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Dall’Ara et al. Vessel Plus 2023;7:26 https://dx.doi.org/10.20517/2574-1209.2023.107 Page 7 of 10
Figure 3. Left arm (A) and forearm (B) angiography. A case of standard radial approach failure due to calcific artery narrowing, which
was overcome using an SGC.
Figure 4. Long-term survival analysis according to the vascular approach. SGC: sheathless guiding catheter.
DISCUSSION
In terms of coronary revascularization via RA, this is the first comparison between the sheathless and the
standard transradial approaches, as well as the largest series published thus far on RA plaque modification
performed using a sheathless guiding catheter. The femoral access cohort, representing the traditional

