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Dall’Ara et al. Vessel Plus 2023;7:26 https://dx.doi.org/10.20517/2574-1209.2023.107 Page 9 of 10

In the last five years, echo-guided femoral artery puncture has increasingly replaced the traditional puncture
with fluoroscopy guidance. This may have positively influenced outcomes in the femoral group, thus
increasing the success rate and reducing vascular complications, but this effect was not measurable in the
[11]
study .

In conclusion, transradial vascular access with an SGC is a viable option when performing RA during
complex PCIs. In this two-center experience, we demonstrated a trend towards a lower failure rate in SGC
procedures than the standard radial approach, and fewer bleeding and vascular complications than the
transfemoral method.

DECLARATIONS
Acknowledgments
The authors thank Aiko Yasuhara for editing and proofreading the article.

Authors’ contributions
Conception of the manuscript: Dall’Ara G, Tarantino F, Galvani M, Andò G
Data extraction: Dall’Ara G, Alagna G, Spartà D, Compagnone M, Grotti S, Guerrieri G, Campanella F,
Taverna G
Writing the first draft of the manuscript: Dall’Ara G, Alagna G, Spartà D
Statistical analysis: Dall’Ara G
Writing and revision of the main manuscript: all authors

Availability of data and materials
Anonymized data will be made available by the corresponding author upon reasonable request after
publication.

Financial support and sponsorship
None.

Conflicts of interest
All authors declare that there are no conflicts of interest.

Ethical approval and consent to participate
The study was approved by the ethics committee of the local health agency of Romagna (CE-ROM) and
submitted to the regional web-based platform on health research in Emilia-Romagna (SIRER). Informed
consent was acquired according to the indications of the ethics committee. No personal identifying
information for any patient is provided in this manuscript.

Consent for publication
Informed consent was acquired as per the instructions of the local ethics committee.

Copyright
© The Author(s) 2023.

REFERENCES
1. Ferrante G, Rao SV, Jüni P, et al. Radial versus femoral access for coronary interventions across the entire spectrum of patients with
coronary artery disease: a meta-analysis of randomized trials. JACC Cardiovasc Interv 2016;9:1419-34. DOI
2. Barbato E, Carrié D, Dardas P, et al. European expert consensus on rotational atherectomy. EuroIntervention 2015;11:30-6. DOI