Controversies in complex percutaneous coronary intervention

radial versus femoral

Ian Gilchrist, Stephen O. Awuor, Rhian E. Davies, Anene C. Ukaigwe

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Introduction: Evolution in the technology used in the cardiac catheterization laboratory has permitted a migration from the femoral to radial artery access for many interventional procedures while concurrently improving outcomes. As a disruptive technology, transradial access has been associated with several controversies including a dichotomous relationship with femoral access. Areas covered: Several different patient subsets along with perceived technical challenges in interventional cardiology are reviewed with regard to the issue of access site. Evolving technological improvements germane to transradial techniques are also discussed as garnered from the literature of recent clinical trials and reports. Expert commentary: Radial techniques have been enhanced by newer technology and the spread of knowledge. Fusion of radial techniques with those of the femoral approach is evolving into a unifying concept of using the access that is most appropriate for the patient. No one access technique can cover all clinical subsets of patients. There is a need for complimentary access skillsets for even the most advanced cardiovascular technology used in the cardiac catheterization laboratory if the patients’ outcomes are to be idealized.

Original languageEnglish (US)
Pages (from-to)695-704
Number of pages10
JournalExpert Review of Cardiovascular Therapy
Volume15
Issue number9
DOIs
StatePublished - Sep 2 2017

Fingerprint

Percutaneous Coronary Intervention
Thigh
Technology
Cardiac Catheterization
Radial Artery
Cardiology
Clinical Trials

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Gilchrist, Ian ; Awuor, Stephen O. ; Davies, Rhian E. ; Ukaigwe, Anene C. / Controversies in complex percutaneous coronary intervention : radial versus femoral. In: Expert Review of Cardiovascular Therapy. 2017 ; Vol. 15, No. 9. pp. 695-704.
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Controversies in complex percutaneous coronary intervention : radial versus femoral. / Gilchrist, Ian; Awuor, Stephen O.; Davies, Rhian E.; Ukaigwe, Anene C.

In: Expert Review of Cardiovascular Therapy, Vol. 15, No. 9, 02.09.2017, p. 695-704.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Controversies in complex percutaneous coronary intervention

T2 - radial versus femoral

AU - Gilchrist, Ian

AU - Awuor, Stephen O.

AU - Davies, Rhian E.

AU - Ukaigwe, Anene C.

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N2 - Introduction: Evolution in the technology used in the cardiac catheterization laboratory has permitted a migration from the femoral to radial artery access for many interventional procedures while concurrently improving outcomes. As a disruptive technology, transradial access has been associated with several controversies including a dichotomous relationship with femoral access. Areas covered: Several different patient subsets along with perceived technical challenges in interventional cardiology are reviewed with regard to the issue of access site. Evolving technological improvements germane to transradial techniques are also discussed as garnered from the literature of recent clinical trials and reports. Expert commentary: Radial techniques have been enhanced by newer technology and the spread of knowledge. Fusion of radial techniques with those of the femoral approach is evolving into a unifying concept of using the access that is most appropriate for the patient. No one access technique can cover all clinical subsets of patients. There is a need for complimentary access skillsets for even the most advanced cardiovascular technology used in the cardiac catheterization laboratory if the patients’ outcomes are to be idealized.

AB - Introduction: Evolution in the technology used in the cardiac catheterization laboratory has permitted a migration from the femoral to radial artery access for many interventional procedures while concurrently improving outcomes. As a disruptive technology, transradial access has been associated with several controversies including a dichotomous relationship with femoral access. Areas covered: Several different patient subsets along with perceived technical challenges in interventional cardiology are reviewed with regard to the issue of access site. Evolving technological improvements germane to transradial techniques are also discussed as garnered from the literature of recent clinical trials and reports. Expert commentary: Radial techniques have been enhanced by newer technology and the spread of knowledge. Fusion of radial techniques with those of the femoral approach is evolving into a unifying concept of using the access that is most appropriate for the patient. No one access technique can cover all clinical subsets of patients. There is a need for complimentary access skillsets for even the most advanced cardiovascular technology used in the cardiac catheterization laboratory if the patients’ outcomes are to be idealized.

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