Related Experiment Video
Updated: Jan 25, 2026

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Transradial Approach to Coronary Angiography and Percutaneous Intervention in Patients With Dextrocardia
Gregory J Sinner1, Bennet George, Adrian W Messerli
1Division of Cardiovascular Medicine, 900 South Limestone Avenue, CTW Building RM 320, Lexington, KY 40536-0200 USA. gregory.sinner@uky.edu.
Insights
Radial artery access is safe and effective for coronary interventions in patients with dextrocardia. This approach, along with specific catheter choices and understanding fluoroscopy, aids in treating these unique cardiac anatomy cases.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Imaging
Background:
- Dextrocardia presents anatomical variations impacting cardiac procedures.
- Percutaneous coronary interventions require careful planning due to atypical anatomy.
Purpose of the Study:
- To review published data on radial artery access for coronary interventions in dextrocardia patients.
- To assess the safety and efficacy of the radial approach in this population.
Main Methods:
- Systematic review of published reports on radial artery access.
- Analysis of diagnostic and/or therapeutic coronary interventions in dextrocardia.
Main Results:
- The radial approach is demonstrated as safe and effective for coronary interventions in dextrocardia.
- Multipurpose catheters and awareness of mirror-image fluoroscopy are beneficial.
Conclusions:
- Radial artery access is recommended for coronary interventions in dextrocardia patients.
- A stepwise approach to access, fluoroscopy, and catheter selection is proposed.
Abstract:
Patients with dextrocardia present unique challenges in the catheterization laboratory. Variable coronary artery anatomy impacts percutaneous access, catheter selection and manipulation, and image acquisition. This is a review of all published reports of radial artery access for diagnostic and/or therapeutic coronary interventions in patients with dextrocardia. We conclude that the radial approach is safe and effective in these patients and should be used without hesitation. In addition, interventionalists should consider use of multipurpose catheters and possess an understanding of how mirror-image fluoroscopy impacts catheter manipulation. Furthermore, we propose a stepwise approach to arterial access, fluoroscopy, and catheter selection for operator reference while treating dextrocardia patients.
Related Concept Videos
Nursing Interventions I: Taxonomy of Nursing Interventions
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Operant Conditioning Intervention
In operant conditioning, behaviors that are...
Coronary Circulation
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
Heart Failure VII: Nursing Interventions

