The transradial approach is a well-established technique associated with lower rates of vascular and bleeding complications, early patient ambulation, enhanced patient satisfaction, decreased nurse workload, and reduced hospital costs compared to the femoral approach.
Supports transradial preference in PCI; extends evidence synthesis but leaves open need for updated RCTs.
Current statistics and national guidelines forecast that the number of patients undergoing invasive diagnostic and interventional percutaneous procedures is increasing. The femoral artery has traditionally been the most commonly used access site for invasive coronary procedures but femoral vascular complications and bleeding risks are widely documented. The transradial approach is a well established technique associated with lower rates of vascular and bleeding complications, early patient ambulation, enhanced patient satisfaction, a decrease in nurse workload and a reduction in hospital costs. National audit results confirm that the radial approach is becoming increasingly popular and cardiac nurses are therefore required to frequently care for patients with radial artery puncture sites. This article provides an overview of the rationale and technique behind radial arterial access, haemostasis, use of a compression device and the associated nursing considerations. The evidence base in relation to patient outcomes and nursing care will also be explored.
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Bridgette Metcalf (2010) studied this question.
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