Radial Access

This channel includes news, techniques and new technology innovations for radial access, also called transradial access or radial artery access. This concerns the location of introducer sheaths and vascular access for interventional procedures. Radial access is supported to result in fewer complications compared to femoral access.

Use of transradial access for PCI can increase radiation exposure.

Increased radiation exposure seems inherent to TR access, but may be outweighed by the numerous advantages of this approach.

Feature | Radial Access | August 28, 2012 | Mladen I. Vidovich, M.D., FACC, FSCAI
Recently, concerns have been raised that transradial (TR) cardiac catheterization significantly increases radiation...

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Feature | July 17, 2012 | Eric Rosen, D.O., Dan Wubneh, D.O., Kerri Wing, R.N., Robert Sanchez, M.D., Stephen Minor, M.D. and Peter Wassmer, M.D.
  There is much discussion about the possibility of using transradial artery access to help reduce door-to-balloon...
Feature | Radial Access | July 13, 2012
July 13, 2012 — In the United States, radial artery catheterization is performed in the minority of diagnostic...
News | June 15, 2012
June 15, 2012 — Vascular Solutions Inc. today announced that it has acquired the radial artery access wrist positioning...
A radial artery angiogram demonstrating perforation of the radial artery at the bifurcation with the brachial artery, with evidence of extravasation of contra

Image 1 shows a selective radial artery angiogram demonstrating perforation of the radial artery at the bifurcation with the brachial artery, with evidence of extravasation of contrast.

Feature | Radial Access | May 15, 2012 | Asim R. Zaidi, M.D., Mladen I. Vidovich, M.D., Adhir R. Shroff, M.D., and Bernadette Speiser, MSN, CCRN
  The radial artery approach is exceptionally well-suited for diagnostic angiography and, with a lower incidence of...

The Abbott StarClose SE uses a nitinol clip to quickly close femoral access sites.

Feature | Vascular Closure Devices | February 01, 2012 | Dave Fornell
Manual compression remains the gold standard of care in sealing interventional access site wounds, but there is a trend...
News | December 30, 2011
December 30, 2011 – The Society for Cardiovascular Angiography and Interventions (SCAI) published a paper that examines...
Feature | November 22, 2011 | Colin Barker, M.D.
At Memorial Hermann Heart and Vascular Institute – Texas Medical Center, we have expanded our already robust cardiac...
News | November 15, 2011
November 15, 2011 — A randomized clinical trial examining angioplasty approaches in patients with ST elevation acute...
Feature | September 26, 2011 | Adhir Shroff, M.D., MPH
Effect of Duration of Hemostatic Compression on Radial Artery Occlusion After Transradial AccessSamir B. Pancholy, et...
The use of the Barbeau test in radial access procedures.

Figure 1: Document radial artery readings along with the Barbeau test and mark the wrist for quick reference.

Feature | Radial Access | September 26, 2011 | Stephanie Murray RN, BSN, CCRN-CMC
Staff education is a vital component for the successful transition to a predominantly transradial cardiac...
Feature | July 15, 2011 | Mladen I. Vidovich, M.D., FACC, FSCAI
Swedish SCAAR Registry data were presented in May during the EuroPCR meeting in Paris. The 30-day ST-elevated...
Feature | July 15, 2011 | Adhir Shroff, M.D., MPH
Impact of Transradial and Transfemoral Coronary Interventions on Bleeding and Net Adverse Clinical Events in Acute...
radial access, transradial hemostasis compression band

Inflation of a radial compression band for rapid hemostasis. 

Feature | Radial Access | July 15, 2011 | Lidia Bochenek-Cobb BSN, CCRN and Katherine Durham BSN, CCRN, Jesse Brown VA Medical Center
Transradial catheterization is increasingly becoming the access site of choice for many hospitals throughout the United...
News | May 24, 2011
May 24, 2011 - Cordis announced it has obtained CE mark for its Empira and Empira NC RX percutaneous transluminal...