The Radial Artery for Percutaneous Coronary Procedures or Surgery?
Mario Gaudino1, Francesco Burzotta2, Faisal Bakaeen3
1Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.
Journal of the American College of Cardiology
|March 10, 2018
Insights
The transradial approach offers benefits for percutaneous procedures, and the radial artery is a valuable conduit for coronary artery bypass surgery. Evidence supports its use in various coronary interventions.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Surgery
Background:
- The radial artery is increasingly utilized in cardiovascular interventions.
- Its application spans both percutaneous coronary interventions and coronary artery bypass grafting.
- Optimizing its use requires understanding its benefits and limitations.
Purpose of the Study:
- To review current research on the transradial approach for percutaneous procedures.
- To evaluate the radial artery as a conduit in coronary artery bypass surgery.
- To provide evidence-based recommendations for clinical practice.
Main Methods:
- Systematic review of existing literature.
- Analysis of clinical outcomes from percutaneous and surgical coronary procedures.
- Synthesis of data to formulate recommendations.
Main Results:
- The transradial approach demonstrates favorable outcomes in percutaneous coronary interventions.
- The radial artery serves as a viable and effective conduit for coronary artery bypass surgery.
- Specific patient populations may benefit most from radial artery utilization.
Conclusions:
- The transradial approach is recommended for selected percutaneous coronary procedures.
- The radial artery is a suitable conduit for coronary artery bypass surgery.
- Guidelines are provided to aid clinicians in patient selection and procedural technique.
Abstract:
This article summarizes the current research on the benefits of using the transradial approach for percutaneous procedures and the radial artery as a conduit for coronary artery bypass surgery. Based on the available evidence, the authors provide recommendations for the use of the radial artery in patients undergoing percutaneous or surgical coronary procedures.
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