Hemodynamics, fluids & transfusion

Invasive Blood Pressure Monitoring Using Ultrasound-guided Artery Cannulation Through the Distal Radial Artery Approach at the Anatomical Snuffbox Compared With the Conventional Artery Approach: A Randomized Controlled Trial

J Cardiothorac Vasc AnesthPublished Randomised controlled trial

Authors' conclusion

Compared with conventional radial artery and dorsalis pedis artery cannulation, the anatomical snuffbox approach achieves comparable success rates, establishing it as a clinically viable alternative for invasive hemodynamic monitoring.

Study context

Population
Patients scheduled for invasive BP monitoring via arterial cannulation
Participants
120 patients
Comparison
Group A vs Group B vs Group C
Primary endpoint
Coprimary: first-attempt success rate and puncture duration
Methodological detailsMay 1, 2023, to May 1, 2024
  • May 1, 2023, to May 1, 2024

Primary result

As reported in the abstract

First-attempt success rate
Puncture duration significantly shorter in Group B than Group A
P = 0.001
Puncture duration significantly shorter in Group B than Group C
P = 0.001

Original publication

Invasive Blood Pressure Monitoring Using Ultrasound-guided Artery Cannulation Through the Distal Radial Artery Approach at the Anatomical Snuffbox Compared With the Conventional Artery Approach: A Randomized Controlled Trial. J Cardiothorac Vasc Anesth. Published 25 March 2026. doi:10.1053/j.jvca.2026.03.038

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