Radial Artery
Death, bleeding lower but stroke higher with radial access PCI vs. femoral access
Use of radial access for PCI has increased greatly in the U.S. over the last decade and is associated with lower risk for mortality, bleeding and nonfatal vascular complications compared with a transfemoral approach, a speaker reported.
FDA designates recall of radial artery and arterial line catheterization kits as class I
Arrow International, a subsidiary of Teleflex, has issued a recall of its radial artery and arterial line catheterization kits due to increased resistance that may cause injury to the vessel wall, vasospasm, embolism or death.
PAD intervention via radial access successful, safe in small multicenter cohort
Endovascular treatment of peripheral artery disease via radial access was feasible and safe in a small multicenter cohort, with only one patient requiring conversion to femoral access during, researchers reported.
‘Radial first’ strategy brings benefits to complex, high-risk PCI procedures
Transradial access is now the predominant access site for complex, high-risk PCI procedures and is associated with significantly lower risk for mortality, major bleeding and other adverse events compared with transfemoral access, data show.
Distal artery access PCI safe vs. proximal access at 1 year; no impact on hand function
Distal radial artery access for PCI showed no significant change in hand function and similar rates of access-site bleeding and radial artery occlusion at 1 year vs. proximal access, a speaker reported.
Same-day discharge safe after chronic total occlusion PCI for select patients
Registry data show same-day discharge after PCI cases for chronic total occlusion is safe in select patients, has been increasing over time and is strongly associated with radial‐only access, researchers reported.
Radial graft bests right internal thoracic artery, saphenous vein for CABG at 15 years
Radial artery graft for the second most important coronary target was associated with lower 15-year all-cause mortality vs. right internal thoracic artery or saphenous vein graft for CABG, researchers reported.
Experienced operators could abolish prophylactic nitroglycerin use in transradial access
Among experienced operators, prophylactic nitroglycerin did not prevent radial artery spasm during transradial access compared with placebo, though it was associated with fewer incidences among inexperienced operators, data show.
No major difference in radiation exposure between transradial, transfemoral access in PCI
Data from a meta-analysis show no difference in fluoroscopy time between transradial vs. transfemoral access for PCI; however, diagnostic coronary angiography continues to marginally favor transfemoral access, researchers reported.
BRIGHT-4: Bivalirudin bests heparin in STEMI PCI with radial access
CHICAGO — In patients with STEMI undergoing primary PCI, mostly with radial artery access, anticoagulation with bivalirudin reduced death and major bleeding at 30 days compared with heparin, according to the results of the BRIGHT-4 trial.