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Transradial access: A case for knowledge translation
Jorge A Belardi1, Pablo M Lamelas1,2
1Department of Interventional Cardiology and Endovascular Therapeutics, Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina.
Current transradial access (TRA) practices are not well-documented globally. Key findings show declining collateral assessment, limited ultrasound use, and infrequent radial artery patency checks, highlighting significant knowledge gaps in TRA.
Area of Science:
- Cardiology
- Vascular Interventions
Background:
- Transradial access (TRA) is a minimally invasive technique for vascular procedures.
- Current global practices and adherence to established guidelines for TRA are not well-understood.
Discussion:
- A notable decline in preprocedure collateral assessment has been observed.
- There is low utilization of ultrasound for guiding TRA.
- Radial artery patency checks post-hemostasis are infrequent.
Key Insights:
- Significant knowledge-practice gaps exist in the current application of TRA.
- Suboptimal adherence to best practices may impact patient outcomes and procedural success.
Outlook:
- There is a critical need for increased dissemination of best practices in TRA.
- Further education and training initiatives are required to improve TRA implementation worldwide.
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