Using the Arm for Structural Interventions: Case Selection or Wave of the Future

Interv Cardiol Clin. 2020 Jan;9(1):63-74. doi: 10.1016/j.iccl.2019.08.007. Epub 2019 Oct 21.

Abstract

The transradial approach has emerged as the preferred alternative to the traditional transfemoral approach owing to the increased evidence of its safety and efficacy. The field of structural heart disease is rapidly evolving; however, periprocedural complications related to access site remain a major determinant of morbidity and mortality. The transradial approach as primary or secondary access site in structural heart interventions like transcatheter aortic valve replacement, balloon aortic valvuloplasty, alternative access, alcohol septal ablations, paravalvular leak, valve snaring, coronary protection, and ventricular septal defect is feasible, safe, with lower vascular complications and high procedural success.

Keywords: Structural heart; Transcatheter interventions; Transradial.

Publication types

  • Review

MeSH terms

  • Cardiac Catheterization / methods*
  • Forecasting
  • Heart Diseases / surgery*
  • Humans
  • Radial Artery*