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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Main Authors: James D. Gladden, Rajiv Gulati, Yader Sandoval
Format: Article
Language:English
Published: IMR Press 2022-09-01
Series:Reviews in Cardiovascular Medicine
Subjects:
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.
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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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