AI Article Synopsis
- Recent findings highlight the link between post-procedure bleeding and increased mortality, leading to a focus on transradial coronary interventions in the U.S.
- Despite its advantages, such as reduced access site bleeding, transradial access is still only used in 1% of coronary interventions in the U.S., compared to 50% in countries like India and Japan.
- The authors share their experiences using transradial methods for lower extremity, renal, and subclavian interventions, noting that it often simplifies the procedure and allows for same-day patient discharge.
Article Abstract
Recently the importance of post procedure bleeding contributing to both short-term and long-term mortality has lead to a renewed interest in transradial coronary interventions in the United States. It has been long known that the incidence of access site bleeding is dramatically decreased by transradial access but the procedure is only used in 1% of coronary interventions in the United States, far below the rest of the world. In India, Japan and some European centers 50% of interventions are transradial. To extend this benefit of lower incidence of access site complications, we started using a transradial approach for peripheral interventions for the lower extremities, renal and subclavian arteries. By experience, we realized that in many cases the radial approach makes the procedure actually simpler. Also, in many instances, the transradial approach allows discharge of the patient on the same day. In this paper, we describe our approach to lower extremity, renal and subclavian interventional procedures.
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