Radial approach

Learn the effectiveness and safety of transradial artery access for cardiac coronary catheterisation or peripheral intervention

The radial artery has become the primary alternative to femoral artery access because of the benefit in term of bleeding, its superficial location and easy compressibility and low risk of ischaemia. Radial artery access is used by interventional cardiologists with the wrist as the entry point for the catheter.

The transradial approach for coronary angiography and angioplasty, while not new, is gaining momentum as a viable alternative to the transfemoral approach. While technically it may have some challenges, there are significant benefits including reduced patient discomfort, improved time to ambulation, reduction in costs, and reduction in potentially life-threatening complications.

This section will help you to master the essentials of successful PCI using the radial approach, provide you with information about clinical case strategies and the limitations of the radial approach.

Make sure you stay up to date with what's new in the world of #Radialfirst and #DistalRadial by following @PCRonline!

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82 results

Distal versus conventional radial access for coronary angiography and intervention (DISCO RADIAL)

13 Jun 2022

The DISCO RADIAL trial sought to assess the efficacy and safety of distal radial access (DRA) compared with conventional transradial access (TRA) with systematic implementation of best prevention methods for the reduction of radial artery occlusion (RAO).

Reviewer

Aaysha Cader

Reviewer

Ali Nazmi Calik
Distal versus conventional radial access for coronary angiography and intervention (DISCO RADIAL)

Prevention of radial artery occlusion of 3 hemostatic methods in transradial intervention for coronary angiography

01 Jun 2022

The main objective of the PROTHECT (Prevention of Radial artery Occlusion of Three HEmostatiC methods in Transradial intervention for coronary angiography) trial was to compare the efficacy of 3 nonocclusive haemostatic methods in preventing early RAO2.

Reviewer

Aaysha Cader
Prevention of radial artery occlusion of 3 hemostatic methods in transradial intervention for coronary angiography

International hand function study following distal radial access: the RATATOUILLE study

31 May 2022

This trial aimed to evaluate hand function following distal radial approach coronary angiography or percutaneous coronary intervention, to assess longer term safety of the technique.

Reviewer

Aaysha Cader
Saidur Rahman Khan

Reviewer

Saidur Rahman Khan
International hand function study following distal radial access: the RATATOUILLE study

DIStal vs. COnventional RADIAL access for coronary angiography and intervention - the DISCO Radial Trial

18 May 2022 – From EuroPCR 2022

David Rodrigues interviews Adel Aminian on the results from the DISCO Radial trial. This is the first large-scale multicenter randomized evidence comparing DRA to TRA in patients scheduled for coronary angiography or PCI with respect to the incidence of RAO at discharge.

DIStal vs. COnventional RADIAL access for coronary angiography and intervention

Transradial approach, from complex PCI to peripheral intervention

19 May 2022 – From EUROPCR 2022

Watch this session if you want to demonstrate how to optimise challenging coronary and peripheral cases using dedicated devices in transradial approach, to appreciate the value of transradial approach for complex PCI and carotid artery stenting and to acknowledge Ultimaster DES results in high bleeding risk patient...

Transradial approach, from complex PCI to peripheral intervention

Dealing with complex and high-risk interventions

18 May 2022 – From EuroPCR 2022

Thanks to these seven clinical cases, you will be able to learn how to manage risky and complex interventions, including a case of complex triple bifurcation lesions, a high-risk PCI case and a successful kissing balloon technique in transradial PCI.

Dealing with complex and high-risk interventions

Celebrating 30 years of transradial artery access!

17 May 2022

Thirty years ago, the interventional cardiology field was transformed with the emergence of a new access site – the radial artery was used for coronary angioplasty and stent implantation for the first time on 14 August 1992.

Dr. Mirvat Alasnag

Author

Mirvat Alasnag
Dr. Ferdinand Kiemeniji

Author

Ferdinand Kiemeneij
Celebrating 30 years of transradial artery access!

Femoral or radial approach in treatment of coronary chronic total occlusion: A randomized clinical trial

27 Apr 2022

Access remains an increasingly discussed issue in the interventional community globally. In this FORT CTO trial, the authors reported no difference in procedural success in TRA vs TFA, among CTO patients.

Reviewer

Aaysha Cader
Saidur Rahman Khan

Reviewer

Saidur Rahman Khan
Femoral or radial approach in treatment of coronary CTO: A randomized clinical trial

Long-term clinical impact of contrast-associated acute kidney injury following PCI: an ADAPT-DES sub-study

21 Apr 2022

The recently published ADAPT-DES sub-study addressed the question of early and long-term impact of contrast-associated acute kidney injury (CA-AKI) on net adverse clinical events. In addition, the authors defined risk factors for the development of CA-AKI in all-comers using contemporary PCI techniques.

Dr. Mirvat Alasnag

Reviewer

Mirvat Alasnag
Priya R. Kothapalli

Reviewer

Priya R. Kothapalli
Long-term clinical impact of contrast-associated acute kidney injury following PCI: an ADAPT-DES sub-study

Short-term postoperative use of Rivaroxaban to prevent radial artery occlusion after transradial coronary procedure: the RESTORE randomized trial

14 Apr 2022

The RESTORE trial aimed to evaluate the clinical value of short-term postoperative anticoagulation with Rivaroxaban 10 mg daily for 7 days as compared with placebo, in reducing RAO at 24 hours and 30 days.

Reviewer

Aaysha Cader
Saidur Rahman Khan

Reviewer

Saidur Rahman Khan
Short-term postoperative use of Rivaroxaban to prevent radial artery occlusion after transradial coronary procedure: the RESTORE randomized trial

Randomized clinical trial on prevention of radial occlusion after transradial access using nitroglycerin: PATENS Trial

13 Apr 2022

The aim of the current study was to evaluate whether administration of nitroglycerin at the beginning or end of a trans-radial approach procedure would preserve radial artery patency.

Elad Asher

Reviewer

Elad Asher
Randomized clinical trial on prevention of radial occlusion after transradial access using nitroglycerin: PATENS Trial

Abstracts on stable CAD and transradial access

08 Oct 2021 – From AICT AsiaPCR 2021

Watch this session to learn more about the benefit/risk trade-off of extended DAPT in "TWILIGHT-like" patients after PCI, as well as the distal transradial access for coronary angiography and interventions.

Abstracts on stable CAD

MiniBAV through distal radial only

21 Sep 2021

From a clean puncture to a safe valvulotomy, a step by step video tour through performing distal radial MiniBAV – a novel technique.

Alexandru Achim

Author

Alexandru Achim
MiniBAV through distal radial only

Taming of the Hydra – percutaneous coronary intervention of a single coronary artery arising from the right sinus of Valsalva

20 Sep 2021

A single coronary artery arising from the right sinus of Valsalva with absent left main stem is an extremely rare coronary artery anomaly. Herein, a case of percutaneous coronary intervention (PCI) to a high grade proximal left anterior descending (LAD) stenosis of an anomalous single coronary...

O'Sullivan Crochan

Author

Crochan O'Sullivan
Taming of the Hydra – percutaneous coronary intervention of a single coronary artery arising from the right sinus of Valsalva

Two cases of circumflex coronary anomaly arising from RCA: one of them with inferior STEMI and VT

28 Jul 2021

The origin of circumflex from the main RCA has a reported incidence of 0.37 %. Here are two very unusual cases of an anomalous origin of the left circumflex coronary artery from the proximal RCA, one of them with inferior STEMI and VT.

Juan Guzman Olea

Author

Juan Guzman Olea

Author

Gabriel Guzmán Olea

Author

Gonzalo Tolosa Dzul

Author

Rodrigo Manzo Guzmán

Author

Daniel Iván Pérez Vásquez
Suárez Romero Suárez Romero

Author

Elizabeth Suárez Romero

Author

Antonio Fernando Real Ramírez
Two cases of circumflex coronary anomaly arising from RCA: one of them with inferior STEMI and VT

Operator volumes and in-hospital outcomes: an analysis of 7,740 rotational atherectomy procedures from the BCIS national database

05 Jul 2021

Find out more about the results of this analysis which suggest that operator experience may be an important effect modifier in ROTA-PCI.

Nicola Ryan

Reviewer

Nicola Ryan
Operator volumes and in-hospital outcomes: an analysis of 7,740 rotational atherectomy procedures from the BCIS national database

EuroPCR 2021 Hotlines / Late-Breaking Trials: Alster-FLX, ANGIE, COLOR, CREDENCE BRS, and P3

27 May 2021 – From EuroPCR 2021

Find out more about various studies & registries:

  • Left atrial appendage occlusion with the WATCHMAN FLX: The Alster-FLX Registry
  • Anatomical snuffbox for coronary angiography and interventions
  • Randomized comparison between Radial and Femoral Large-bore access Complex PCI
  • Experience with BRS for treatment of de novo native peripheral artery lesions
  • Clinical validation of...
EuroPCR 2021 Hotlines / Late-Breaking Trials: Alster-FLX, ANGIE, COLOR, CREDENCE BRS, and P3

PCR's Got Talent - Coronary and Other Cardiovascular Interventions

18 May 2021 – From EuroPCR 2021

Thanks to the abstracts gathered in this session, analyze the impact of repeat revascularization on 10-year mortality, study the randomized comparison between radial and femoral large-bore access in complex PCI, appraise the value of absolute flow measurement in patients with CAD, and much more!

PCR's Got Talent - Round 2: Coronary and Other Cardiovascular Interventions

Re-evolution in PCI: distal radial approach

18 May 2021 – From EuroPCR 2021

Watch this session presented by Gabriele Luigi Gasparini in order to learn about the advantages of using the distal radial approach for PCI, to discover the main considerations when using the distal radial, and to learn the key tips and tricks about the technique and the devices that...

Re-evolution in PCI: distal radial approach

DISCO Radial: distal versus conventional radial access study

18 May 2021 – From EuroPCR 2021

Watch this session presented by Adel Aminian and Shigeru Saïto in order to consider distal radial as a potential new access in treating CAD, to learn about existing and upcoming evidence on distal radial, and to understand why the results of DISCO Radial will give you an impartial view...

DISCO Radial: distal versus conventional radial access study