Davies RE, Kearney KE, McCabe JM. RadialFirst in CHIP and Cardiogenic Shock.
Interv Cardiol Clin 2019;
9:41-52. [PMID:
31733740 DOI:
10.1016/j.iccl.2019.08.006]
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Abstract
This article highlights the advantages and disadvantages of transradial arterial (TRA) access for a variety of presentations including acute coronary syndromes; cardiogenic shock; unprotected left main, heavily calcified coronaries; bifurcations; and chronic total occlusions. It includes techniques for overcoming challenges of using TRA access, including spasm and the need for larger bore guides. In addition, the authors review the use of ultrasound for access, percutaneous hemodynamic support via axillary approach, and tips and tricks to performing right heart catheterizations from the antecubital vein.
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