Left Distal Transradial Approach for Coronary Intervention: Insights from Early Clinical Experience and Future Directions

Figure 3

Puncture procedure in the first intermetacarpal space. (a) Confirmation of the most powerful pulse site. (b) Local anesthesia by using lidocaine. (c) Puncture angle is less than 30 degree from lateral to media. (d) Successful puncture. (e) A small skin incision is made before introducing the sheath. (f) 6 Fr sheath is in situ.

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