Open AccessStrategies to overcome challenges of transradial coronary angiography and intervention
Author(s) -
Kyriacos Papadopoulos,
Arthur Kerner,
Sergey Yalonetsky,
Eugenia Nikolsky,
Yair Feld,
Ariel Roguin
Publication year - 2020
Publication title -
reviews in cardiovascular medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.555
H-Index - 39
eISSN - 2153-8174
pISSN - 1530-6550
DOI - 10.31083/j.rcm.2020.04.252
Subject(s) - medicine , radial artery , coronary angiography , femoral artery , cardiology , angiography , brachial artery , catheter , cardiac catheterization , radiology , artery , myocardial infarction , blood pressure
The transradial approach has become the preferred route for performing coronary angiography and interventions. Several studies reported that radial access is associated with significant reduction in vascular complications compared with the femoral access. This technique allows also early ambulation, improves the patient's well-being, and is less expensive. One important limitation of radial access is that coronary engagement from transradial approach is more challenging than transfemoral approach. The increased susceptibility of the radial artery to spasm, the radial-brachial artery tortuosities, and the subclavian-aorta curves make catheter advancement and coronary artery cannulation difficult. Hereby, we suggest several techniques for recognising and overcoming potential challenges during transradial coronary angiography.