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Related Concept Videos

Assessment of radial pulse01:11

Assessment of radial pulse

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Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
1.9K
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Assessment of apical radial pulse01:25

Assessment of apical radial pulse

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Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
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Related Experiment Video

Updated: Apr 26, 2026

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
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Transradial approach to cardiovascular interventions: an update.

Shilpa Sachdeva1, Sibu Saha2

  • 1University of Kentucky College of Medicine, Lexington, Kentucky.

The International Journal of Angiology : Official Publication of the International College of Angiology, Inc
|July 31, 2014
PubMed
Summary

The transradial approach for cardiac catheterization is as effective as the transfemoral method, offering benefits like shorter hospital stays and lower costs. This technique is increasingly adopted worldwide for cardiovascular interventions.

Keywords:
arterial accesscost-benefit analysisfeasibility studiesradial arteryvascular complicationsworldwide adoption

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Area of Science:

  • Cardiovascular Interventions
  • Medical Procedures
  • Vascular Access

Background:

  • Cardiac catheterization has evolved significantly since 1929, moving from brachial artery cut-down to transfemoral access.
  • The transradial approach has emerged as a frequently utilized alternative in the last two decades.
  • This evolution reflects advancements in procedural understanding, capability, and patient outcomes.

Purpose of the Study:

  • To review and compare the safety, efficacy, cost-effectiveness, and global adoption of transradial versus transfemoral catheterization.
  • To evaluate the transradial approach as an alternative in specific clinical scenarios and for patients with contraindications to transfemoral procedures.

Main Methods:

  • A comprehensive literature survey was conducted.
  • Studies focusing on safety, efficacy, cost-effectiveness, and global uptake of transradial catheterization were analyzed.
  • Direct comparisons between transradial and transfemoral interventions were a key focus.

Main Results:

  • Transradial catheterization, when performed by experienced interventionalists, demonstrates comparable effectiveness to transfemoral catheterization.
  • Key benefits include shorter hospital stays and reduced patient costs.
  • Transradial access is advantageous in certain clinical situations and serves as a viable alternative for patients unsuitable for transfemoral procedures.
  • Adoption rates in the United States are accelerating, though global utilization varies significantly.

Conclusions:

  • The transradial approach is a highly effective option for cardiovascular interventions.
  • Increased adoption by cardiologists is anticipated in the coming years.
  • This technique offers significant advantages in specific patient populations and healthcare economics.