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Radial Artery Access for Percutaneous Cardiovascular Interventions: Contemporary Insights and Novel Approaches

Renato Francesco Maria Scalise1, Armando Mariano Salito2, Alberto Polimeni3

  • 1Department of Clinical and Experimental Medicine, Policlinic "G. Martino", University of Messina, 98100 Messina, Italy. rfm.scalise@gmail.com.

Journal of Clinical Medicine
|October 23, 2019
PubMed

Insights

The transradial approach is now the standard for percutaneous cardiovascular procedures due to its advantages over the transfemoral approach. This review covers evidence, techniques, complications, and applications of radial access in cardiovascular interventions.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Transradial access (TRA) is increasingly preferred for percutaneous cardiovascular procedures.
  • It offers advantages over the traditional transfemoral approach (TFA).

Purpose of the Study:

  • To provide a comprehensive review of radial artery access for percutaneous cardiovascular interventions.
  • To analyze clinical trial evidence comparing TRA and TFA.
  • To discuss technical aspects, complications, and alternative forearm accesses.

Main Methods:

  • Systematic review of clinical trials and literature.
  • Analysis of technical considerations for radial access.
  • Evaluation of access-site complications and limitations.
  • Review of alternative forearm access sites (ulnar, distal radial).

Main Results:

  • Transradial access has demonstrated significant benefits compared to transfemoral access.
  • A substantial body of evidence supports the widespread adoption of TRA.
  • Technical considerations and management of complications are crucial for successful TRA.

Conclusions:

  • Transradial access has become the default approach for coronary angiography and intervention.
  • The review highlights the efficacy and safety of TRA for various cardiovascular interventions.
  • Alternative forearm accesses and use in structural interventions are also discussed.

Keywords:
aortic valvuloplastydistal radialpercutaneous coronary interventionradialsnuffboxulnar

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