Transradial access for coronary diagnostic and interventional procedures: Consensus statement and recommendations for...

Area of Science:

• Cardiology
• Interventional Cardiology
• Vascular Access

Background:

• Radial access for cardiac catheterization is increasingly adopted in India, showing positive clinical outcomes.
• Significant variations exist in the utilization of radial access among Indian interventional cardiologists and institutions.
• The applicability of transradial (TR) intervention advantages and limitations, as documented in Western literature, to the Indian context remains uncertain.

Purpose of the Study:

• To conduct an evidence-based review of radial access procedures for cardiac catheterization in India.
• To address practical, patient-related, and technical issues associated with transradial intervention.
• To formulate consensus-based recommendations for TR management in India.

Main Methods:

• An expert committee, part of the Advancing Complex CoronariES Sciences through TransRADIAL intervention (ACCESS RADIAL™) Advisory Board, conducted the review.
• The review synthesized existing evidence on various facets of radial cardiac catheterization.
• Discussions focused on emerging challenges and evidence supporting TR practices.

Main Results:

• The review highlighted the growing trend and favorable outcomes of radial access in India.
• It identified significant disparities in adoption due to healthcare delivery and practice variations.
• Key challenges in adapting TR management to the Indian healthcare landscape were discussed.

Conclusions:

• Transradial intervention is a viable and beneficial approach for cardiac catheterization in India.
• Addressing practice variations and specific challenges is crucial for wider adoption.
• Evidence-based recommendations are proposed to optimize TR management in the Indian setting.