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

First prospective multicenter experience with left distal transradial approach for coronary chronic total occlusion interventions using a 7-french glidesheath slender

02 Jan 2019

Learn how to assess the feasibility and safety of the left distal transradial artery (LDTRA) approach using a 7 Fr Glidesheath Slender for chronic total occlusion (CTO) percutaneous coronary interventions (PCIs).

Authors :

G. L. Gasparini, R. Garbo, A. Gagnor, J. Oreglia, P. Mazzarotto
First prospective multicenter experience with left distal transradial approach for coronary chronic total occlusion interventions using a 7-french glidesheath slender

Chapter 3 - Cannulation: guiding catheter choice (module 3.3)

22 Nov 2018

What kind and size of guiding catheter should you use for radial? I. Al Rashdan and H. Routledge share their insights and experience on selecting the appropriate guiding catheters for interventional procedures and optimising the support.

Guiding catheter choice

Chapter 3 - Cannulation: catheter choice for graft cannulation (module 3.2)

22 Nov 2018

Is radial suitable for patients with bypass grafts?

Catheter choice for graft cannulation

Chapter 3 - Cannulation: catheter choice for diagnostic angiogram (module 3.1)

22 Nov 2018

Is radial suitable for routine coronary diagnostic angiogram? In this module, Ibrahim Al Rashdan and Helen Routledge discuss using radial in these cases, including choosing the right catheter to minimise risk of failure.

Catheter choice for diagnostic angiogram

Radial Approach - Chapter 3: Cannulation

21 Nov 2018

Find out which catheters are the best for right radial approach, understand what is the ideal radial approach to cannulate Saphenous vein grafts and find out when more than 6F is needed?

Chapter 3: Cannulation

Catheter exchange with syringe technique

Additional resource: Chapter 3

Consult this video from the PCR edu course on Radial approach, which shows a catheter exchange with the syringe technique.

Catheter exchange with syringe technique

Radial arteriography

Additional resource: Chapter 2

Consult this video from the Clinique Pasteur - France on Radial approach, which shows a radial arteriography.

Radial arteriography

Patient preparation and local anaesthesia

Additional resource: Chapter 1

Consult this video from the PCR edu course on Radial approach, which shows how to prepare the patient for local anaesthesia.

Patient preparation and local anaesthesia

Punction with plastic needle

Additional resource: Chapter 1

Consult this video from the PCR edu course on Radial approach, which shows how to do a punction with a plastic needle.

Punction with a plastic needle

Punction with metallic needle

Additional resource: Chapter 1

Consult this video from the PCR edu course on Radial approach, which shows how to do a punction with a metallic needle.

Punction with metallic needle

Local anaesthesia

Additional resource: Chapter 1

Consult this video from the PCR edu course on Radial approach, which shows how to administer local anaesthesia to the puncture site.

Local anaesthesia

Chapter 2 - Navigation: from brachial to sub-clavian / sub-clavian artery to the ascending artery (module 2.2)

19 Nov 2018

What are the key techniques to navigate successfully from the sub-clavian artery to the ascending aorta? J. Monségu and B. Farah discuss the kinds of problems that can occur, including dealing with loops and tortuosities and managing access to the ascending aorta. ...

From the sub-clavian to the ascending artery

Chapter 2 - Navigation: from wrist to brachial - radial navigation (module 2.1)

16 Nov 2018

What difficulties could you find on the journey from the wrist to the subclavian artery? Join J. Monségu and B. Farah as they look at common problems and anatomical variations, and explain when to switch to a femoral approach. ...

From wrist to brachial: Radial navigation

Radial Approach - Chapter 2: Navigation

16 Nov 2018

What difficulties could you find on the journey from the wrist to the subclavian artery and what key techniques are used to navigate successfully from the sub-clavian artery to the ascending aorta? Find out more!

Chapter 2: Navigation

Chapter 1 - Fundamentals: Haemostasis (module 1.5)

16 Nov 2018

How do you create haemostasis? Take a look at the successful conclusion of a procedure, including devices to get an optimal haemostasis and techniques for checking patient safety.

Haemostasis

Chapter 1 - Fundamentals: Puncture (module 1.4)

16 Nov 2018

Exactly where and how should you make the puncture – and what should you do if things go wrong? In this module, H. Amin and H. Benamer look at puncture sites, needle types, different techniques and managing potential problems – including what...

Puncture

Chapter 1 - Fundamentals: Specific hardware (module 1.3)

16 Nov 2018

What are the tools an experienced radialist can’t live without? H. Amin and H. Benamer discuss needles, sheaths, catheters and other specific devices for radial approach in this module.

Specific hardware

Chapter 1 - Fundamentals: Patient preparation (module 1.2)

16 Nov 2018

What tests and checks do you need to undertake before starting a radial approach? H. Amin and H. Benamer look at checking the permeability of the palm arch, choosing the puncture site, selecting the right or left approach, and the importance of...

Patient preparation

Chapter 1 - Fundamentals: Patient selection (module 1.1)

24 Oct 2018

What tests and checks do you need to undertake before starting a radial approach? In this module, H. Amin and H. Benamer takes a look at checking the permeability of the palm arch and more ...

Patient selection

Radial Approach - Chapter 1: The Fundamentals

24 Oct 2018

Identify in which type of patients the femoral route is more advisable than transradial access, master the essential steps of a successful radial procedure in Chapter 1 of the course on Radial approach.

Chapter 1: The Fundamentals