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2014 ; 23
(2
): 77-84
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Transradial approach to cardiovascular interventions: an update
#MMPMID25075159
Sachdeva S
; Saha S
Int J Angiol
2014[Jun]; 23
(2
): 77-84
PMID25075159
show ga
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.