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Transradial approach for carotid artery stenting: A position paper from the Italian Society of Interventional Cardiology (SICI‐GISE)
Author(s) -
Montorsi Piero,
Cortese Bernardo,
Cernetti Carlo,
Lanzellotti Davide,
Di Palma Gaetano,
Marchese Alfredo,
Cremonesi Alberto
Publication year - 2021
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29677
Subject(s) - medicine , interventional cardiology , cardiac catheterization , carotid stenting , carotid arteries , radiology , psychological intervention , intervention (counseling) , cardiology , stent , carotid endarterectomy , psychiatry
Carotid artery stenting (CAS) is a valid and effective alternative to endoatherectomy when performed by experienced operators. The conventional approach used is the transfemoral one, but in the last 10 years a transradial (TR) approach, the standard access for cardiac catheterization, became widely adopted for peripheral vascular interventions, included the extracranial carotids. Preliminary experiences suggest this approach as safe and effective, especially in specific anatomical and clinical settings that have been shown to be associated with high risk of complications from the femoral route. Lacking international guidelines, this document, promoted by the Italian Society of Interventional Cardiology ‐ Gruppo Italiano Studi Emodinamici (SICI‐GISE), was drawn‐up by a panel of interventional cardiologists with a documented experience on the subject, focusing on the indications, techniques and materials that should be used for this type of intervention and the most recent literature on the subject.