RADIAL ACCESS FOR CORONARY INTERVENTION


Transradial Artery Access (TRA) for percutaneous coronary intervention (PCI) is proven to reduce associated bleeding and vascular complications; especially in patients with acute coronary syndromes (ACS).¹ Use of TRA for coronary angiography and PCI is also associated with improved measures of quality of life and reduced costs compared with Transfemoral Access. A growing body of evidence supports adoption of TRA to improve ACS-related outcomes, to improve healthcare quality, and to reduce cost.¹ 

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Coronary Artery Disease, or CAD, develops when the major blood vessels in the heart (coronary arteries) become damaged or diseased. Cholesterol-containing deposits (plaque) in arteries and inflammation are usually to blame for coronary artery disease.2 Below are a few articles demonstrating the benefit of radial access coronary procedures.

Study

The Radial Approach for STEMI - Could this become the new standard of care?

Robert J. Applegate, MD

Dr. Robert J Applegate discusses the recent data supporting radial access for diagnostic catheterization and STEMI procedures.

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Study

The Advantages of Universal Guiding Catheters for the Transradial Approach

Sandeep Nathan, MD, MSc, FACC, FSCAI

Dr. Sandeep Nathan discusses the approach to using universal guiding catheters at the University of Chicago Medicine.

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Study

Length of stay following PCI: An expert consensus document update from SCAI

Dr. Arnold Seto, et al

Dr. Arnold Seto's study provides updated expert consensus on optimal hospital length of stay post-percutaneous coronary intervention (PCI).

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Study

Radial versus femoral access and bivalirudin versus unfractionated heparin in invasively managed patients with acute coronary syndrome (MATRIX): final 1-year results of a multicentre, randomised controlled trial

Marco Valgimigli et al

This study demonstrated that in patients with acute coronary syndrome, radial access was associated with lower rates of net adverse clinical events compared with femoral access, but not major adverse cardiovascular events at 1 year.

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REFERENCES

  1. Valgimigli M, MATRIX Investigators. Radial versus femoral access in patients with acute coronary syndromes undergoing invasive management: a randomised multicentre trial. Lancet. 2015; 385:2465–2476.
  2. CDC, NCHS. Underlying Cause of Death 1999-2013 on CDC WONDER Online Database, released 2015. Data are from the Multiple Cause of Death Files, 1999-2013, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed Feb. 3, 2015: https://wonder.cdc.gov/wonder/help/ucd.html.
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