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Review
. 2014 Jun;23(2):77-84.
doi: 10.1055/s-0034-1372243.

Transradial approach to cardiovascular interventions: an update

Shilpa Sachdeva  1 , Sibu Saha  2
Affiliations
Review

Transradial approach to cardiovascular interventions: an update

Shilpa Sachdeva et al. Int J Angiol. 2014 Jun.

Abstract

Background Since the first cardiac catheterization in 1929, the procedure has continually evolved with advances in understanding, capabilities, and ease of operation. Though historically performed by cut down of the brachial artery, cardiologists soon learned that transfemoral access was both easier to perform and more efficacious with regard to patient outcome. In the last 20 years, the transradial approach has been adopted, and is being utilized with increasing frequency. Methods We conducted a survey of literature published concerning safety, efficacy, cost-effectiveness, and global uptake of transradial catheterization with specific attention to how transradial interventions compare with transfemoral interventions. Results This review of literature indicates that when performed by an experienced interventionalist, radial catheterization is as effective as femoral catheterization and has additional benefits of shorter length of hospital stay and reduced patient costs. Transradial access is superior to transfemoral access in some, but not all, clinical scenarios; in addition, it is an effective alternative for catheterization in patients contraindicated for transfemoral procedures. Adoption of radial access in the United States is at a faster rate than previously expected, though rate of use varies drastically worldwide. Conclusion The transradial approach is an excellent option for carrying out cardiovascular interventions, and will be adopted by more cardiologists in the upcoming years.

Keywords: arterial access; cost-benefit analysis; feasibility studies; radial artery; vascular complications; worldwide adoption.

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References

    1. Mueller R L, Sanborn T A. The history of interventional cardiology: cardiac catheterization, angioplasty, and related interventions. Am Heart J. 1995;129(1):146–172. - PubMed
    1. Elgharib N Z, Shah U H, Coppola J T. Transradial cardiac catheterization and percutaneous coronary intervention: a review. Coron Artery Dis. 2009;20(8):487–493. - PubMed
    1. Kern M L, Kern M J. St Louis, MO: Mosby; 2011. The Cardiac Catheterization Handbook.
    1. Bush C A, VanFossen D B, Kolibash A J Jr. et al.Cardiac catheterization and coronary angiography using 5 French preformed (Judkins) catheters from the percutaneous right brachial approach: a comparative analysis with the femoral approach. Cathet Cardiovasc Diagn. 1993;29(4):267–272. - PubMed
    1. Brueck M, Bandorski D, Kramer W, Wieczorek M, Höltgen R, Tillmanns H. A randomized comparison of transradial versus transfemoral approach for coronary angiography and angioplasty. JACC Cardiovasc Interv. 2009;2(11):1047–1054. - PubMed