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Transradial interventions: our experience
1The Heart Care Clinic, Ahmedabad, Gujarat. milan.chag@heartcareclinic.org
Insights
Transradial access for coronary angiography and angioplasty offers a safer alternative to the traditional femoral approach, significantly reducing vascular complications. This technique enables early patient mobilization and is highly effective for most individuals.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Access Techniques
Background:
- Traditional femoral access for coronary angiography/angioplasty carries risks of vascular complications like groin hematoma.
- These complications may necessitate blood transfusions or surgical repair, impacting patient recovery.
Purpose of the Study:
- To analyze the experience and outcomes of transradial angiography and angioplasty.
- To demonstrate the safety and efficacy of the transradial approach as a primary method.
Main Methods:
- Retrospective analysis of thousands of transradial angiography and angioplasty procedures performed over several years.
- Focus on a high-volume interventional cardiology practice utilizing predominantly transradial access.
Main Results:
- The transradial route demonstrated a very low rate of vascular complications compared to traditional methods.
- The technique proved safe and effective, suitable for the vast majority of patients undergoing coronary procedures.
Conclusions:
- Transradial access is a safe and effective alternative for coronary angiography and angioplasty.
- High adoption rates (>90%) of transradial approach in the practice correlate with favorable patient outcomes and early mobilization.
Abstract:
Traditional coronary angiography and angioplasty are usually performed via femoral approach. Though this route provides an easier vascular access, it is associated with a smaller but potentially serious incidence of vascular complications at the puncture site that may result in significant groin haematoma, blood transfusion or require surgical repair. A useful and safe alternative approach is through the transradial access. This route has a very low rate of vascular complications and also allows early mobilization of patients. Though this approach is less commonly used all over the world, recently the usage of this technique has improved. Currently we as a team of Heart Care Clinic are performing more than 90% of the procedure via transradial route. We have performed thousands of angiographies and angioplasties by this route in past several years. Here we performed an analysis of our experience with transradial angiography and angioplasty, demonstrating this to be a safe and effective technique suitable for most of the patients.
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