Comparison of Left and Right Transradial Approach for CAG and PCI

Comparison Between Left and Right Transradial Approach During Coronary Angiography and Percutaneous Coronary Intervention

This trial will compare the procedural success rate between right and left radial approach in patients undergoing coronary angiography and coronary intervention.

The three operators who are proficient in the left radial approach for coronary angiography and coronary intervention will be assigned to the right radial approach for 3 months (phase 1). After then, these three operators will switch approach site to the left radial for another 3 months (phase 2).

Procedural success, time of the procedure, use of contrast agent, and fluoroscopic data will be compared between right radial approach (phase 1) group and left radial approach (phase 2).

Inclusion Criteria:

• Subjects undergoing coronary angiography via radial approach
• Subjects undergoing coronary intervention via radial approach
• Subjects give written informed consent

Exclusion Criteria:

• Subjects undergoing procedure(s) other than coronary angiography or intervention
• Subjects with contraindication of radial approach (i.e, non-palpable radial pulsation, abnormal Allen's test, known radial artery tortuosity or occlusion, arteriovenous fistula for dialysis)