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Left Radial Access Is Preferable to Right Radial Access for the Diagnostic or Interventional Coronary Procedures: A Meta-Analysis Involving 22 Randomized Clinical Trials and 10287 Patients

Xiaogang Guo, Jie Ding, Yue Qi, Nan Jia, Shaoli Chu, Jinxiu Lin, Jinzi Su, Feng Peng and Wenquan Niu

PLOS ONE, 2013, vol. 8, issue 11, 1-9

Abstract: Objective: The transradial approach has been used extensively for both diagnostic and interventional coronary procedures; however, there is no universal consensus hitherto on the optimal choice of radial access from either the left or the right artery. We therefore sought to meta-analyze available randomized clinical trials to compare the left with the right radial access for the diagnostic or interventional coronary procedures. Methods and Results: Four electronic databases including the PubMed, EMBASE, Wanfang, and CNKI were searched up to April 2013. In total, there were 22 qualified randomized trials involving 5317 and 4970 patients assigned to the left and the right radial accesses, respectively. Data were extracted independently by two investigators. Analyses of the full data set indicated significant reductions in fluoroscopy time (seconds) (weighted mean difference; 95% confidence interval; P: −36.18; −53.28 to −18.53;

Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0078499

DOI: 10.1371/journal.pone.0078499

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