\/cdt.2019.09.06","article-title":"Distal transradial access as default approach for coronary angiography and interventions","volume":"9","author":"Oliveira","year":"2019","journal-title":"Cardiovasc Diagn Ther"},{"key":"2025082712293647000_14.10.e245251.2","first-page":"e7201","article-title":"Distal radial artery access: the future of cardiovascular intervention","volume":"12","author":"Nairoukh","year":"2020","journal-title":"Cureus"},{"key":"2025082712293647000_14.10.e245251.3","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28155"},{"key":"2025082712293647000_14.10.e245251.4","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1080\/14779072.2019.1675510","article-title":"Update on complications and their management during transradial cardiac catheterization","volume":"17","author":"Aoun","year":"2019","journal-title":"Expert Rev Cardiovasc Ther"},{"key":"2025082712293647000_14.10.e245251.5","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.115.002686","article-title":"Radial artery occlusion after transradial interventions: a systematic review and meta-analysis","volume":"5","author":"Rashid","year":"2016","journal-title":"J Am Heart Assoc"},{"key":"2025082712293647000_14.10.e245251.6","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1016\/j.carrev.2019.07.001","article-title":"The comparison of traditional radial access and novel distal radial access for cardiac catheterization","volume":"21","author":"Vefal\u0131","year":"2020","journal-title":"Cardiovasc Revasc Med"},{"key":"2025082712293647000_14.10.e245251.7","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2019-014718"},{"key":"2025082712293647000_14.10.e245251.8","doi-asserted-by":"crossref","DOI":"10.1186\/s12872-021-01890-1","article-title":"Recanalization of the occluded radial artery via distal transradial access in the anatomic snuffbox","volume":"21","author":"Li","year":"2021","journal-title":"BMC Cardiovasc Disord"},{"key":"2025082712293647000_14.10.e245251.9","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1177\/1129729819871434","article-title":"Snuff box radial artery access for arteriovenous fistula intervention","volume":"21","author":"Hull","year":"2020","journal-title":"J Vasc Access"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-245251","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:29:44Z","timestamp":1756322984000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-245251"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10]]},"references-count":9,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2021,10,27]]},"published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1136\/bcr-2021-245251"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-245251","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,10]]}}}