Transradial approach as a default route in coronary artery interventions

Area of Science:

• Cardiology
• Interventional Cardiology
• Vascular Access

Background:

• Percutaneous coronary intervention (PCI) has advanced, improving outcomes for ischemic heart disease.
• Femoral artery access for PCI, while common, carries risks of local hemorrhagic complications, especially with potent antithrombotics.
• These bleeding complications are linked to increased patient morbidity and mortality.

Purpose of the Study:

• To review the growing evidence supporting transradial PCI as a potentially default vascular access route.
• To discuss the advantages of transradial PCI, including reduced complications and improved patient experience.
• To address potential concerns and expanding indications for transradial PCI in complex cases.

Main Methods:

• Review of recent studies and clinical data on transradial PCI outcomes.
• Comparison of complication rates between transradial and femoral access routes.
• Analysis of factors contributing to the expanding use of transradial PCI.

Main Results:

• Transradial PCI demonstrates fewer puncture site complications compared to femoral access.
• Patient convenience, early discharge, and shortened hospital stays are associated with transradial PCI.
• Technological advancements and accumulated experience are broadening transradial PCI indications, including complex lesions.

Conclusions:

• Transradial PCI is emerging as a favorable alternative to femoral access for coronary interventions.
• Its safety profile, patient benefits, and expanding applicability support its consideration as a default approach.
• Further evaluation of potential concerns is warranted as its use increases.