How to transform you into a radialist (Part II): tips and tricks

Abstract

SummaryThe transradial approach increases patient comfort and reduces vascular complications and major bleeding. Although modern equipment has been improved and catheter sizes reduced, there remain specific technical challenges in the practice of the transradial approach. Indeed, the transradial approach requires a longer learning curve than transfemoral access, but the transradial challenges are usually overcome with experience. Nowadays, in view of its benefits, there is no longer any justification for ignoring the transradial approach, the patient's preferred access route for percutaneous coronary interventions. In this paper we highlight five rules which will transform you into a radialist and provide valuable tips and tricks.

Transradial approach in neurointervention: Part-II: Diagnostic and therapeutic intervention

“…Heparin dose is 80–100 IU/kg bolus and titrated depending on the duration of the procedure. [ 8 ] To counter the effect of patient anxiety, in therapeutic cases, we take the radial puncture after the patient is intubated, except in stroke cases where conscious sedation is our preferred method. Continuous nimodipine/heparin saline flush through the sheath and guiding catheter should be maintained throughout the procedure.…”