Focus on maximal miniaturisation of transradial coronary access materials and techniques by the Slender Club Japan and Europe: an overview and classification


Accumulating data have resulted in evidence that transradial coronary interventions (TRI) are safer than transfemoral coronary interventions (TFI) because of reduced bleeding complications1. Bleeding after coronary interventions is associated with mortality, and TRI has been shown to improve survival2,3, especially in the setting of primary percutaneous coronary interventions (PPCI) for acute myocardial infarction (AMI)4. In 2013, the European Society of Cardiology (ESC) officially recommended the radial approach as the preferred entry site for coronary interventions5. In the setting of PPCI, the radial approach became a Class IIa, level B recommendation. Later, the Society for Coronary Angiography and Interventions (SCAI) declared in a consensus statement that TRI is preferred over TFI6.

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EuroIntervention 2015;10:1178-1186