A Simple Tool to Predict Transradial Access Fai lure for Coronary Angiography

Since the first cardiac catheterization in 1929, this procedure has evolved considerably. Historically performed via the transfemoral access, in the last years, the transradial access has been spreading gradually due to its many advantages. We have conducted a review of published literature concerning efficacy, safety, and cost-effectiveness, and we analyzed our patients’ data, including the results of the recently published Minimizing Adverse hemorrhagic events by TRansradial access site and systemic implementation of angioX (MATRIX) study. This review confirmed the superiority of the transradial access compared to the femoral access, especially regarding complications related to the access site, duration of hospitalization, and comfort for the patient. The transradial approach is an excellent option for coronary angiography, and the procedure’s risks are reduced by increased operator experience.

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Comparison of Standard Catheters Versus Radial Artery–Specific Catheter in Patients Who Underwent Coronary Angiography Through Transradial Access

The American Journal of Cardiology ◽

10.1016/j.amjcard.2016.05.010 ◽

2016 ◽

Vol 118 (3) ◽

pp. 357-361 ◽

Cited By ~ 11

Author(s):

On Chen ◽

Sunny Goel ◽

Michael Acholonu ◽

Guy Kulbak ◽

Shivani Verma ◽

...

Keyword(s):

Coronary Angiography ◽

Radial Artery ◽

Transradial Access

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Radial Artery Cannulation and Transradial Access for Percutaneous Coronary Angiography and Interventions: From Experience to Expertise of A Single Cardiac Centre

Journal of Anesthesia & Clinical Research ◽

10.4172/2155-6148.s9-003 ◽

2012 ◽

Vol s9 ◽

Cited By ~ 1

Author(s):

Dangoisse Vincent ◽

Guédès Antoine

Keyword(s):

Coronary Angiography ◽

Radial Artery ◽

Radial Artery Cannulation ◽

Artery Cannulation ◽

Transradial Access ◽

Percutaneous Coronary ◽

Cardiac Centre

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Distal transradial access in the anatomical snuff box for coronary angiography and interventions

Cardiologia Croatica ◽

10.15836/ccar2020.66 ◽

2020 ◽

Vol 15 (3-4) ◽

pp. 66-66

Author(s):

Jelena Mikulan

Keyword(s):

Coronary Angiography ◽

Transradial Access

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Standardized Forearm Angiography Increases Procedural Success Rates of Coronary Angiography and PCI: A Retrospective Analysis of an All-Comers Patient Cohort

10.21203/rs.3.rs-1170252/v1 ◽

2022 ◽

Author(s):

Tobias Roeschl ◽

Anas Jano ◽

Franziska Fochler ◽

Lars S. Maier ◽

Mona M. Grewe ◽

...

Keyword(s):

Coronary Angiography ◽

Retrospective Analysis ◽

Blood Supply ◽

Vascular Complications ◽

Success Rates ◽

Arterial Spasm ◽

Patient Cohort ◽

Transradial Access ◽

Coronary Procedures ◽

Procedural Success

Abstract Background: There is a consensus, that transradial-access (TRA) for coronary procedures should be preferred over transfemoral-access (TFA). Previously, forearm-artery-angiography was mainly performed when difficulties during the advancement of the guidewire were encountered. We explored the implication of a standardized forearm-angiography (SFA) on procedural success rates of TRA.Methods: 1191 consecutive cases were assessed retrospectively. Primary TFA rates, crossover to TFA, reasons for forearm-artery-access (FAA) failure, the prevalence of kinking at the level of the forearm and the occurrence of vascular complications were analyzed.Results: Primary FAA access was attempted in 97.9%. Crossover to TFA after a primary or secondary FAA attempt was necessary in 2.8%. Severe kinking was the most frequent cause of FAA failure and occurred in 3.0%. A second or third FAA attempt to avoid TFA was successful in 81%. Severe kinking at the level of the forearm was reported in 1.8%.Conclusion:This is the first study to provide detailed success rates of a primary FAA strategy combined with SFA. While severe kinking proved to be a rare but relevant challenge for FAA success, the prevalence of arterial spasm was marginal. Multiple attempts of FAA to avoid TFA might be safe possibly due to collateral blood supply.

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