Journal of Transcatheter Interventions

ABSTRACT Background The transradial access has gained great prominence in interventional coronary procedures due to lower complication rates, especially when the radial artery is punctured distally, in the anatomical snuffbox. The objective of this study was to analyze the complication and crossover rates of the access routes in invasive coronary procedures, comparing the distal radial artery to the proximal transradial route in the styloid process and the transfemoral access. Methods This was a prospective, observational, and single-center cohort study. The […]

ABSTRACT The use of the radial artery as a vascular access route for performing percutaneous coronary procedures has been reinforced based on consistent data attesting to its efficacy, greater safety and comfort for patients, when compared to femoral or brachial approaches. However, decreasing the rate of acute or chronic occlusion of the radial artery after the use thereof remains a challenge. The most recently adopted strategy to minimize the risk of arterial occlusion consists of puncturing the radial artery in […]

ABSTRACT Background The transradial approach is currently the first option for percutaneous coronary procedures, whether diagnostic or therapeutic, particularly in patients with acute coronary syndromes. However, there is limited data in the literature comparing the use of a universal catheter from a radial approach versus the transfemoral approach. The purpose of this study was to demonstrate the feasibility of the single-catheter radial approach compared with the transfemoral approach. Methods A retrospective assessment of cases of acute coronary syndrome undergoing invasive […]

ABSTRACT Introduction The recently described distal puncture of the left radial artery through the anatomical snuffbox (radial fossa) can be considered a refinement of the original technique. Its potential benefit is greater comfort to patients and operators, as well as maintenance of blood flow through the superficial palmar arch, in case of radial artery occlusion. Our goal was to evaluate the safety and feasibility of this new approach. Methods A prospective registry of patients who underwent invasive diagnostic or therapeutic […]