Skip to main content

Access Sites for Vascular Interventions

  • Reference work entry
  • First Online:
PanVascular Medicine
  • 246 Accesses

Abstract

Arterial access for the purpose of coronary angiography and intervention can be obtained via several sites, of which the femoral artery and radial artery are in most common use today. Optimal arterial access permits procedural success and efficiency while avoiding bleeding and vascular complications and optimizing patient comfort. In this chapter, we address the current status of arterial access for coronary angiography and intervention. We review anatomic considerations, techniques, and complications of arterial access for the most common access sites, including a review of approaches to arterial hemostasis. In the second half of the chapter, we provide an evidence-based multifaceted comparison of femoral versus radial access, concluding with future directions for research.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 649.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 549.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

National Cardiovascular Data Registry (NCDR):

Is the American College of Cardiology's suite of data registries helping hospitals and private practices measure and improve the quality of cardiovascular care they provide.

NCDR:

National Cardiovascular Data Registry

PCI:

Percutaneous coronary intervention

RIVAL:

Radial versus femoral access for coronary intervention trial

STEMI:

ST-segment elevation myocardial infarction

References

  • Abu-Fadel MS, Sparling JM, Zacharias SJ, Aston CE, Saucedo JF, Schechter E, Hennebry TA (2009) Fluoroscopy vs. traditional guided femoral arterial access and the use of closure devices: a randomized controlled trial. Catheter Cardiovasc Interv 74(4):533–539. doi:10.1002/ccd.22174

    Article  PubMed  Google Scholar 

  • Agostoni P, Biondi-Zoccai GG, de Benedictis ML, Rigattieri S, Turri M, Anselmi M, Vassanelli C, Zardini P, Louvard Y, Hamon M (2004) Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures; systematic overview and meta-analysis of randomized trials. J Am Coll Cardiol 44(2):349–356. doi:10.1016/j.jacc.2004.04.034

    Article  PubMed  Google Scholar 

  • Agostoni P, Zuffi A, Faurie B, Tosi P, Samim M, Belkacemi A, Voskuil M, Stella PR, Romagnoli E, Biondi-Zoccai G (2013) Same wrist intervention via the Cubital (Ulnar) artery in case of radial puncture failure for percutaneous cardiac catheterization or intervention: the multicenter switch registry. Int J Cardiol 169(1):52–56. doi:10.1016/j.ijcard.2013.08.080

    Article  PubMed  Google Scholar 

  • Ahmed B, Piper WD, Malenka D, VerLee P, Robb J, Ryan T, Herne M, Phillips W, Dauerman HL (2009) Significantly improved vascular complications among women undergoing percutaneous coronary intervention: a report from the northern New England percutaneous coronary intervention registry. Circ Cardiovasc Interv 2(5):423–429. doi:10.1161/circinterventions.109.860494

    Article  PubMed  Google Scholar 

  • Amin AP, Bachuwar A, Reid KJ, Chhatriwalla AK, Salisbury AC, Yeh RW, Kosiborod M, Wang TY, Alexander KP, Gosch K, Cohen DJ, Spertus JA, Bach RG (2013) Nuisance bleeding with prolonged dual antiplatelet therapy after acute myocardial infarction and its impact on health status. J Am Coll Cardiol 61(21):2130–2138. doi:10.1016/j.jacc.2013.02.044

    Article  PubMed  PubMed Central  Google Scholar 

  • Aptecar E, Dupouy P, Chabane-Chaouch M, Bussy N, Catarino G, Shahmir A, Elhajj Y, Pernes JM (2005) Percutaneous transulnar artery approach for diagnostic and therapeutic coronary intervention. J Invasive Cardiol 17(6):312–317

    PubMed  Google Scholar 

  • Aptecar E, Pernes JM, Chabane-Chaouch M, Bussy N, Catarino G, Shahmir A, Bougrini K, Dupouy P (2006) Transulnar versus transradial artery approach for coronary angioplasty: the Pcvi-Cuba study. Catheter Cardiovasc Interv 67(5):711–720. doi:10.1002/ccd.20679

    Article  PubMed  Google Scholar 

  • Ball WT, Sharieff W, Jolly SS, Hong T, Kutryk MJ, Graham JJ, Fam NP, Chisholm RJ, Cheema AN (2011) Characterization of operator learning curve for transradial coronary interventions. Circ Cardiovasc Interv 4(4):336–341. doi:10.1161/circinterventions.110.960864

    Article  PubMed  Google Scholar 

  • Balwanz CR, Javed U, Singh GD, Armstrong EJ, Southard JA, Wong GB, Yeo KK, Low RI, Laird JR Jr, Rogers JH (2013) Transradial and transfemoral coronary angiography and interventions: 1-year outcomes after initiating the transradial approach in a cardiology training program. Am Heart J 165(3):310–316. doi:10.1016/j.ahj.2012.10.014

    Article  PubMed  Google Scholar 

  • Barbeau GR, Arsenault F, Dugas L, Simard S, Lariviere MM (2004) Evaluation of the ulnopalmar arterial arches with pulse oximetry and plethysmography: comparison with the Allen’s test in 1010 patients. Am Heart J 147(3):489–493. doi:10.1016/j.ahj.2003.10.038

    Article  PubMed  Google Scholar 

  • Benamer H, Louvard Y, Sanmartin M, Valsecchi O, Hildick-Smith D, Garot P, Narbute I, Hamon M, Ungi I, Monsegu J (2007) A multicentre comparison of transradial and transfemoral approaches for coronary angiography and PTCA in obese patients: the TROP registry. EuroIntervention 3(3):327–332

    Article  PubMed  Google Scholar 

  • Ben-Dor I, Maluenda G, Mahmoudi M, Torguson R, Xue Z, Bernardo N, Lindsay J, Satler LF, Pichard AD, Waksman R (2012) A novel, minimally invasive access technique versus standard 18-gauge needle set for femoral access. Catheter Cardiovasc Interv 79(7):1180–1185. doi:10.1002/ccd.23330

    Article  PubMed  Google Scholar 

  • Benjamin EJ, Larson MG, Keyes MJ, Mitchell GF, Vasan RS, Keaney JF Jr, Lehman BT, Fan S, Osypiuk E, Vita JA (2004) Clinical correlates and heritability of flow-mediated dilation in the community: the Framingham heart study. Circulation 109(5):613–619. doi:10.1161/01.cir.0000112565.60887.1e

    Article  PubMed  Google Scholar 

  • Bernat I, Horak D, Stasek J, Mates M, Pesek J, Ostadal P, Hrabos V, Dusek J, Koza J, Sembera Z, Brtko M, Aschermann O, Smid M, Polansky P, Al Mawiri A, Vojacek J, Bis J, Costerousse O, Bertrand OF, Rokyta R (2014) St-segment elevation myocardial infarction treated by radial or femoral approach in a multicenter randomized clinical trial: the Stemi-Radial trial. J Am Coll Cardiol 63(10):964–972. doi:10.1016/j.jacc.2013.08.1651

    Article  PubMed  Google Scholar 

  • Bertrand OF, Rao SV, Pancholy S, Jolly SS, Rodes-Cabau J, Larose E, Costerousse O, Hamon M, Mann T (2010) Transradial approach for coronary angiography and interventions: results of the first international transradial practice survey. JACC Cardiovasc Interv 3(10):1022–1031. doi:10.1016/j.jcin.2010.07.013

    Article  PubMed  Google Scholar 

  • Biancari F, D’Andrea V, Di Marco C, Savino G, Tiozzo V, Catania A (2010) Meta-analysis of randomized trials on the efficacy of vascular closure devices after diagnostic angiography and angioplasty. Am Heart J 159(4):518–531. doi:10.1016/j.ahj.2009.12.027

    Article  PubMed  Google Scholar 

  • Brener SJ, Stone GW (2013) Commentary: the ongoing debate between “Femoralists” and “Radialists”: should there be a default strategy? J Am Coll Cardiol 62(17):S11–S20

    Article  PubMed  Google Scholar 

  • Chambers CE (2013) Radiation monitoring in the Cath Lab: is fluoroscopy time enough? Catheter Cardiovasc Interv 82(7):1106–1107. doi:10.1002/ccd.25244

    Article  PubMed  Google Scholar 

  • Chase AJ, Fretz EB, Warburton WP, Klinke WP, Carere RG, Pi D, Berry B, Hilton JD (2008) Association of the arterial access site at angioplasty with transfusion and mortality: the M.O.R.T.A.L study (Mortality Benefit of Reduced Transfusion after Percutaneous Coronary Intervention Via the Arm or Leg). Heart 94(8):1019–1025. doi:10.1136/hrt.2007.136390

    Article  CAS  PubMed  Google Scholar 

  • Cilingiroglu M, Feldman T, Salinger MH, Levisay J, Turi ZG (2011) Fluoroscopically-guided micropuncture femoral artery access for large-caliber sheath insertion. J Invasive Cardiol 23:157–161

    PubMed  Google Scholar 

  • Cooper CJ, El-Shiekh RA, Cohen DJ, Blaesing L, Burket MW, Basu A, Moore JA (1999) Effect of transradial access on quality of life and cost of cardiac catheterization: a randomized comparison. Am Heart J 138(3 Pt 1):430–436

    Article  CAS  PubMed  Google Scholar 

  • Cox N, Resnic FS, Popma JJ, Simon DI, Eisenhauer AC, Rogers C (2004) Comparison of the risk of vascular complications associated with femoral and radial access coronary catheterization procedures in obese versus nonobese patients. Am J Cardiol 94(9):1174–1177. doi:10.1016/j.amjcard.2004.07.088

    Article  PubMed  Google Scholar 

  • Cubero JM, Lombardo J, Pedrosa C, Diaz-Bejarano D, Sanchez B, Fernandez V, Gomez C, Vazquez R, Molano FJ, Pastor LF (2009) Radial compression guided by mean artery pressure versus standard compression with a pneumatic device (Racomap). Catheter Cardiovasc Interv 73(4):467–472. doi:10.1002/ccd.21900

    Article  PubMed  Google Scholar 

  • Das SR, Alexander KP, Chen AY, Powell-Wiley TM, Diercks DB, Peterson ED, Roe MT, de Lemos JA (2011) Impact of body weight and extreme obesity on the presentation, treatment, and in-hospital outcomes of 50,149 patients with st-segment elevation myocardial infarction results from the NCDR (National Cardiovascular Data Registry). J Am Coll Cardiol 58(25):2642–2650. doi:10.1016/j.jacc.2011.09.030

    Article  PubMed  PubMed Central  Google Scholar 

  • Dashkoff N, Dashkoff PB, Zizzi JA Sr, Wadhwani J, Zizzi JA Jr (2002) Ulnar artery cannulation for coronary angiography and percutaneous coronary intervention: case reports and anatomic considerations. Catheter Cardiovasc Interv 55(1):93–96

    Article  PubMed  Google Scholar 

  • Dauerman HL (2013) The softer side of bleeding. J Am Coll Cardiol 61(21):2139–2141. doi:10.1016/j.jacc.2013.03.013

    Article  PubMed  Google Scholar 

  • Dauerman HL, Rao SV, Resnic FS, Applegate RJ (2011) Bleeding avoidance strategies. Consensus and controversy. J Am Coll Cardiol 58(1):1–10. doi:10.1016/j.jacc.2011.02.039

    Article  PubMed  PubMed Central  Google Scholar 

  • de Andrade PB, Mattos LA E, Tebet MA, Rinaldi FS, Esteves VC, Nogueira EF, Franca JI, de Andrade MV, Barbosa RA, Labrunie A, Abizaid AA, Sousa AG (2013) Design and rationale of the angioseal versus the radial approach in acute coronary syndrome (arise) trial: a randomized comparison of a vascular closure device versus the radial approach to prevent vascular access site complications in non-st-segment elevation acute coronary syndrome patients. Trials 14:435. doi:10.1186/1745-6215-14-435

    Article  PubMed  PubMed Central  Google Scholar 

  • Dehghani P, Mohammad A, Bajaj R, Hong T, Suen CM, Sharieff W, Chisholm RJ, Kutryk MJ, Fam NP, Cheema AN (2009) Mechanism and predictors of failed transradial approach for percutaneous coronary interventions. JACC Cardiovasc Interv 2(11):1057–1064. doi:10.1016/j.jcin.2009.07.014

    Article  PubMed  Google Scholar 

  • Dominici M, Diletti R, Milici C, Bock C, Placanica A, D’Alessandro G, Arrivi A, Italiani M, Buono E, Boschetti E (2013) Operator exposure to x-ray in left and right radial access during percutaneous coronary procedures: opera randomized study. Heart 99(7):480–484. doi:10.1136/heartjnl-2012-302895

    Article  CAS  PubMed  Google Scholar 

  • Edmundson A, Mann T (2005) Nonocclusive radial artery injury resulting from transradial coronary interventions: radial artery ivus. J Invasive Cardiol 17(10):528–531

    PubMed  Google Scholar 

  • Eikelboom JW, Mehta SR, Anand SS, Xie C, Fox KA, Yusuf S (2006) Adverse impact of bleeding on prognosis in patients with acute coronary syndromes. Circulation 114(8):774–782. doi:10.1161/circulationaha.106.612812

    Article  PubMed  Google Scholar 

  • Feit F, Voeltz MD, Attubato MJ, Lincoff AM, Chew DP, Bittl JA, Topol EJ, Manoukian SV (2007) Predictors and impact of major hemorrhage on mortality following percutaneous coronary intervention from the replace-2 trial. Am J Cardiol 100(9):1364–1369. doi:10.1016/j.amjcard.2007.06.026

    Article  PubMed  Google Scholar 

  • Feldman DN, Swaminathan RV, Kaltenbach LA, Baklanov DV, Kim LK, Wong SC, Minutello RM, Messenger JC, Moussa I, Garratt KN, Piana RN, Hillegass WB, Cohen MG, Gilchrist IC, Rao SV (2013) Adoption of radial access and comparison of outcomes to femoral access in percutaneous coronary intervention: an updated report from the national cardiovascular data registry (2007–2012). Circulation 127(23):2295–2306. doi:10.1161/circulationaha.112.000536

    Article  PubMed  Google Scholar 

  • Garrett PD, Eckart RE, Bauch TD, Thompson CM, Stajduhar KC (2005) Fluoroscopic localization of the femoral head as a landmark for common femoral artery cannulation. Catheter Cardiovasc Interv 65(2):205–207. doi:10.1002/ccd.20373

    Article  PubMed  Google Scholar 

  • Genereux P, Mehran R, Palmerini T, Caixeta A, Kirtane AJ, Lansky AJ, Brodie BR, Witzenbichler B, Mockel M, Guagliumi G, Peruga JZ, Dudek D, Fahy MP, Dangas G, Stone GW (2011) Radial access in patients with St-segment elevation myocardial infarction undergoing primary angioplasty in acute myocardial infarction: the horizons-ami trial. EuroIntervention 7(8):905–916. doi:10.4244/eijv7i8a144

    Article  PubMed  Google Scholar 

  • Gray H (1918) Anatomy of the human body. Lea & Febiger, Philadelphia. Bartleby.com, 2000. www.bartleby.com/107/. Accessed 16 Mar 2014

  • Green GS, McKinnon CM, Rosch J, Judkins MP (1972) Complications of selective percutaneous transfemoral coronary arteriography and their prevention. A review of 445 consecutive examinations. Circulation 45(3):552–557

    Article  CAS  PubMed  Google Scholar 

  • Grüntzig A (1978) Transluminal dilatation of coronary-artery stenosis. Lancet 1(8058):263

    Article  PubMed  Google Scholar 

  • Hannan EL, Farrell LS, Walford G, Berger PB, Stamato NJ, Venditti FJ, Jacobs AK, Holmes DR Jr, Sharma S, King SB 3rd (2014) Utilization of radial artery access for percutaneous coronary intervention for st-segment elevation myocardial infarction in New York. JACC Cardiovasc Interv. doi:10.1016/j.jcin.2013.10.020

    Google Scholar 

  • Hess CN, Rao SV, Kong DF, Aberle LH, Anstrom KJ, Gibson CM, Gilchrist IC, Jacobs AK, Jolly SS, Mehran R, Messenger JC, Newby LK, Waksman R, Krucoff MW (2013) Embedding a randomized clinical trial into an ongoing registry infrastructure: unique opportunities for efficiency in design of the study of access site for enhancement of percutaneous coronary intervention for women (Safe-Pci for Women). Am Heart J 166(3):421–428. doi:10.1016/j.ahj.2013.06.013

    Article  PubMed  PubMed Central  Google Scholar 

  • Hibbert B, Simard T, Wilson KR, Hawken S, Wells GA, Ramirez FD, Le May MR, So DY, Glover CA, Froeschl M, Marquis JF, Labinaz M, Dick A, O’Brien ER (2012) Transradial versus transfemoral artery approach for coronary angiography and percutaneous coronary intervention in the extremely obese. JACC Cardiovasc Interv 5(8):819–826. doi:10.1016/j.jcin.2012.04.009

    Article  PubMed  Google Scholar 

  • Huggins CE, Gillespie MJ, Tan WA, Laundon RC, Costello FM, Darrah SB, Tate DA, Cohen MG, Stouffer GA (2009) A prospective randomized clinical trial of the use of fluoroscopy in obtaining femoral arterial access. J Invasive Cardiol 21(3):105–109

    PubMed  Google Scholar 

  • Iqtidar AF, Jeon C, Rothman R, Snead R, Pyne CT (2013) Reduction in operator radiation exposure during transradial catheterization and intervention using a simple lead drape. Am Heart J 165(3):293–298. doi:10.1016/j.ahj.2012.10.002

    Article  CAS  PubMed  Google Scholar 

  • Jaspers L, Benit E (2003) Immediate sheath removal after pci using a femostop is feasible and safe. Results of a registry. Acta Cardiol 58(6):535–537

    Article  PubMed  Google Scholar 

  • Jolly SS, Amlani S, Hamon M, Yusuf S, Mehta SR (2009) Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials. Am Heart J 157(1):132–140. doi:10.1016/j.ahj.2008.08.023

    Article  PubMed  Google Scholar 

  • Jolly SS, Yusuf S, Cairns J, Niemela K, Xavier D, Widimsky P, Budaj A, Niemela M, Valentin V, Lewis BS, Avezum A, Steg PG, Rao SV, Gao P, Afzal R, Joyner CD, Chrolavicius S, Mehta SR (2011) Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (rival): a randomized, parallel group, multicentre trial. Lancet 377(9775):1409–1420. doi:10.1016/s0140-6736(11)60404-2

    Article  PubMed  Google Scholar 

  • Jolly SS, Cairns J, Niemela K, Steg PG, Natarajan MK, Cheema AN, Rao SV, Cantor WJ, Dzavik V, Budaj A, Sheth T, Valentin V, Fung A, Widimsky P, Ferrari E, Gao P, Jedrzejowski B, Mehta SR (2013) Effect of radial versus femoral access on radiation dose and the importance of procedural volume: a substudy of the multicenter randomized rival trial. JACC Cardiovasc Interv 6(3):258–266. doi:10.1016/j.jcin.2012.10.016

    Article  PubMed  Google Scholar 

  • Judkins MP (1967) Selective coronary arteriography. I. A percutaneous transfemoral technic. Radiology 89(5):815–824. doi:10.1148/89.5.815

    Article  CAS  PubMed  Google Scholar 

  • Kamiya H, Ushijima T, Kanamori T, Ikeda C, Nakagaki C, Ueyama K, Watanabe G (2003) Use of the radial artery graft after transradial catheterization: is it suitable as a bypass conduit? Ann Thorac Surg 76(5):1505–1509

    Article  PubMed  Google Scholar 

  • Karrowni W, Vyas A, Giacomino B, Schweizer M, Blevins A, Girotra S, Horwitz PA (2013) Radial versus femoral access for primary percutaneous interventions in st-segment elevation myocardial infarction patients: a meta-analysis of randomized controlled trials. JACC Cardiovasc Interv 6(8):814–823. doi:10.1016/j.jcin.2013.04.010

    Article  PubMed  Google Scholar 

  • Kern MJ (2009) Cardiac catheterization on the road less traveled: navigating the radial versus femoral debate. JACC Cardiovasc Interv 2(11):1055–1056. doi:10.1016/j.jcin.2009.08.017

    Article  PubMed  Google Scholar 

  • Kiemeneij F, Laarman GJ (1993) Percutaneous transradial artery approach for coronary stent implantation. Cathet Cardiovasc Diagn 30(2):173–178

    Article  CAS  PubMed  Google Scholar 

  • Kiemeneij F, Fraser D, Slagboom T, Laarman G, van der Wieken R (2003a) Hydrophilic coating aids radial sheath withdrawal and reduces patient discomfort following transradial coronary intervention: a randomized double-blind comparison of coated and uncoated sheaths. Catheter Cardiovasc Interv 59(2):161–164. doi:10.1002/ccd.10444

    Article  PubMed  Google Scholar 

  • Kiemeneij F, Vajifdar BU, Eccleshall SC, Laarman G, Slagboom T, van der Wieken R (2003b) Evaluation of a spasmolytic cocktail to prevent radial artery spasm during coronary procedures. Catheter Cardiovasc Interv 58(3):281–284. doi:10.1002/ccd.10445

    Article  PubMed  Google Scholar 

  • Kinnaird TD, Stabile E, Mintz GS, Lee CW, Canos DA, Gevorkian N, Pinnow EE, Kent KM, Pichard AD, Satler LF, Weissman NJ, Lindsay J, Fuchs S (2003) Incidence, predictors, and prognostic implications of bleeding and blood transfusion following percutaneous coronary interventions. Am J Cardiol 92(8):930–935

    Article  PubMed  Google Scholar 

  • Knebel AV, Cardoso CO, Correa Rodrigues LH, Sarmento-Leite RE, de Quadros AS, Mascia Gottschall CA (2008) Safety and feasibility of transulnar cardiac catheterization. Tex Heart Inst J 35(3):268–272

    PubMed  PubMed Central  Google Scholar 

  • Koreny M, Riedmuller E, Nikfardjam M, Siostrzonek P, Mullner M (2004) Arterial puncture closing devices compared with standard manual compression after cardiac catheterization: systematic review and meta-analysis. JAMA 291(3):350–357. doi:10.1001/jama.291.3.350

    Article  CAS  PubMed  Google Scholar 

  • Kotowycz MA, Džavík V (2012) Radial artery patency after transradial catheterization. Circ Cardiovasc Interv 5(1):127–133. doi:10.1161/circinterventions.111.965871

    Article  PubMed  Google Scholar 

  • Kwan TW, Cherukuri S, Huang Y, Pancholy S, Daggubati R, Liou M, Coppola J, Saito S (2012) Feasibility and safety of 7F sheathless guiding catheter during transradial coronary intervention. Catheter Cardiovasc Interv 80(2):274–280. doi:10.1002/ccd.24310

    Article  PubMed  Google Scholar 

  • Lange HW, von Boetticher H (2006) Randomized comparison of operator radiation exposure during coronary angiography and intervention by radial or femoral approach. Catheter Cardiovasc Interv 67(1):12–16. doi:10.1002/ccd.20451

    Article  PubMed  Google Scholar 

  • Lange HW, von Boetticher H (2012) Reduction of operator radiation dose by a pelvic lead shield during cardiac catheterization by radial access: comparison with femoral access. JACC Cardiovasc Interv 5(4):445–449. doi:10.1016/j.jcin.2011.12.013

    Article  PubMed  Google Scholar 

  • Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, Chambers CE, Ellis SG, Guyton RA, Hollenberg SM, Khot UN, Lange RA, Mauri L, Mehran R, Moussa ID, Mukherjee D, Nallamothu BK, Ting HH (2011) 2011 Accf/Aha/Scai guideline for percutaneous coronary intervention: a report of the American college of cardiology foundation/American heart association task force on practice guidelines and the society for cardiovascular angiography and interventions. Circulation 124(23):e574–e651. doi:10.1161/CIR.0b013e31823ba622

    Article  PubMed  Google Scholar 

  • Li Q, He Y, Jiang R, Huang D (2013) Using sheathless standard guiding catheters for transradial percutaneous coronary intervention to treat bifurcation lesions. Exp Clin Cardiol 18(2):73–76

    PubMed  PubMed Central  Google Scholar 

  • Lincoff AM, Bittl JA, Harrington RA, Feit F, Kleiman NS, Jackman JD, Sarembock IJ, Cohen DJ, Spriggs D, Ebrahimi R, Keren G, Carr J, Cohen EA, Betriu A, Desmet W, Kereiakes DJ, Rutsch W, Wilcox RG, de Feyter PJ, Vahanian A, Topol EJ (2003) Bivalirudin and provisional glycoprotein Iib/Iiia blockade compared with heparin and planned glycoprotein Iib/Iiia blockade during percutaneous coronary intervention: replace-2 randomized trial. JAMA 289(7):853–863

    Article  CAS  PubMed  Google Scholar 

  • Lo TS, Nolan J, Fountzopoulos E, Behan M, Butler R, Hetherington SL, Vijayalakshmi K, Rajagopal R, Fraser D, Zaman A, Hildick-Smith D (2009) Radial artery anomaly and its influence on transradial coronary procedural outcome. Heart 95(5):410–415. doi:10.1136/hrt.2008.150474

    Article  CAS  PubMed  Google Scholar 

  • Lo TS, Ratib K, Chong AY, Bhatia G, Gunning M, Nolan J (2012) Impact of access site selection and operator expertise on radiation exposure; a controlled prospective study. Am Heart J 164(4):455–461. doi:10.1016/j.ahj.2012.06.011

    Article  PubMed  Google Scholar 

  • Louvard Y, Benamer H, Garot P, Hildick-Smith D, Loubeyre C, Rigattieri S, Monchi M, Lefevre T, Hamon M (2004) Comparison of transradial and transfemoral approaches for coronary angiography and angioplasty in octogenarians (the Octoplus study). Am J Cardiol 94(9):1177–1180. doi:10.1016/j.amjcard.2004.07.089

    Article  PubMed  Google Scholar 

  • Mangin L, Bertrand OF, De La Rochelliere R, Proulx G, Lemay R, Barbeau G, Gleeton O, Rodes-Cabau J, Nguyen CM, Roy L (2005) The transulnar approach for coronary intervention: a safe alternative to transradial approach in selected patients. J Invasive Cardiol 17(2):77–79

    PubMed  Google Scholar 

  • Manoukian SV, Feit F, Mehran R, Voeltz MD, Ebrahimi R, Hamon M, Dangas GD, Lincoff AM, White HD, Moses JW, King SB 3rd, Ohman EM, Stone GW (2007) Impact of major bleeding on 30-day mortality and clinical outcomes in patients with acute coronary syndromes: an analysis from the acuity trial. J Am Coll Cardiol 49(12):1362–1368. doi:10.1016/j.jacc.2007.02.027

    Article  PubMed  Google Scholar 

  • Marso SP, Amin AP, House JA, Kennedy KF, Spertus JA, Rao SV, Cohen DJ, Messenger JC, Rumsfeld JS (2010) Association between use of bleeding avoidance strategies and risk of periprocedural bleeding among patients undergoing percutaneous coronary intervention. JAMA 303(21):2156–2164. doi:10.1001/jama.2010.708

    Article  CAS  PubMed  Google Scholar 

  • Mehran R, Pocock S, Nikolsky E, Dangas GD, Clayton T, Claessen BE, Caixeta A, Feit F, Manoukian SV, White H, Bertrand M, Ohman EM, Parise H, Lansky AJ, Lincoff AM, Stone GW (2011a) Impact of bleeding on mortality after percutaneous coronary intervention results from a patient-level pooled analysis of the REPLACE-2 (randomized evaluation of PCI linking angiomax to reduced clinical events), ACUITY (acute catheterization and urgent intervention triage strategy), and HORIZONS-AMI (harmonizing outcomes with revascularization and stents in acute myocardial infarction) trials. JACC Cardiovasc Interv 4(6):654–664. doi:10.1016/j.jcin.2011.02.011

    Article  PubMed  Google Scholar 

  • Mehran R, Rao SV, Bhatt DL, Gibson CM, Caixeta A, Eikelboom J, Kaul S, Wiviott SD, Menon V, Nikolsky E, Serebruany V, Valgimigli M, Vranckx P, Taggart D, Sabik JF, Cutlip DE, Krucoff MW, Ohman EM, Steg PG, White H (2011b) Standardized bleeding definitions for cardiovascular clinical trials: a consensus report from the bleeding academic research consortium. Circulation 123(23):2736–2747. doi:10.1161/circulationaha.110.009449

    Article  PubMed  Google Scholar 

  • Mehta SR, Jolly SS, Cairns J, Niemela K, Rao SV, Cheema AN, Steg PG, Cantor WJ, Dzavik V, Budaj A, Rokoss M, Valentin V, Gao P, Yusuf S (2012) Effects of radial versus femoral artery access in patients with acute coronary syndromes with or without st-segment elevation. J Am Coll Cardiol 60(24):2490–2499. doi:10.1016/j.jacc.2012.07.050

    Article  PubMed  Google Scholar 

  • Mercuri M, Mehta S, Xie C, Valettas N, Velianou JL, Natarajan MK (2011) Radial artery access as a predictor of increased radiation exposure during a diagnostic cardiac catheterization procedure. JACC Cardiovasc Interv 4(3):347–352. doi:10.1016/j.jcin.2010.11.011

    Article  PubMed  Google Scholar 

  • Myers GH, Hansen TH, Jain A (1991) Left main coronary artery and femoral artery vasospasm associated with cocaine use. Chest 100(1):257–258

    Article  CAS  PubMed  Google Scholar 

  • Nasser TK, Mohler ER 3rd, Wilensky RL, Hathaway DR (1995) Peripheral vascular complications following coronary interventional procedures. Clin Cardiol 18(11):609–614

    Article  CAS  PubMed  Google Scholar 

  • Ndrepepa G, Neumann FJ, Richardt G, Schulz S, Tolg R, Stoyanov KM, Gick M, Ibrahim T, Fiedler KA, Berger PB, Laugwitz KL, Kastrati A (2013) Prognostic value of access and non-access sites bleeding after percutaneous coronary intervention. Circ Cardiovasc Interv 6(4):354–361. doi:10.1161/circinterventions.113.000433

    Article  PubMed  Google Scholar 

  • Nikolsky E, Mehran R, Halkin A, Aymong ED, Mintz GS, Lasic Z, Negoita M, Fahy M, Krieger S, Moussa I, Moses JW, Stone GW, Leon MB, Pocock SJ, Dangas G (2004) Vascular complications associated with arteriotomy closure devices in patients undergoing percutaneous coronary procedures: a meta-analysis. J Am Coll Cardiol 44(6):1200–1209. doi:10.1016/j.jacc.2004.06.048

    PubMed  Google Scholar 

  • Omoigui NA, Califf RM, Pieper K, Keeler G, O’Hanesian MA, Berdan LG, Mark DB, Talley JD, Topol EJ (1995) Peripheral vascular complications in the coronary angioplasty versus excisional atherectomy trial (Caveat-I). J Am Coll Cardiol 26(4):922–930

    Article  CAS  PubMed  Google Scholar 

  • Page HL Jr, campbell WB (1975) Percutaneous transfemoral coronary arteriography; prevention of morbid complication. Chest 67(2):221–225

    Article  PubMed  Google Scholar 

  • Pancholy SB (2009) Impact of two different hemostatic devices on radial artery outcomes after transradial catheterization. J Invasive Cardiol 21(3):101–104

    PubMed  Google Scholar 

  • Pancholy SB, Patel TM (2012) Effect of duration of hemostatic compression on radial artery occlusion after transradial access. Catheter Cardiovasc Interv 79(1):78–81. doi:10.1002/ccd.22963

    Article  PubMed  Google Scholar 

  • Pancholy SB, Sanghvi KA, Patel TM (2012) Radial artery access technique evaluation trial: randomized comparison of Seldinger versus modified Seldinger technique for arterial access for transradial catheterization. Catheter Cardiovasc Interv 80(2):288–291. doi:10.1002/ccd.23445

    Article  PubMed  Google Scholar 

  • Patel MR, Jneid H, Derdeyn CP, Klein LW, Levine GN, Lookstein RA, White CJ, Yeghiazarians Y, Rosenfield K (2010) Arteriotomy closure devices for cardiovascular procedures: a scientific statement from the American heart association. Circulation 122(18):1882–1893. doi:10.1161/CIR.0b013e3181f9b345

    Article  PubMed  Google Scholar 

  • Piper WD, Malenka DJ, Ryan TJ Jr, Shubrooks SJ Jr, O’Connor GT, Robb JF, Farrell KL, Corliss MS, Hearne MJ, Kellett MA Jr, Watkins MW, Bradley WA, Hettleman BD, Silver TM, McGrath PD, O’Mears JR, Wennberg DE (2003) Predicting vascular complications in percutaneous coronary interventions. Am Heart J 145(6):1022–1029. doi:10.1016/s0002-8703(03)00079-6

    Article  PubMed  Google Scholar 

  • Politi L, Biondi-Zoccai G, Nocetti L, Costi T, Monopoli D, Rossi R, Sgura F, Modena MG, Sangiorgi GM (2012) Reduction of scatter radiation during transradial percutaneous coronary angiography: a randomized trial using a lead-free radiation shield. Catheter Cardiovasc Interv 79(1):97–102. doi:10.1002/ccd.22947

    Article  PubMed  Google Scholar 

  • Prasad SB, Malaiapan Y, Ahmar W, Meredith IT (2009) Transradial left main stem rotational artherectomy and stenting: case report and literature review. Cardiovasc Revasc Med 10(2):136–139. doi:10.1016/j.carrev.2008.07.003

    Article  PubMed  Google Scholar 

  • Qin X, Xiong W, Wang L, Guan E, Lu C (2013) Clinical investigation of transradial access for emergent percutaneous coronary intervention in patients with acute myocardial infarction. Clin Interv Aging 8:1139–1142. doi:10.2147/cia.s50939

    Article  PubMed  PubMed Central  Google Scholar 

  • Rao SV, O’Grady K, Pieper KS, Granger CB, Newby LK, Van de Werf F, Mahaffey KW, Califf RM, Harrington RA (2005) Impact of bleeding severity on clinical outcomes among patients with acute coronary syndromes. Am J Cardiol 96(9):1200–1206. doi:10.1016/j.amjcard.2005.06.056

    Article  PubMed  Google Scholar 

  • Rao SV, O’Grady K, Pieper KS, Granger CB, Newby LK, Mahaffey KW, Moliterno DJ, Lincoff AM, Armstrong PW, Van de Werf F, Califf RM, Harrington RA (2006) A comparison of the clinical impact of bleeding measured by two different classifications among patients with acute coronary syndromes. J Am Coll Cardiol 47(4):809–816. doi:10.1016/j.jacc.2005.09.060

    Article  PubMed  Google Scholar 

  • Rao SV, Turi ZG, Wong SC, Brener SJ, Stone GW (2013) Radial versus femoral access. J Am Coll Cardiol 62(Suppl 17):S11–S20. doi:10.1016/j.jacc.2013.08.700

    Article  PubMed  Google Scholar 

  • Rao SV, Tremmel JA, Gilchrist IC, Shah PB, Gulati R, Shroff AR, Crisco V, Woody W, Zoghbi G, Duffy PL, Sanghvi K, Krucoff MW, Pyne CT, Skelding KA, Patel T, Pancholy SB (2014) Best practices for transradial angiography and intervention: a consensus statement from the society for cardiovascular angiography and intervention’s transradial working group. Catheter Cardiovasc Interv 83(2):228–236. doi:10.1002/ccd.25209

    Article  PubMed  Google Scholar 

  • Rath PC, Purohit BV, Navasundi GB, Sitaram, Reddy AM (2005) Coronary angiogram and intervention through transulnar approach. Indian Heart J 57(4):324–326

    PubMed  Google Scholar 

  • Rathore S, Stables RH, Pauriah M, Hakeem A, Mills JD, Palmer ND, Perry RA, Morris JL (2010) Impact of length and hydrophilic coating of the introducer sheath on radial artery spasm during transradial coronary intervention: a randomized study. JACC Cardiovasc Interv 3(5):475–483. doi:10.1016/j.jcin.2010.03.009

    Article  PubMed  Google Scholar 

  • Ricketts HJ, Abrams HL (1962) Percutaneous selective coronary cine arteriography. JAMA 181:620–624

    Article  CAS  PubMed  Google Scholar 

  • Romagnoli E, Biondi-Zoccai G, Sciahbasi A, Politi L, Rigattieri S, Pendenza G, Summaria F, Patrizi R, Borghi A, Di Russo C, Moretti C, Agostoni P, Loschiavo P, Lioy E, Sheiban I, Sangiorgi G (2012) Radial versus femoral randomized investigation in st-segment elevation acute coronary syndrome: the Rifle-Steacs (radial versus femoral randomized investigation in st-elevation acute coronary syndrome) study. J Am Coll Cardiol 60(24):2481–2489. doi:10.1016/j.jacc.2012.06.017

    Article  PubMed  Google Scholar 

  • Rudisill PT, Williams LB, Craig S, Schopp P (1997) Study of mechanical versus manual/mechanical compression following various interventional cardiology procedures. J Cardiovasc Nurs 11(2):15–21

    Article  CAS  PubMed  Google Scholar 

  • Saito S, Ikei H, Hosokawa G, Tanaka S (1999) Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention. Catheter Cardiovasc Interv 46(2):173–178. doi:10.1002/(sici)1522-726x(199902)46:2<173:aid-ccd12>3.0.co;2-4

    Article  CAS  PubMed  Google Scholar 

  • Saito S, Tanaka S, Hiroe Y, Miyashita Y, Takahashi S, Satake S, Tanaka K, Yamamoto M (2002) Usefulness of hydrophilic coating on arterial sheath introducer in transradial coronary intervention. Catheter Cardiovasc Interv 56(3):328–332. doi:10.1002/ccd.10202

    Article  PubMed  Google Scholar 

  • Sanborn TA, Ebrahimi R, Manoukian SV, McLaurin BT, Cox DA, Feit F, Hamon M, Mehran R, Stone GW (2010) Impact of femoral vascular closure devices and antithrombotic therapy on access site bleeding in acute coronary syndromes: the acute catheterization and urgent intervention triage strategy (acuity) trial. Circ Cardiovasc Interv 3(1):57–62. doi:10.1161/circinterventions.109.896704

    Article  CAS  PubMed  Google Scholar 

  • Sanborn TA, Mehran R, Genereux P, Witzenbichler B, Brener SJ, Kirtane AJ, McAndrew T, Francese D, Kornowski R, Dudek D, Nikolsky E, Stone GW (2013) Tct-292 reduced bleeding complications and increased event-free survival with femoral vascular closure device use and bivalirudin in stemi patients undergoing primary angioplasty in the horizons-ami trial. J Am Coll Cardiol 62(18_S1):B95. doi:10.1016/j.jacc.2013.08.1028

    Article  Google Scholar 

  • Sandgren T, Sonesson B, Ahlgren R, Lanne T (1999) The diameter of the common femoral artery in healthy human: influence of sex, age, and body size. J Vasc Surg 29(3):503–510

    Article  CAS  PubMed  Google Scholar 

  • Sanmartin M, Gomez M, Rumoroso JR, Sadaba M, Martinez M, Baz JA, Iniguez A (2007) Interruption of blood flow during compression and radial artery occlusion after transradial catheterization. Catheter Cardiovasc Interv 70(2):185–189. doi:10.1002/ccd.21058

    Article  PubMed  Google Scholar 

  • Schwartz BG, Burstein S, Economides C, Kloner RA, Shavelle DM, Mayeda GS (2010) Review of vascular closure devices. J Invasive Cardiol 22(12):599–607

    PubMed  Google Scholar 

  • Schwartz BG, Burstein S, Economides C, Kloner RA, Shavelle DM, Mayeda GS (2011) Review of vascular closure devices. Cath Lab Digest 19(7):1–20

    Google Scholar 

  • Sciahbasi A, Romagnoli E, Trani C, Burzotta F, Sarandrea A, Summaria F, Patrizi R, Rao S, Lioy E (2011) Operator radiation exposure during percutaneous coronary procedures through the left or right radial approach: the talent dosimetric substudy. Circ Cardiovasc Interv 4(3):226–231. doi:10.1161/circinterventions.111.961185

    Article  PubMed  Google Scholar 

  • Seldinger SI (1953) Catheter replacement of the needle in percutaneous arteriography; a new technique. Acta Radiol 39(5):368–376

    Article  CAS  PubMed  Google Scholar 

  • Seto AH, Abu-Fadel MS, Sparling JM, Zacharias SJ, Daly TS, Harrison AT, Suh WM, Vera JA, Aston CE, Winters RJ, Patel PM, Hennebry TA, Kern MJ (2010) Real-time ultrasound guidance facilitates femoral arterial access and reduces vascular complications: Faust (femoral arterial access with ultrasound trial). JACC Cardiovasc Interv 3(7):751–758. doi:10.1016/j.jcin.2010.04.015

    Article  PubMed  Google Scholar 

  • Sherwood MW, Rao SV (2014) Vascular access, closure, and management. In: Thompson CA (ed) Textbook of cardiovascular intervention. Springer, London, pp 65–77

    Chapter  Google Scholar 

  • Sherwood MW, Wang Y, Curtis JP, Peterson ED, Rao SV (2014) Patterns and outcomes of red blood cell transfusion in patients undergoing percutaneous coronary intervention. JAMA 311(8):836–843. doi:10.1001/jama.2014.980

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sones FM Jr, Shirey EK (1962) Cine coronary arteriography. Mod Concepts Cardiovasc Dis 31:735–738

    PubMed  Google Scholar 

  • Spaulding C, Lefevre T, Funck F, Thebault B, Chauveau M, Ben Hamda K, Chalet Y, Monsegu H, Tsocanakis O, Py A, Guillard N, Weber S (1996) Left radial approach for coronary angiography: results of a prospective study. Cathet Cardiovasc Diagn 39(4):365–370. doi:10.1002/(sici)1097-0304(199612)39:4<365::aid-ccd8>3.0.co;2-b

    Article  CAS  PubMed  Google Scholar 

  • Sridhar K, Fischman D, Goldberg S, Zalewski A, Walinsky P, Porter D, Fenton S, Gupta B, Rake R, Gebhardt S, Savage M (1996) Peripheral vascular complications after intracoronary stent placement: prevention by use of a pneumatic vascular compression device. Cathet Cardiovasc Diagn 39(3):224–229. doi:10.1002/(sici)1097-0304(199611)39:3<224::aid-ccd3>3.0.co;2-g

    Article  CAS  PubMed  Google Scholar 

  • Stassen JM, Arnout J, Deckmyn H (2004) The hemostatic system. Curr Med Chem 11(17):2245–2260

    Article  CAS  PubMed  Google Scholar 

  • Stella PR, Kiemeneij F, Laarman GJ, Odekerken D, Slagboom T, van der Wieken R (1997) Incidence and outcome of radial artery occlusion following transradial artery coronary angioplasty. Cathet Cardiovasc Diagn 40(2):156–158

    Article  CAS  PubMed  Google Scholar 

  • Stone GW, Ware JH, Bertrand ME, Lincoff AM, Moses JW, Ohman EM, White HD, Feit F, Colombo A, McLaurin BT, Cox DA, Manoukian SV, Fahy M, Clayton TC, Mehran R, Pocock SJ (2007) Antithrombotic strategies in patients with acute coronary syndromes undergoing early invasive management: one-year results from the acuity trial. JAMA 298(21):2497–2506. doi:10.1001/jama.298.21.2497

    Article  CAS  PubMed  Google Scholar 

  • Stone GW, Witzenbichler B, Guagliumi G, Peruga JZ, Brodie BR, Dudek D, Kornowski R, Hartmann F, Gersh BJ, Pocock SJ, Dangas G, Wong SC, Kirtane AJ, Parise H, Mehran R (2008) Bivalirudin during primary pci in acute myocardial infarction. N Engl J Med 358(21):2218–2230. doi:10.1056/NEJMoa0708191

    Article  CAS  PubMed  Google Scholar 

  • Suh JW, Mehran R, Claessen BE, Xu K, Baber U, Dangas G, Parise H, Lansky AJ, Witzenbichler B, Grines CL, Guagliumi G, Kornowski R, Wohrle J, Dudek D, Weisz G, Stone GW (2011) Impact of in-hospital major bleeding on late clinical outcomes after primary percutaneous coronary intervention in acute myocardial infarction the Horizons-Ami (harmonizing outcomes with revascularization and stents in acute myocardial infarction) trial. J Am Coll Cardiol 58(17):1750–1756. doi:10.1016/j.jacc.2011.07.021

    Article  PubMed  Google Scholar 

  • Turi ZG, McEniry BJ, Turi MN (2007) A quantitative angiographic evaluation of the target zone for vascular access. Am J Cardiol 100:S229L

    Google Scholar 

  • Vaitkus PT (2004) A meta-analysis of percutaneous vascular closure devices after diagnostic catheterization and percutaneous coronary intervention. J Invasive Cardiol 16(5):243–246

    PubMed  Google Scholar 

  • Valsecchi O, Vassileva A, Musumeci G, Rossini R, Tespili M, Guagliumi G, Mihalcsik L, Gavazzi A, Ferrazzi P (2006) Failure of transradial approach during coronary interventions: anatomic considerations. Catheter Cardiovasc Interv 67(6):870–878. doi:10.1002/ccd.20732

    Article  PubMed  Google Scholar 

  • Varenne O, Jegou A, Cohen R, Empana JP, Salengro E, Ohanessian A, Gaultier C, Allouch P, Walspurger S, Margot O, El Hallack A, Jouven X, Weber S, Spaulding C (2006) Prevention of arterial spasm during percutaneous coronary interventions through radial artery: the spasm study. Catheter Cardiovasc Interv 68(2):231–235. doi:10.1002/ccd.20812

    Article  PubMed  Google Scholar 

  • Vassilev D, Smilkova D, Gil R (2008) Ulnar artery as access site for cardiac catheterization: anatomical considerations. J Interv Cardiol 21(1):56–60. doi:10.1111/j.1540-8183.2007.00314.x

    Article  PubMed  Google Scholar 

  • Verheugt FW, Steinhubl SR, Hamon M, Darius H, Steg PG, Valgimigli M, Marso SP, Rao SV, Gershlick AH, Lincoff AM, Mehran R, Stone GW (2011) Incidence, prognostic impact, and influence of antithrombotic therapy on access and nonaccess site bleeding in percutaneous coronary intervention. JACC Cardiovasc Interv 4(2):191–197. doi:10.1016/j.jcin.2010.10.011

    Article  PubMed  Google Scholar 

  • Vorobcsuk A, Konyi A, Aradi D, Horvath IG, Ungi I, Louvard Y, Komocsi A (2009) Transradial versus transfemoral percutaneous coronary intervention in acute myocardial infarction systematic overview and meta-analysis. Am Heart J 158(5):814–821. doi:10.1016/j.ahj.2009.08.022

    Article  PubMed  Google Scholar 

  • Walker SB, Cleary S, Higgins M (2001) Comparison of the femostop device and manual pressure in reducing groin puncture site complications following coronary angioplasty and coronary stent placement. Int J Nurs Pract 7(6):366–375

    Article  CAS  PubMed  Google Scholar 

  • Wang TY, Xiao L, Alexander KP, Rao SV, Kosiborod MN, Rumsfeld JS, Spertus JA, Peterson ED (2008) Antiplatelet therapy use after discharge among acute myocardial infarction patients with in-hospital bleeding. Circulation 118(21):2139–2145. doi:10.1161/circulationaha.108.787143

    Article  CAS  PubMed  Google Scholar 

  • White HD, Aylward PE, Gallo R, Bode C, Steg G, Steinhubl SR, Montalescot G (2010) Hematomas of at least 5 cm and outcomes in patients undergoing elective percutaneous coronary intervention: insights from the safety and efficacy of enoxaparin in pci patients, an international randomized evaluation (steeple) trial. Am Heart J 159(1):110–116. doi:10.1016/j.ahj.2009.10.034

    Article  CAS  PubMed  Google Scholar 

  • Yaganti V, Mejevoi N, Hasan O, Cohen M, Wasty N (2013) Pitfalls associated with the use of current recommendations for fluoroscopy-guided common femoral artery access. Catheter Cardiovasc Interv 81(4):674–679. doi:10.1002/ccd.24335

    Article  PubMed  Google Scholar 

  • Yang YJ, Kandzari DE, Gao Z, Xu B, Chen JL, Qiao SB, Li JJ, Qin XW, Yao M, Wu YJ, Yuan JQ, Chen J, Liu HB, Dai J, Chen T, Wang Y, Li W, Gao RL (2010) Transradial versus transfemoral method of percutaneous coronary revascularization for unprotected left main coronary artery disease: comparison of procedural and late-term outcomes. JACC Cardiovasc Interv 3(10):1035–1042. doi:10.1016/j.jcin.2010.09.003

    Article  PubMed  Google Scholar 

  • Yoo BS, Yoon J, Ko JY, Kim JY, Lee SH, Hwang SO, Choe KH (2005) Anatomical consideration of the radial artery for transradial coronary procedures: arterial diameter, branching anomaly and vessel tortuosity. Int J Cardiol 101(3):421–427. doi:10.1016/j.ijcard.2004.03.061

    Article  PubMed  Google Scholar 

Further Reading

  • Byrne RA, Cassese S, Linhardt M, Kastrati A (2013) Vascular access and closure in coronary angiography and percutaneous intervention. Nat Rev Cardiol 10(1):27–40. doi:10.1038/nrcardio.2012.160

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Timothy Sanborn .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this entry

Cite this entry

Tomey, M., Sanborn, T. (2015). Access Sites for Vascular Interventions. In: Lanzer, P. (eds) PanVascular Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37078-6_68

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-37078-6_68

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-37077-9

  • Online ISBN: 978-3-642-37078-6

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics