Transradial arterial access for coronary and peripheral procedures: Executive summary by the transradial committee of the SCAI

Abstract

In response to growing U.S. interest, the Society for Coronary Angiography and Interventions recently formed a Transradial Committee whose purpose is to examine the utility, utilization, and training considerations related to transradial access for percutaneous coronary and peripheral procedures. With international partnership, the committee has composed a comprehensive overview of this subject presented herewith. © 2011 Wiley Periodicals, Inc.

Photoplethysmography using a smartphone application for assessment of ulnar artery patency: a randomized clinical trial

“…remains endorsed by current interventional cardiac societies, 13,14 as well as the World Health Organization. 15 Colour Doppler ultrasonography imaging is the gold standard method for assessing arterial patency and collateral competency in this setting, 16 but it is relatively resourceintensive and, there fore, seldom feasible or costeffective in routine clinical practice.…”

“…Performing the modified Allen test before radial artery access is recommended currently by numerous medical societies -includ ing before transradial cardiac catheterization, 13,14 acquisition of arterial blood gases 15 and harvesting of the radial artery for coron ary artery bypass grafting. 32 In addition, the reverse modified Allen test is performed commonly to assess for radial artery occlusion after transradial artery catheterization.…”

Short sheath benefit in radial artery injury after PCI - optical coherence tomography serial study

“…However, the preference for radial artery (ra) as a catheterization access site is more common in asia and europe than in Usa (ref. 3,4 ). compared to the femoral artery, ra access is followed by lower rates of complications including bleeding 5 and even lower mortality rate 6 .…”

“…compared to the femoral artery, ra access is followed by lower rates of complications including bleeding 5 and even lower mortality rate 6 . Tra has some disadvantages: due to the anatomical specifications, the ra has a smaller diameter than the femoral artery in the typical patient 3 and is more prone to injury during the procedure.…”

Quantification of the distal radial artery for improved vascular access

“…Thus arterial access via the RA offers the advantage of increased ease of vascular access, increased ability to provide haemostasis, and decreased rates of access site complications including bleeding and haematoma development, arteriovenous fistula formation, aneurysm, limb ischaemia and nerve damage when compared to transbrachial or transfemoral approaches [1,3,9,10,14,18,19,26,28]. RA cannulation for PCI also touts improved patient tolerance, decreased length of patient hospital stay, decreased medical expenses [1,3,5,18,20,21], decreased nursing work-load [14,18] and decreased time to ambulation post procedurally [1,3,14,15,19,20,21,26,27] when compared to transbrachial or transfemoral approaches.…”