Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

BMC Cardiovasc Disord. 2020 Aug 5;20(1):356. doi: 10.1186/s12872-020-01625-8.

Abstract

Background: Transradial access (TRA) has been considered as the default choice in cardiac catheterization. Although infrequent, vascular complications of this approach remain. Recently, the distal transradial approach (dTRA) in cardiac catheterization was reported by interventionalists.

Methods: We retrieved the relevant literatures and reviewed the safety and feasibility of this novel approach in cardiac catheterization.

Results: The dTRA for cardiac intervention has superior safety and satisfaction. As a novel approach for cardiac catheterization, access related complications should also be considered by operators, such as RAO, radial spasm, bleeding and haematoma, and injury of the superficial branch of the radial nerve.

Conclusions: The dTRA in cardiovascular angiography and intervention was safe and feasible.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cardiac Catheterization* / adverse effects
  • Catheterization, Peripheral* / adverse effects
  • Coronary Angiography* / adverse effects
  • Humans
  • Patient Safety
  • Percutaneous Coronary Intervention* / adverse effects
  • Punctures
  • Radial Artery*
  • Risk Assessment
  • Risk Factors
  • Treatment Outcome