Percutaneous transradial artery approach for coronary stent implantation

Kiemeneij, Ferdinand; Laarman, Gert Jan

doi:10.1002/ccd.1810300220

Cited by 378 publications

(182 citation statements)

References 12 publications

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“…1,2) Thereafter, both transradial coronary intervention (TRI) and transradial coronary angiography (TRA) have been widely employed in Japan. It has been accepted among cardiologists that the transradial procedure produces fewer vascular complications than the conven-tional transfemoral and transbrachial approaches [3][4][5][6][7] because blood supply from the palmar arch by both the radial and ulnar arteries is adequate.…”

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confidence: 99%

Vasospasms of the Radial Artery After the Transradial Approach for Coronary Angiography and Angioplasty

et al. 2004

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SUMMARYWe examined vasospasms of the radial artery after a transradial approach was used for coronary angiography or angioplasty. In forty-eight patients (39 males and 9 females), arteriography of the radial artery was initially performed just after the transradial approach was used for coronary angiography and/or angioplasty. Then, five months later, a second arteriography of the radial artery was obtained after a transbrachial approach was used for coronary angiography. First and second arteriographies were compared to evaluate vasospasms of the radial artery. In the present study, more than 75% stenosis in the radial artery, 25-75% stenosis, and less than 25% stenosis were tentatively defined as severe spasms, moderate spasms, and mild spasms, respectively. In arteriographic studies on the radial artery, twenty-four patients (50%) had severe radial artery spasms, eleven patients (23%) had moderate spasms, and thirteen patients (27%) had mild spasms. The diameters of both the proximal and distal radial arteries in the severe spasm group were significantly smaller than those in the mild and moderate spasm groups (proximal site: severe group 2.39 ± 0.70 mm versus mild group 2.98 ± 0.46 mm, P < 0.05, and moderate group 2.96 ± 0.77 mm, P < 0.05, distal site: severe group 2.26 ± 0.60 mm versus mild group 2.73 ± 0.47 mm, P < 0.05, and moderate group 2.86 ± 0.71 mm, P < 0.05). We concluded that vasospasms of the radial artery occurred in most patients after the transradial approach. Furthermore, severe radial spasms were strongly correlated with the size of the diameter of the artery. ( 1,2) Thereafter, both transradial coronary intervention (TRI) and transradial coronary angiography (TRA) have been widely employed in Japan. It has been accepted among cardiologists that the transradial procedure produces fewer vascular complications than the convenFrom the

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Vasospasms of the Radial Artery After the Transradial Approach for Coronary Angiography and Angioplasty

et al. 2004

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“…The serum level of plasma renin activity was 2.70 ng/mL/ hour (normal range, 0.20-2.70). An ECG taken 18 years prior to admission was normal, whereas that taken on admission showed negative T waves in leads I, a VL, and V [1][2][3][4][5][6] . Two-dimensional transthoracic echocardiography revealed that the apical wall of the left ventricle was thin and dyskinetic, suggesting an apical old myocardial infarction.…”

Section: Case Reportmentioning

confidence: 99%

“…4) It has been reported that the radial artery approach provides an alternative entry site for coronary angiography, angioplasty, and stenting. 5,6) The major advantage is a significant reduction in access site-related vascular complications such as vascular repair or blood transfusion during coronary intervention. 7) A few recent reports have shown that renal artery interventions also could employ the radial approach as a vascular access site.…”

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confidence: 99%

Transradial Renal Artery Angioplasty and Stenting in a Patient With Leriche Syndrome

Shiraishi¹,

Higaki²,

Oguni³

et al. 2005

Int. Heart J.

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SUMMARYPercutaneous interventional procedures in the renal arteries are usually performed employing a femoral or brachial vascular access. In contrast, the transradial approach has been established for coronary angiography and angioplasty. We encountered a patient with Leriche syndrome who had renovascular hypertension ascribed to a severe left renal artery stenosis. To stabilize his blood pressure, we made an attempt to relieve the renal artery stenosis with Leriche syndrome by transradial renal artery angioplasty and stenting, using devices for coronary intervention. The procedure was successful without complications or residual stenosis. His hypertension improved with less antihypertensive medications. This case suggests that the radial approach might become an alternative entry site for renal artery interventions. (Int Heart J 2005; 46: 557-562)

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“…In early 1990, Kiemeneij and Laarman performed balloon angioplasty and stenting through radial artery [3] and in the access study, Kiemeneij et al showed that there are no significant differences between any of the three tested approaches in terms of success of coronary angiography or angioplasty or duration of procedure [4]. But, despite wide recognition trans-radial artery PTCA has not received greater acceptance compared to femoral access.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Learning Curve of Trans- Radial Percutaneous Coronary Angioplasty in Stemi- A Single Centre, Observational Study

Verma¹,

Aggarwal²,

Gupta³

et al. 2017

Interv Cardiol J

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Percutaneous transradial artery approach for coronary stent implantation

Cited by 378 publications

References 12 publications

Vasospasms of the Radial Artery After the Transradial Approach for Coronary Angiography and Angioplasty

Vasospasms of the Radial Artery After the Transradial Approach for Coronary Angiography and Angioplasty

Transradial Renal Artery Angioplasty and Stenting in a Patient With Leriche Syndrome

Evaluation of Learning Curve of Trans- Radial Percutaneous Coronary Angioplasty in Stemi- A Single Centre, Observational Study

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