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Related Experiment Video

Updated: Mar 1, 2026

Microfluidic Fabrication of Polymeric and Biohybrid Fibers with Predesigned Size and Shape

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Published on: January 8, 2014

Slender Approach and Sheathless Techniques.

Saurabh Sanon¹, Rajiv Gulati¹

¹Division of Cardiovascular Diseases, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.

Interventional Cardiology Clinics

|June 6, 2017

Summary

This summary is machine-generated.

Most radial arteries struggle with large introducer sheaths used in percutaneous coronary intervention, risking overstretch and occlusion. This article explores techniques to minimize radial artery stretch during transradial procedures.

Keywords:

Percutaneous coronary intervention Radial artery Sheathless Slender Transradial intervention

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Area of Science:

Interventional Cardiology
Vascular Access Techniques

Background:

Large-bore introducer sheaths (7- and 8-French) for percutaneous coronary intervention often exceed radial artery capacity.
Radial artery overstretch can lead to discomfort, spasm, and increased rates of procedure-related radial artery occlusion.

Purpose of the Study:

To discuss methods for managing radial artery-sheath size mismatch during transradial interventions.
To present techniques minimizing radial artery stretch for various coronary procedures.

Main Methods:

Review of sheath-based approaches to accommodate larger sheaths.
Discussion of sheathless techniques for transradial access.
Exploration of strategies to minimize radial artery distension.

Main Results:

Radial artery overstretch is a significant complication of large-sheath use.
Various sheath-based and sheathless techniques can mitigate radial artery stretch.
Minimizing stretch is crucial for patient comfort and procedural success.

Conclusions:

Effective management of radial artery-sheath size mismatch is essential for safe and successful transradial interventions.
Interventionists can employ multiple techniques to reduce radial artery stretch.
Optimizing sheath selection and utilization improves outcomes in percutaneous coronary intervention.