Transradial Intervention

Transradial artery access (TRA) for diagnostic CA or percutaneous coronary intervention (PCI) is associated with lower bleeding and vascular complications than transfemoral artery access (TFA). The European Society of Cardiology guidelines and American Heart Association support a TRA first strategy and evidence also supports an improvement in healthcare quality, and reduced cost. While TFA predominates peripheral interventions, increases in dedicated equipment and the technical expertise may result in TRA as a preferred access in this patient group as well.

The Radcliffe Transradial Intervention educational programme is supported by:

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Section advisor

Professor James Nolan

University Hospital North Staffordshire, Stoke-on-Trent, UK

Featured Articles

Transarterial and transvenous access for neurointerventional surgery: report of the SNIS Standards and Guidelines Committee

Starke RM, Snelling B, Al-Mufti F, et al. J Neurointerv Surg 2019; epub ahead of press.

Dorsal (distal) transradial access for coronary angiography and intervention

Davies RE, Gilchrist IC. Interv Cardiol Clin 2019;8:111–9.

Update on transradial access for percutaneous transcatheter visceral artery embolization

Chu HH, Kim JW, Shin JH, Cho SB. Korean J Radiol 2021;22:72–85.

Distal transradial access for coronary angiography and interventions

Rubio M, Shirwany HAK, Monnin SR, Khouzam RN. Curr Probl Cardiol 2020; epub ahead of press.

Meta-analysis comparing transradial versus transfemoral secondary access in transcatheter aortic valve implantation

Jhand A, Apala DR, Dhawan R, et al. Am J Cardiol 2020;131:74–81.

Procedural and clinical performance of dual‐ versus single‐catheter strategy for transradial coronary angiography: a meta‐analysis of randomized trials

Alushi B, Lauten A, Ndrepepa G, et al. Catheter Cardiovasc Interv 2020;96:276–82.

Shunting away from transradial arterial access?

Robinson NB, Gaudino M. J Card Surg 2020;35:2353–4.

Retrograde radial arteriovenous fistula, post coronary artery intervention

Garg PK, Patel S, Sharma AK, Khera PS. J Card Surg 2020;35:2350–2.

Fatal vascular complications during transradial percutaneous coronary intervention: a case report

Choi S, Joh JH, Choe JW. Medicine (Baltimore) 2020;99:e21205.

Bilateral transradial access for complex posterior circulation interventions

Luther E, McCarthy D, Silva M, et al. World Neurosurg 2020;139:101–5.

Successful treatment of radial artery pseudoaneurysm after transradial cardiac catheterization with continuous compression therapy by a TR Band® radial compression device

Molina-López V, Nieves-La Cruz C, Llopart-Herrera L, Mirabal-Arroyo J. Cardiovasc Revasc Med 2020; epub ahead of press.

Association of adoption of transradial access for percutaneous coronary intervention in ST elevation myocardial infarction with door-to-balloon time

Huded CP, Kapadia SR, Ballout JA, et al. Catheter Cardiovasc Interv 2020;Online ahead of print.

Diagnosis and Treatment of Nonmaturing Fistulae for Hemodialysis Access via Transradial Approach: A Case-Control Study

Shamimi-Noori S, Sheng M, Mantell MP, et al. J Vasc Interv Radiol 2020;31;6:993-999.e1.

A Comparison of Transradial and Transfemoral Access for Splenic Angio-Embolisation in Trauma: A Single Centre Experience

Adnan SM, Romagnoli AN, Martinson JR, et al. Eur J Vasc Endovasc Surg 2020;59;3:472-479.

Bilateral transradial aortic valvuloplasty with double balloon angioplasty: our first experience

Gómez-Peña F, Sanmartín-Pena X, López-Canoa N, et al. Rev Esp Cardiol (Engl Ed) 2020;73;2:175-176.

Barriers to use of radial access for percutaneous coronary intervention

Riangwiwat T, et al. Catheter Cardiovasc Interv 2019. (Epub ahead of print).

The Safety and Efficacy of Guidezilla Catheter (Mother-in-Child Catheter) in Complex Coronary Interventions: An Observational Study

Kumar P, et al. Cardiol Res 2019;10;6:336-344.

Percutaneous Coronary Intervention in a Patient with Right-Sided Heart: Invert the Views?

Hidalgo ML, Rampersad RD. Case Rep Cardiol 2018;2018:6073567.

Impact of anticoagulation and vasoactive medication on regained radial artery patency after catheterization: a case–control study

Rammos C, Burghardt A, Lortz J, et al. Eur J Med Res 2018;23:25.

TCTAP C-210 The First Left Distal Transradial Access in the Anatomical Snuff Box Angioplasty(IdTRA)

Aramsareewong T. J Am Coll Cardiol 2018;71(16 Suppl):S280–2.

Percutaneous Coronary Intervention of an In-stent Restenosis, Utilising the Accuforce® Non-compliant PTCA Balloon Catheter for Optimisation of Stent Placement

RadcliffCardiology.com, October 2018.

Treatment of a Bifurcation Lesion Using a Two-stent ‘Reverse’ T and Small Protrusion Technique Via a Glidesheath Slender® and Optimisation using 3D Optical Frequency Domain Imaging

RadcliffeCardiology.com, November 2017.

Can children be considered for transradial interventions? Prospective study of sonographic radial artery diameters

Alehaideb A, Ha W, Bickford S, et al. Circ Cardiovasc Interv 2020;13.

Impact of vascular access on outcome after PCI in patients at high bleeding risk: a pre- specified sub-analysis of the LEADERS FREE trial

Jiménez Díaz VA, Hovasse T, Íñiguez A, et al. Rev Esp Cardiol (Engl Ed) 2020;73:536–45.

Comparison of robotic-assisted carotid stenting and manual carotid stenting through the transradial approach

Weinberg JH, Sweid A, Sajja K, et al. J Neurosurg 2020; epub ahead of press.

Radial versus femoral artery access for percutaneous coronary artery intervention in patients with acute myocardial infarction and multivessel disease complicated by cardiogenic shock: Subanalysis from the CULPRIT-SHOCK trial

Guedeney P, Thiele H, Kerneis M, et al. Am Heart J 2020;225:60-68.

Radial Versus Femoral Arterial Access for Trauma Endovascular Interventions: A Non-Inferiority Study

Adnan SM, Romagnonli AN, Elansary NN, et al. J Trauma Acute Care Surg 2020;Online ahead of print.

Implementation of a clinical nursing pathway for percutaneous coronary intervention: a randomized controlled trial protocol

Zhang Z, Bai J, Huang Y, Wang L. Medicine (Baltimore) 2020;99:e22866.

Radial versus femoral access for percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction: Trial sequential analysis

Osman M, Saleem M, Osman K, et al. Am Heart J 2020;224:98-104.

Transradial percutaneous coronary intervention in patients with advanced chronic kidney disease

Yashima F, Inohara T, Numasawa Y, et al. Cardiovasc Revasc Med 2020;S1553-8389(20)30074-9.

Benefits of pressure-controlled hemostasis for transradial vascular access: a randomized controlled trial

Chang KS, Kim BS, Shin J, et al. Minerva Cardioangiol 2020;68;1:34-41.

Comparison of Transfemoral Versus Transradial Secondary Access in Transcatheter Aortic Valve Replacement

Junquera L, et al. Circ Cardiovasc Interv 2020;13;3.

The impact on radial injury of sheathless versus conventional access for transradial interventions: a randomized trial

van der Heijden DJ, et al. EuroIntervention 2019. (Epub ahead of print).

Radial Artery Dilatation to Improve Access and Lower complication rates during coronary angiography (RADIAL): A Randomized Controlled Trial

Doubell J, et al EuroIntervention 2019. (Epub ahead of print).

Comparison of intra-procedural vs. post-stenting prolonged bivalirudin infusion for residual thrombus burden in patients with ST-segment elevation myocardial infarction undergoing: the MATRIX OCT study

Garcia-Garcia HM, et al. Eur Heart J Cardiovasc Imaging 2019;20;12:1418-1428.

Feasibility of repeat transradial access for neuroendovascular procedures

Chen SH, Brunet M, Sur S, et al. J Neurointerv Surg 2020;12:431–4

Two HEmostasis Methods After TransradIal Catheterization: THEMATIC Randomized Clinical Trial

Dos Santos SM, et al. J Cardiovasc Nurs 2020. (Epub ahead of print)

Ultrasound-guided versus palpation-guided radial artery catheterization in adult population: A systematic review and meta-analysis of randomized controlled trials

Moussa Pacha H, Alahdab F, Al-Khadra Y, et al. Am Heart J 2018;204:1–8.

Radial vs Femoral approach in acute coronary syndromes: a comprehensive meta-analysis of randomized trials

Nardin M, Verdoia M, Barbieri L, et al. Curr Vasc Pharmacol 2018;16:79–92.

Safety and efficacy of radial versus femoral access for rotational Atherectomy: A systematic review and meta-analysis

Khan AA, Panchal HB, Zaidi SIM, et al. Cardiovasc Revasc Med 2019;20:241–7.

Transradial Versus Transfemoral Arterial Access in Liver Cancer Embolization: Randomized Trial to Assess Patient Satisfaction

Yamada R, Bracewell S, Bassaco B, et al. J Vasc Interv Radiol 2018;29:38–43.

Subcutaneous Injection of Nitroglycerin at the Radial Artery Puncture Site Reduces the Risk of Early Radial Artery Occlusion After Transradial Coronary Catheterization

Chen Y, Ke Z, Xiao J, et al. Circ Cardiovasc Interv 2018;11:e006571.

6-month versus 12-month or longer dual antiplatelet therapy after percutaneous coronary intervention in patients with acute coronary syndrome (SMART-DATE): a randomised, open-label, non-inferiority trial

Hahn JY, Song YB, Oh JH, et al. Lancet 2018;391:1274–84.

Comparison of enoxaparin and unfractionated heparin in patients with non-ST-segment elevation acute coronary syndrome undergoing percutaneous coronary intervention: a systematic review and meta-analysis

He P, Liu Y, Wei X, et al. J Thorac Dis 2018;10:3308–18.

The quest for a radial lounge: StatSealTM reduces transradial coronary angiography turn-around time and cost

Galusko V, Protty M, Gilchrist W, et al. Scand Cardiovasc J 2020:1-2.

Cost-effectiveness and Outcomes with Early or Same-Day Discharge After Elective Percutaneous Coronary Intervention

Koshy SKG, George LK and Das P. Curr Cardiol Rep 2020;22:42.

Improving Care Pathways for Acute Coronary Syndrome: Patients Undergoing Percutaneous Coronary Intervention

Amin AP, Spertus JA, Kulkarni H, et al. Am J Cardiol 2020;125;3:354-361.

The Value of Transradial: Impact on Patient Satisfaction and Health Care Economics

Lindner SM, et al. Interv Cardiol Clin 2020;9;1: 107-115.

Novel Patient-Centered Approach to Facilitate Same-Day Discharge in Patients Undergoing Elective Percutaneous Coronary Intervention

Amin AP, Crimmins‐Reda P, Miller S, et al. J Am Heart Assoc 2018;7:e005733.

Transradial Percutaneous Coronary Intervention... Works Great! Less Billing!

Ardati AK, Cohen DJ. Circ Cardiovascul Qual Outcomes 2018;11:e004667

Costs Associated With Access Site and Same-Day Discharge Among Medicare Beneficiaries Undergoing Percutaneous Coronary Intervention

Amin AP, Patterson M, House JA, et al. JACC Cardiovasc Interv 2017;10:342–51.

Transradial PCI and Same Day Discharge: An Economic Perspective

Amin A. Presented at TCT 2017.

Health Economic Analysis of Access Site Practice in England During Changes in Practice

Mamas MA, Tosh J, Hulme W, et al. Circ Cardiovasc Qual Outcomes 2018;11:e004482.

Successful stenting of a brachial artery occlusion following surgical retrieval of a twisted diagnostic catheter during transradial coronary angiography

Savas G, Poyraz E, Arslan Y, Terzi S. J Card Surg 2020;35:1660–3.

Predictors of patent and occlusive hemostasis after transradial coronary procedures

Pacchioni A, Bellamoli M, Mugnolo A, et al. Catheter Cardiovasc Interv 2020; epub ahead of press.

Slender versus conventional approach reduces post‐procedural upper extremity dysfunction after transradial coronary procedures

Amoroso G, van der Brug S, Franx V, et al. Catheter Cardiovasc Interv 2020;96:66–73.

Access-site complications of the transradial approach: rare but still there

Alkagiet S, Petroglou D, Nikas DN, Kolettis TM. Curr Cardiol Rev 2020; epub ahead of press.

Randomized cOmparison of isolated radial artery comPrEssioN versus radial and ipsilateral ulnar artery compression in achieving radial artery patency: the OPEN-Radial trial

Patel G, Shah S, Patel BA, Patel TM. J Invasive Cardiol 2020;32:476–82.

A randomized trial comparing short versus prolonged hemostasis with rescue recanalization by ipsilateral ulnar artery compression: impact on radial artery occlusion—the RESCUE-RAO trial

Ognerubov DV, Sedaghat A, Provatorov SI, et al. J Interv Cardiol 2020;2020.

Transradial access through the anatomical snuffbox: Results of a feasibility study

Tsigkas G, Moulias A, Papageorgiou A, et al. Hellenic J Cardiol 2020;S1109-9666(20)30033-6.

Radial artery spasm: reviews and updates

Khan MZ, Patel K, Franklin S, et al. Ir J Med Sci 2020;Online ahead of print.

Short durations of radial hemostatic device post diagnostic transradial cardiac catheterization- The PRACTICAL-2 randomized trial

Lavi S, Mehta SR, Bajwa R, et al. Can J Cardiol 2020;S0828-282X(20)30402-5.

Two HEmostasis Methods After TransradIal Catheterization: THEMATIC Randomized Clinical Trial

Dos Santos SM, Wainstein RV, Valle FH, et al. J Cardiovasc Nurs 2020;35;2:217-222.

Hand Sensibility after Transradial Arterial Access: An Observational Study in Patients with and without Radial Artery Occlusion

van der Heijden DJ, et al. J Vasc Interv Radiol 2019;30;11:1832-1839.

Best Practices for the Prevention of Radial Artery Occlusion After Transradial Diagnostic Angiography and Intervention: An International Consensus Paper

Bernat I, Aminian A, Pancholy S, et al. JACC Cardiovasc Interv 2019;12:2235–46.

The pulseless radial artery in transradial catheterization: challenges and solutions

Parikh A, et al. Expert Rev Cardiovasc Ther 2019;17;11: 827-836.

Coronary intervention: radial artery access comes of age

Jolly SS, Mehta S. Lancet 2015;385:2437–39.

A novel approach to reduce radial artery occlusion after transradial catheterization: Postprocedural/prehemostasis intra-arterial nitroglycerin

Dharma S, Kedev S, Patel TM et al. Catheter Cardiovasc Interv 2015;85:818–25.

Radial Artery Occlusion After Transradial Interventions: A Systematic Review and Meta-Analysis

Rashid M, Kwok CS, Pancholy S, et al. J Am Heart Assoc 2016;5:e002686.

Outcomes following percutaneous coronary intervention before, during, and after transition to a default transradial approach at a veterans affairs medical center

Bagai J, Bhuiyan AR, White CJ, et al. Angiology 2020;71:602–8.

Rotational atherectomy and same day discharge: safety and growth from a national perspective

Taxiarchi P, Martin GP, Curzen N, et al. Catheter Cardiovasc Interv 2020; epub ahead of press.

Transradial access for arteriovenous fistuloplasty in Singapore

Ong CW, Yong E, Hong Q, et al. J Vasc Access 2020; epub ahead of press.

Transradial Versus Transfemoral Approach for Coronary Angiography in Females with Prior Bypass Surgery

Amro A, Mansoor K, Amro M, et al. Cureus 2020;12;1:e6797.

Outcomes of transradial approach to percutaneous coronary intervention in end-stage renal disease patients on dialysis

Garg R, Fu D, McRee C, et al. Cardiovasc Revasc Med 2020;S1553-8389(20)30026-9.

The Ulnar Artery as a Favorable Primary or Alternative Access Site for Coronary Angiography and Interventions

Gunduz Y, Gunduz H, Ayhan LT, et al. Angiology 2020;71;5:417-424.

Improvement of clinical outcome in patients with ST-elevation myocardial infarction between 1999 and 2016 in China: The Prospective, Multicentre Registry MOODY study

Chen M, Kan J, Zhang JJ, et al. Eur J Clin Invest 2020;50;2:e13197.

Transradial vs. Transfemoral Percutaneous Coronary Intervention in Patients With or Without High Bleeding Risk Criteria

Yamamoto K, Natsuaki M, Morimoto T, et al. Circ J 2020;84;5:723-732.

Transradial and Transfemoral Approach in Patients with Prior Coronary Artery Bypass Grafting

Januszek R, Siudak Z, Malinowski KP, et al. J Clin Med 2020;9;3:764.

Temporal trends in the practice of the transradial approach for percutaneous coronary intervention in a large tertiary center

Perl L, et al. Coron Artery Dis 2020;31;1:40-48.

Orbital Atherectomy Via Transradial Access: A Multicenter Propensity-Matched Analysis

Doshi R, et al. J Invasive Cardiol 2019;31;11:325-330.

A comparison of clinical outcomes of abdominal aortic aneurysm patients with favorable and hostile neck angulation treated by endovascular repair with the Treovance stent graft

Murray D, et al. J Vasc Surg 2019. (Epub ahead of print).

Primary and Secondary Vascular Access Site Complications Associated With Percutaneous Coronary Intervention: Insights From the BMC2 Registry

Kopin D, et al JACC Cardiovasc Interv 2019;12;22: 2247-2256.

Distal radial access in the anatomical snuffbox for neurointerventions: a feasibility, safety, and proof-of-concept study

Kühn AL, et al. Journal of NeuroInterventional Surgery 2020.

Distal transradial access in the anatomical snuffbox for diagnostic cerebral angiography

Brunet MC, et al. Journal of NeuroInterventional Surgery 2019;11:710-713.

Transradial versus transfemoral ancillary approach in complex structural, coronary, and peripheral interventions. Results from the multicenter ancillary registry: A study of the Italian Radial Club

Cortese B, Rigattieri S, Aranzulla TA, et al. Catheter Cardiovasc Interv 2018;81:97–102.

Incidence, Determinants, and Outcomes of Left and Right Radial Access Use in Patients Undergoing Percutaneous Coronary Intervention in the United Kingdom: A National Perspective Using the BCIS Dataset

Rashid M, Lawson C, Potts J, et al. JACC Cardiovasc Interv 2018;11:1021–33.

Endovascular treatment of iliac and common femoral arteries disease by the transradial access: A prospective, feasibility study

Lorenzoni R, Lisi C, Lorenzoni G, et al. Cardiovasc Revasc Med 2018;19:314–8.

In patients undergoing percutaneous coronary intervention with rotational atherectomy radial access is safer and as efficient as femoral access

Kübler P, Zimoch W, Kosowski M, et al. J Interv Cardiol 2018;31:471–4.

A reality check in transradial access: a single-centre comparison of transradial and transfemoral access for abdominal and peripheral intervention

Hung ML, Lee EW, McWilliams JP, et al. Eur Radiol 2019;29:68–74.

Retrospective analysis of coronary interventions in a single centre and comparison of specific differences between radial and femoral access

Rychlik J, Hornacek I, Tejc M, et al. Acta Cardiol 2018;74:325–30.

The effect of pre-procedure sublingual nitroglycerin on radial artery diameter and Allen's test outcome - Relevance to transradial catheterization

Chong AY, Lo T, George S, et al. Cardiovasc Revasc Med 2018;19:163–7.

Acute compartment syndrome of the forearm associated with transradial coronary intervention

Lee YK, Lee SH, Kwon TY. J Hand Surg Eur Vol 2020;45:852–6.

Embolization of hemorrhage from a ruptured hepatocellular carcinoma via the false lumen of an aortic dissection using transradial access

Swersky A, Mohan P. J Card Surg 2020;35:2375–78.

Transradial access in acute myocardial infarction complicated by cardiogenic shock: stratified analysis by shock severity

Tehrani BN, Damluji AA, Sherwood MW, et al. Catheter Cardiovasc Interv 2020; epub ahead of press.

Limb dysfunction after transradial access: a search for an understanding

Gilchrist IC. Catheter Cardiovasc Interv 2020;96:74–5.

The safety and feasibility of transitioning from transfemoral to transradial access left ventricular endomyocardial biopsy

Tyler Z, Guttmann OP, Dhinoja M, et al. J Invasive Cardiol 2020;32:e349–54.

Spontaneously sealed forearm radial artery perforation during a left distal transradial coronary intervention

Oliveira MDP, Barros TR, Caixeta A. J Invasive Cardiol 2020;32:e303–4.

Vascular access and radiation exposure during percutaneous coronary procedures

Sciahbasi A, Babbaro M, Confessore P, et al. Minerva Cardioangiol 2020;Online ahead of print.

Complex regional pain syndrome: A rare but potentially disabling complication of transradial cardiac catheterization

Wiper A, Amoroso G, Rao S and Nolan J. Catheter Cardiovasc Interv 2020;95;5:E140-E143.

Differential Use and Impact of Bleeding Avoidance Strategies on Percutaneous Coronary Intervention-Related Bleeding Stratified by Predicted Risk

Gluckman TJ, Wang L, Spinelli KJ, et al. Circ Cardiovasc Interv 2020;13;6:e008702.

Complications of Transradial Catheterization and Cannulation

Hadad MJ, et al. J Hand Surg Am 2019;44;11: 973-979.

Acute Upper-Limb Complications Following Radial Artery Catheterization for Coronary Angiography

Harvey JA, et al. J Hand Surg Am 2020 (Epub ahead of print).

Predictors of Universal Catheter Failure in Transradial Coronary Angiography

Liebenthal R, et al. J Invasive Cardiol 2019;31;11: 341-345.

Radiation exposure in a group of interventional cardiologists in a high volume PCIcenter

Rodriguez Goyes JC, Jaramillo Gomez N, Jaramillo Restrepo V, et al. Interventional Cardiology 2018:10:73–9.

Radiation Exposure Among Scrub Technologists and Nurse Circulators During Cardiac Catheterization: The Impact of Accessory Lead Shields

Madder RD, LaCombe A, VanOosterhout S, et al. JACC Cardiovasc Interv 2018;11:213–4.

Accelerated patent haemostasis using a procoagulant disk; a protocol designed to minimise the risk of radial artery occlusion following cardiac catheterisation

Ul Haq MA, Nazir SA, Rashid M, et al. Cardiovasc Revasc Med 2019;20:137–42

Prevalence of chronic kidney disease among patients undergoing transradial percutaneous coronary interventions

Hossain M, Quinlan A, Heck-Kanellidis J, et al. J Vasc Acc 2018;19:346–9.

Feasibility of Transradial Access for Coronary Interventions Via Percutaneous Angioplasty of the Radial Artery in Cases of Functional Radial Occlusion

Schulte-Hermes M, Klein-Wiele O, Vorpahl M, Seyfarth M. J Invasive Cardiol 2018;30:355–9.

Comparison of Radial Artery Occlusion Following Transradial Access for Percutaneous Coronary Intervention Using Sheath-based versus Sheathless Technique

Mohsen A, Alqasrawi M, Shantha GPS, et al. Sci Rep 2018;8:12026.

Determinants of radiation dose during right transradial access: Insights from the RAD-MATRIX study

Sciahbasi A, Frigoli E, Sarandrea A, et al. Am Heart J 2018;196:113–8.

A less‐invasive totally‐endovascular (LITE) technique for trans‐femoral transcatheter aortic valve replacement

Burzotta F, Aurigemma C, Romagnoli E, et al. Catheter Cardiovasc Interv 2020;96:459–70.

A novel fiber‐optic based 0.014″ pressure wire: designs of the OptoWire™, development phases, and the O 2  first‐in‐man results

Ulacia P, Rimac G, Lalancette S, et al. Catheter Cardiovasc Interv 2020; epub ahead of press.

Minimalist transfemoral transcatheter aortic valve replacement: make it as simple as possible, but not simpler

Tarantini G, Fabris T. Catheter Cardiovasc Interv 2020;96:471–2.

Association of adoption of transradial access for percutaneous coronary intervention in ST elevation myocardial infarction with door‐to‐balloon time

Huded CP, Kapadia SR, Ballout JA, et al. Catheter Cardiovasc Interv 2020;96:e165–73.

The Effectiveness of Peer Group-Based Training on the Outcomes of Patients Undergoing Transradial Coronary Angiography

Dehghan AR, Fereidouni Z and Najafi Kalyani M. Biomed Res Int 2020;3629782.

Slender versus conventional approach reduces post-procedural upper extremity dysfunction after transradial coronary procedures

Amoroso G, van der Brug S, Franx V, et al. Catheter Cardiovasc Interv 2020;Online ahead of print.

Contemporary balloon aortic valvuloplasty: Changing indications and refined technique

Dall’Ara G, Tumscitz C, Grotti S, et al. Catheter Cardiovasc Interv 2020;Online ahead of print.

Complexity assessment and technical aspect of coronary angiogram and percutaneous coronary intervention following transcatheter aortic valve implantation

Perrin N, Fassa A, Baroz A, et al. Cardiol J 2020;Online ahead of print.

Impact of trainee involvement on patient radiation exposure and contrast volumes during invasive cardiac procedures

Kansal V, Simard T, Di Santo P, et al. Clin Invest Med 2020;43;1:E18-E21.

Exercise-induced vasodilation is not impaired following radial artery catheterization in coronary artery disease patients

Tryfonos A, Cocks M, Mills J, et al. J Appl Physiol 2020;128;2:422-428.

Incorporating Distal Radial Artery Access Into Clinical Practice

Flores E. Diagnostic and Interventional Cardiology 2019; 21 Nov.

Feasibility of primary percutaneous coronary intervention via the distal radial approach in patients with ST-elevation myocardial infarction

Y Kim, et al. Korean J Intern Med 2020.

Coronary Cannulation: Tips for Success in Transradial Angiography and Interventions

Milford BM, et al. Interv Cardiol Clin 2020;9;1: 21-31.

Transradial Angiography and Intervention in Acute Coronary Syndromes

Akl E, et al. Interv Cardiol Clin 2020;9;1: 33-40.

Distal Radial and Ulnar Arteries: the Alternative Forearm Access

Parikh A, Jia KQ, Lall SK, et al. Curr Treat Options Cardiovasc Med 2020;22:1.

Assessment of the Injection Performance of a Tapered Needle for Use in Prefilled Biopharmaceutical Products

Krayukhina E, et al. J Pharm Sci 2020;109;1:515-523.

First Report of the One-Point Transradial Two Sheathless Catheters Insertion (OTRANTO) Technique

Sgueglia GA, et al JACC Cardiovasc Interv 2020;13;1: e9-e10.

Pearls and Pitfalls: Radial First for Neurointervention

Chen SH, et al. Endovascular Today 2019;18;11:42-46.

Vascular Access Techniques and Closure Devices

Bishay VL, Ingber RB, O’Connor PJ, Fischman AM. In: IR Playbook, 2018.

Percutaneous access planning, techniques and considerations for endovascular aortic repair (EVAR)

Vatakencherry G, Molloy C, Sheth N, et al. Cardiovasc Diagn Ther 2018;8(Suppl 1):S184–90.

Back hand approach to radial access: The snuff box approach

Davies RE, Gilchrist IC. Cardiovasc Revasc Med 2018;19(3 Pt B):324–6.

The distal left radial artery access for coronary angiography and intervention: A new era

Al-Azizi KM, Lotfi AS. Cardiovasc Revasc Med 2018;19(8 Suppl):35–40.