Distal Radial Access - New Challenges in Transradial AccessDistal Radial Access - New Challenges in Transradial Access

What are the benefits of DRA?

Features of DRA

Distal Radial Access - New Challenges in Transradial AccessDistal Radial Access - New Challenges in Transradial Access

Ready for the DRA

We support the advancement of minimally invasive treatments     
to enhance patient safety and quality of life    
as the trusted partner in transradial approach. 

Nearly 20years, Sponsor a clinical evaluation, Providing solutions and informationNearly 20years, Sponsor a clinical evaluation, Providing solutions and information

Message

 

For 20 years, Terumo has helped pioneer transradial approach. We believe the minimally invasive transradial approach is a patient-first approach, offering improved safety and comfort for patient.

Distal radial access is the most recent addition to the transradial approach tool box. For Terumo, not only does distal radial access provide medical professionals with another access option, the potential for this procedure to lower the radial artery occlusion(RAO) rate contributes to patient well-being, supporting our commitment to minimally invasive treatments and expanding the possiblities of transradial approach.

As a market leader in transradial approach, Terumo has a responsibility to medical professionals and patients to ensure that any approach we give our support to is backed by clinical evidence. The DISCO RADIAL trial helps fulfil that role. Sponsored by Terumo, this large international randomized study investigates the benefits of distal over conventional radial access, and we have been a supporter of the trial since the beginning.

The results of the DISCO RADIAL trial were announced at EuroPCR 2022 and demonstrated distal radial access to be equally effective as conventional radial access. Now, with this clinical evidence in hand, we see distal radial access as an effective option within a transradial first approach.

As the trusted partner in transradial approach, Terumo is committed to helping medical professionals realize the potential of this new access through innovative solutions, training opportunities and evidence-based research.

Clinical Evidence - DISCO RADIAL trial

Feature

The trial compares the novel distal radial access with conventional radial access approach,    
in terms of radial occlusion rates (RAO) at discharge.

DISCO RADIAL is the first large international randomized study designed to investigate the benefits of    
distal radial access over conventional radial access approach.

1,300 real-world patients1,300 real-world patients

Result

 

Forearm Radial Artery Occlusion rate(%)Forearm Radial Artery Occlusion rate(%)

PRIMARY ENDPOINTRESULT:RAO AT DISCHARGE

PRIMARY ENDPOINTRESULT:

  • Exceptionally low incidence of RAO at discharge in both groups, the lowest ever reported in any multicenter TRA trial. Those results support clinical application of best practice recommendations for the reduction of RAO.
  • Patent hemostasis was achieved in 94.4% of patient in the TRA group.

SECONDARY    
ENDPOINTRESULTS

Key points

DISCO RADIAL is the first large international randomized clinical trial to demonstrate

  • support distal radial access as a valid alternative to conventional radial access, with simpler & shorter hemostasis
  • equally low forearm RAO rates with conventional & distal radial access, highlighting the importance and clinical benefits of a rigorous protocol for RAO prevention

DISCO RADIAL is also the first large international trial implementing best practice recommendations for the reduction of RAO after conventional TRA, including the use of

  • Glidesheath Slender™ to apply lower-profile system necessary to complete the procedure
  • TR Band™ to achieve patent hemostasis, with minimal pressure strategy together with short hemostasis time

More information

Learn about DRA

A review of the DISCO RADIAL trial and footage    
of distal radial access in clinical settings.

featured_radial_distal_radial_agenda_1_1200x740.png

Distal & Conventional: what will be the future of radial access?

Webinar explaining the results of the DISCO RADIAL Trial with an expert panel discussion on DRA.

Lessons from 3500 Cases Using the Distal Radial Approach(DRA)

Key points to safely perform the procedure, explained by Dr. Ikuta from Kurashiki Central Hospital, where distal radial access is actively being applied.

Agenda：

  • DRA features and anatomy
  • DRA procedure
  • From DRA data in our hospital

Related Content

Here are some of the techniques     
involved in DRA.

TR Band Application and Remov­al Guidelines Video by Dr. Mart­inelli

TR Band™ - Radial Artery Compression Device