Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Nov-Dec;70(6):922-933.
doi: 10.1016/j.ihj.2018.03.004. Epub 2018 May 1.

Transradial access for coronary diagnostic and interventional procedures: Consensus statement and recommendations for India: Advancing Complex CoronariES Sciences through TransRADIAL intervention in India - ACCESS RADIAL™: Clinical consensus recommendations in collaboration with Cardiological Society of India (CSI)

Pravin K Goel  1 , Ajit Menon  2 , Ajit Sankardas Mullasari  3 , Ajit Kumar Valaparambil  4 , Brian Pinto  5 , Dev Pahlajani  6 , Sengottuvelu Gunasekaran  7 , Vijay Kumar Trehan  8 , Rajpal K Abhaichand  9 , Sanjay Kumar Chugh  10 , M S Hiremath  11
Affiliations

Transradial access for coronary diagnostic and interventional procedures: Consensus statement and recommendations for India: Advancing Complex CoronariES Sciences through TransRADIAL intervention in India - ACCESS RADIAL™: Clinical consensus recommendations in collaboration with Cardiological Society of India (CSI)

Pravin K Goel et al. Indian Heart J. 2018 Nov-Dec.

Abstract

Radial access for cardiac catheterization and intervention in India has been growing steadily over the last decade with favorable clinical outcomes. However, its usage by interventional cardiologists varies greatly among Indian operators and hospitals due to large geographic disparities in health care delivery systems and practice patterns. It also remains unclear whether the advantages, as well as limitations of transradial (TR) intervention (as reported in the western literature), are applicable to developing countries like India or not. An evidence-based review involving various facets of radial procedure for cardiac catheterization, including practical, patient-related and technical issues was conducted by an expert committee that formed a part of Advancing Complex CoronariES Sciences through TransRADIAL intervention (ACCESS RADIAL™) Advisory Board. Emerging challenges in redefining TR management based on evidence supporting practices were discussed to formulate these final recommendations through consensus.

Keywords: Challenges; Radial access; Transradial consensus; Transradial intervention.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Learning steps and type of cases. NSTE-ACS- non-ST-segment elevation acute coronary syndromes; STEMI- ST segment elevation myocardial infarction; PCI- percutaneous coronary intervention.
Fig. 2
Fig. 2
Steps to prevent radial artery spasm.
Fig. 3
Fig. 3
Algorithm for treating bifurcation lesions.
See this image and copyright information in PMC

References

    1. Gupta R., Mohan I., Narula J. Trends in coronary heart disease epidemiology in India. Ann Glob Health. 2016;82:307–315. - PubMed
    1. Prabhakaran D., Jeemon P., Roy A. Cardiovascular diseases in India: current epidemiology and future directions. Circulation. 2016;133:1605–1620. - PubMed
    1. Bhat R., John D. 2018. Price-Cap is After All Just a New Price: The Case of Cardiac Stents in India. Available at: http://cf.orfonline.org/wp-content/uploads/2017/04/ORF_IssueBrief_175_Ca.... Accessed on August 6, 2017.
    1. Kiemeneij F., Laarman G.J. Transradial artery Palmaz-Schatz coronary stent implantation: results of a single-center feasibility study. Am Heart J. 1995;130:14–21. - PubMed
    1. Campeau L. Percutaneous radial artery approach for coronary angiography. Catheter Cardiovasc Diagn. 1989;16:3–7. - PubMed

Publication types