An update on radial approach for percutaneous coronary intervention in patients with chronic total occlusion

Francesco Burzotta, Carlo Trani, Lazzaro Paraggio, Cristina Aurigemma

Risultato della ricerca: Contributo in rivistaArticolo in rivista

2 Citazioni (Scopus)

Abstract

Radial approach is the emerging arterial access for percutaneous coronary interventions (PCIs) in patients with coronary artery disease. Among the different subset of complex targets for PCI, chronic total occlusion (CTO) still represent a challenge for the interventional cardiologist. Is radial approach suitable for PCIon CTO? Aseries of data collected in selected centers with high volume of transradial procedures supported the change from elective transfemoral approach to systematic transradial approach. In this paper, we tried to provide an update on the technical aspects and the theoretical data which may be useful during the planning of CTOprocedures. Overall, a full knowledge of upper limb vascular anatomy, arterial sheaths/guiding catheters selections, transradial PCItechnique and CTOlesion management skill is pivotal to safely offer CTO patients the potential benefit of reduced bleeding risks through radial access adoption.
Lingua originaleEnglish
pagine (da-a)140-147
Numero di pagine8
RivistaMinerva Cardioangiologica
Volume65
DOI
Stato di pubblicazionePubblicato - 2017

Keywords

  • Cardiology and Cardiovascular Medicine
  • Coronary occlusion
  • Percutaneous coronary intervention
  • Radial artery

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