Contemporary Techniques for Femoral and Radial Arterial Access in the Cardiac Catheterization Laboratory
Safe and efficient arterial access is critical for optimal patient outcomes and procedural success in the cardiac catheterization laboratory. Because of the lower risk for vascular and bleeding complications, as well as patient comfort, transradial access has become the predominant approach for diag...
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Format: | Article |
Language: | English |
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IMR Press
2022-09-01
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Series: | Reviews in Cardiovascular Medicine |
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Online Access: | https://www.imrpress.com/journal/RCM/23/9/10.31083/j.rcm2309316 |
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author | James D. Gladden Rajiv Gulati Yader Sandoval |
author_facet | James D. Gladden Rajiv Gulati Yader Sandoval |
author_sort | James D. Gladden |
collection | DOAJ |
description | Safe and efficient arterial access is critical for optimal patient outcomes and procedural success in the cardiac catheterization laboratory. Because of the lower risk for vascular and bleeding complications, as well as patient comfort, transradial access has become the predominant approach for diagnostic coronary angiography and percutaneous coronary intervention. Transfemoral access, however, is still required for selected complex percutaneous coronary interventions, mechanical circulatory support, and structural heart procedures. The use of adjunctive technology and techniques such as ultrasound guidance and micropuncture can be combined with fluoroscopy and palpation to improve outcomes associated with vascular access. The importance of optimal access techniques has augmented due to increasing volume of structural heart and mechanical circulatory support procedures requiring large bore sheaths. In this document we review the contemporary techniques for femoral and radial access in the cardiac catheterization laboratory. |
first_indexed | 2024-04-12T20:36:05Z |
format | Article |
id | doaj.art-79f82acd25d742ecbf7209670f0c57e7 |
institution | Directory Open Access Journal |
issn | 1530-6550 |
language | English |
last_indexed | 2024-04-12T20:36:05Z |
publishDate | 2022-09-01 |
publisher | IMR Press |
record_format | Article |
series | Reviews in Cardiovascular Medicine |
spelling | doaj.art-79f82acd25d742ecbf7209670f0c57e72022-12-22T03:17:35ZengIMR PressReviews in Cardiovascular Medicine1530-65502022-09-0123931610.31083/j.rcm2309316S1530-6550(22)00632-9Contemporary Techniques for Femoral and Radial Arterial Access in the Cardiac Catheterization LaboratoryJames D. Gladden0Rajiv Gulati1Yader Sandoval2Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USADepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USADepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USASafe and efficient arterial access is critical for optimal patient outcomes and procedural success in the cardiac catheterization laboratory. Because of the lower risk for vascular and bleeding complications, as well as patient comfort, transradial access has become the predominant approach for diagnostic coronary angiography and percutaneous coronary intervention. Transfemoral access, however, is still required for selected complex percutaneous coronary interventions, mechanical circulatory support, and structural heart procedures. The use of adjunctive technology and techniques such as ultrasound guidance and micropuncture can be combined with fluoroscopy and palpation to improve outcomes associated with vascular access. The importance of optimal access techniques has augmented due to increasing volume of structural heart and mechanical circulatory support procedures requiring large bore sheaths. In this document we review the contemporary techniques for femoral and radial access in the cardiac catheterization laboratory.https://www.imrpress.com/journal/RCM/23/9/10.31083/j.rcm2309316vascular accesscatheterization laboratory |
spellingShingle | James D. Gladden Rajiv Gulati Yader Sandoval Contemporary Techniques for Femoral and Radial Arterial Access in the Cardiac Catheterization Laboratory Reviews in Cardiovascular Medicine vascular access catheterization laboratory |
title | Contemporary Techniques for Femoral and Radial Arterial Access in the Cardiac Catheterization Laboratory |
title_full | Contemporary Techniques for Femoral and Radial Arterial Access in the Cardiac Catheterization Laboratory |
title_fullStr | Contemporary Techniques for Femoral and Radial Arterial Access in the Cardiac Catheterization Laboratory |
title_full_unstemmed | Contemporary Techniques for Femoral and Radial Arterial Access in the Cardiac Catheterization Laboratory |
title_short | Contemporary Techniques for Femoral and Radial Arterial Access in the Cardiac Catheterization Laboratory |
title_sort | contemporary techniques for femoral and radial arterial access in the cardiac catheterization laboratory |
topic | vascular access catheterization laboratory |
url | https://www.imrpress.com/journal/RCM/23/9/10.31083/j.rcm2309316 |
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