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Table 3 Causes of crossover from radial to femoral approach

From: Transradial approach for coronary angiography and percutaneos coronary intervention: personal experience

Cause of crossover

N (%)

Tortuous subclavian artery or aorta

16 (1.0%)

Radial artery spasm*

14 (0.9%)

Puncture failure

11 (0.7%)

Radial loop

9 (0.6%)

Small radial artery

4 (0.25%)

Subclavian artery occlusion

4 (0.25%)

Failure to engage the coronary arteries with guiding catheter

3 (0.2%)

Inadequate support of the guiding catheter

3 (0.2%)

Anatomic variations**

3 (0.2%)

Inability to cross the coronary lesion with balloon or stent

2 (0.1%)

Total

69 (4.4%)

  1. *Which did not respond to multiple doses of intra-arterial nitroglycerin and IV analgesia
  2. **Such as high origin of the radial artery, abnormal origin of the right subclavian artery, and abnormal right coronary artery origin