Transradial access: Lessons learned from cardiology

Brian M. Snelling, Samir Sur, Sumedh Subodh Shah, Megan M. Marlow, Mauricio G Cohen, Eric Peterson

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Innovations in interventional cardiology historically predate those in neuro-intervention. As such, studying trends in interventional cardiology can be useful in exploring avenues to optimise neuro-interventional techniques. One such cardiology innovation has been the steady conversion of arterial puncture sites from transfemoral access (TFA) to transradial access (TRA), a paradigm shift supported by safety benefits for patients. While neuro-intervention has unique anatomical challenges, the access itself is identical. As such, examining the extensive cardiology literature on the radial approach has the potential to offer valuable lessons for the neuro-interventionalist audience who may be unfamiliar with this body of work. Therefore, we present here a report, particularly for neuro-interventionalists, regarding the best practices for TRA by reviewing the relevant cardiology literature. We focused our review on the data most relevant to our audience, namely that surrounding the access itself. By reviewing the cardiology literature on metrics such as safety profiles, cost and patient satisfaction differences between TFA and TRA, as well as examining the technical nuances of the procedure and post-procedural care, we hope to give physicians treating complex cerebrovascular disease a broader data-driven understanding of TRA.

Original languageEnglish (US)
Pages (from-to)493-498
Number of pages6
JournalJournal of NeuroInterventional Surgery
Volume10
Issue number5
DOIs
StatePublished - Jan 1 2018

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Cardiology
Cerebrovascular Disorders
Patient Safety
Prednisolone
Patient Satisfaction
Punctures
Practice Guidelines
Physicians
Safety
Costs and Cost Analysis

Keywords

  • cardiology
  • neuro-intervention
  • review
  • transradial access

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Transradial access : Lessons learned from cardiology. / Snelling, Brian M.; Sur, Samir; Shah, Sumedh Subodh; Marlow, Megan M.; Cohen, Mauricio G; Peterson, Eric.

In: Journal of NeuroInterventional Surgery, Vol. 10, No. 5, 01.01.2018, p. 493-498.

Research output: Contribution to journalArticle

Snelling, BM, Sur, S, Shah, SS, Marlow, MM, Cohen, MG & Peterson, E 2018, 'Transradial access: Lessons learned from cardiology', Journal of NeuroInterventional Surgery, vol. 10, no. 5, pp. 493-498. https://doi.org/10.1136/neurintsurg-2017-013295
Snelling, Brian M. ; Sur, Samir ; Shah, Sumedh Subodh ; Marlow, Megan M. ; Cohen, Mauricio G ; Peterson, Eric. / Transradial access : Lessons learned from cardiology. In: Journal of NeuroInterventional Surgery. 2018 ; Vol. 10, No. 5. pp. 493-498.
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