The transradial approach (TRA) is emerging as a promising strategy to improve the safety of percutaneous coronary diagnostic or interventional procedures. Nevertheless, a series of specific complications related to the radial access have been described so that their prevention and optimal management is clinically relevant. In this article, the types of access-related vascular complications potentially occurring after TRA and their possible management are described. In particular, the vascular complications have been classified in three groups according to the main pathogenetic mechanism: thrombotic, hemorrhagic and nonthrombotic nonhemorrhagic. Moreover, a practical operative protocol for prompt diagnosis and treatment has been proposed.
Coluccia, V., Burzotta, F., Trani, C., Brancati, M. F., Niccoli, G., Leone, A. M., Schiavoni, G., Crea, F., Management of the access site after transradial percutaneous procedures: literature overview, <<JOURNAL OF CARDIOVASCULAR MEDICINE>>, 2013; 14 (10): 705-713. [doi:10.2459/JCM.0b013e3283577374] [http://hdl.handle.net/10807/53547]
Management of the access site after transradial percutaneous procedures: literature overview
Coluccia, Valentina;Burzotta, Francesco;Trani, Carlo;Brancati, Marta Francesca;Niccoli, Giampaolo;Leone, Antonio Maria;Schiavoni, Giovanni;Crea, Filippo
2013
Abstract
The transradial approach (TRA) is emerging as a promising strategy to improve the safety of percutaneous coronary diagnostic or interventional procedures. Nevertheless, a series of specific complications related to the radial access have been described so that their prevention and optimal management is clinically relevant. In this article, the types of access-related vascular complications potentially occurring after TRA and their possible management are described. In particular, the vascular complications have been classified in three groups according to the main pathogenetic mechanism: thrombotic, hemorrhagic and nonthrombotic nonhemorrhagic. Moreover, a practical operative protocol for prompt diagnosis and treatment has been proposed.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.