Transradial approach as a default route in coronary artery interventions

Jang Young Kim, Junghan Yoon

Research output: Contribution to journalReview article

16 Citations (Scopus)

Abstract

Advances in percutaneous coronary intervention (PCI) and peri-procedural potent antithrombotic treatments during the past decade have dramatically improved the outcomes of ischemic heart disease. The femoral artery is the vascular route used in PCI in most catheterization labs. However, when the femoral artery is used as the approaching vessel, local hemorrhagic complication is not rare in the era of potent antithrombotics. Recent studies have suggested that peri-procedural bleeding complications after PCI are associated with increased short- and long-term morbidity and mortality. On the other hand, there has been growing interest in transradial PCI due to rare complications at the puncture site, patient conveniences, early discharge and shortened hospitalization periods. Furthermore, the indications of transradial PCI are expanding to the complex lesion subsets due to the miniaturization of devices used, improvement of devices and techniques, and accumulated experience with the use of transradial PCL In this review, we discuss the data of transradial PCI as a potential default route in coronary artery interventions, as well as other issues that may raise concerns with transradial PCI.

Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalKorean Circulation Journal
Volume41
Issue number1
DOIs
Publication statusPublished - 2011 Jan 1

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Percutaneous Coronary Intervention
Coronary Vessels
Femoral Artery
Miniaturization
Equipment and Supplies
Punctures
Catheterization
Myocardial Ischemia
Blood Vessels
Hospitalization
Hemorrhage
Morbidity
Mortality

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

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Transradial approach as a default route in coronary artery interventions. / Kim, Jang Young; Yoon, Junghan.

In: Korean Circulation Journal, Vol. 41, No. 1, 01.01.2011, p. 1-8.

Research output: Contribution to journalReview article

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AU - Yoon, Junghan

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AB - Advances in percutaneous coronary intervention (PCI) and peri-procedural potent antithrombotic treatments during the past decade have dramatically improved the outcomes of ischemic heart disease. The femoral artery is the vascular route used in PCI in most catheterization labs. However, when the femoral artery is used as the approaching vessel, local hemorrhagic complication is not rare in the era of potent antithrombotics. Recent studies have suggested that peri-procedural bleeding complications after PCI are associated with increased short- and long-term morbidity and mortality. On the other hand, there has been growing interest in transradial PCI due to rare complications at the puncture site, patient conveniences, early discharge and shortened hospitalization periods. Furthermore, the indications of transradial PCI are expanding to the complex lesion subsets due to the miniaturization of devices used, improvement of devices and techniques, and accumulated experience with the use of transradial PCL In this review, we discuss the data of transradial PCI as a potential default route in coronary artery interventions, as well as other issues that may raise concerns with transradial PCI.

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