Starting a transradial vascular access program in the cardiac catheterization laboratory

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Over the past 20 years, since the first reports, trans-radial vascular access for coronary angiography and intervention has flourished in many countries while still accounting for less than 2% of all cases performed in the United States due, in part, to difficulties in introducing change to established practice patterns. The benefits of transradial access include decreased bleeding risk, increased patient comfort, lessened post-procedure nursing workload, and decreased hospital costs. A learning curve to gain the specific set of skills for transradial access has been well described. Although published data suggest that 100-200 cases are necessary to become proficient, the learning curve is likely highly individual, and some operators may become proficient sooner. The equipment to start a transradial program is minimal and includes modified sheaths and catheters. Patients with morbid obesity, peripheral vascular disease, and anticoagulation clearly benefit from this approach. To establish a transradial program and offer the benefits of this approach to most patients, a dedicated interventionalist must incorporate peers and hospital staff to create a multidisciplinary team.

Original languageEnglish
Pages (from-to)11-17
Number of pages7
JournalJournal of Invasive Cardiology
Volume21
Issue number8 SUPPL.A
StatePublished - Aug 1 2009

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Learning Curve
Cardiac Catheterization
Blood Vessels
Morbid Obesity
Peripheral Vascular Diseases
Hospital Costs
Workload
Coronary Angiography
Nursing
Catheters
Hemorrhage
Equipment and Supplies
Practice (Psychology)
Patient Comfort

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Starting a transradial vascular access program in the cardiac catheterization laboratory. / Cohen, Mauricio G; Alfonso, Carlos E.

In: Journal of Invasive Cardiology, Vol. 21, No. 8 SUPPL.A, 01.08.2009, p. 11-17.

Research output: Contribution to journalArticle

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