Key result
Systematic algorithms streamline the management of technical complications during transradial interventions.
Why the study?
Despite guideline recommendations for a radial first approach, there is a lag in physician adoption of transradial intervention as the preferred vascular access due to challenges and complications.
Algorithmic pathways may ease transradial adoption in practice; extends consensus on radial benefits while leaving validation to prospective trials.
Transradial intervention (TRI) was first introduced by Lucien Campeau in 1989 and since then has created a lasting impact in the field of interventional cardiology. Several studies have demonstrated that TRI is associated with fewer vascular site complications, offer earlier ambulation and greater post-procedural comfort. Patients presenting with ST Segment Elevation Myocardial Infarction (STEMI) have experienced survival benefit and higher quality-of-life metrics as well with TRI. While both the updated scientific statement by the American Heart Association and the 2017 European Society of Cardiology guidelines recommend a "radial first" approach there appears to be a lag in physicians adapting TRI as the preferred vascular access. We present a review focusing on identification and management of TRA related challenges and complications using a systematic algorithmic approach.
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Sawant et al. (2020) conducted a review in Transradial intervention complications. Algorithmic approaches for transradial intervention was evaluated. Systematic algorithmic approaches provide structured solutions for managing technical challenges and complications during transradial interventions, including spasm, tortuosity, and catheter kinking.
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