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An Update on Radial Artery Access and Best Practices for Transradial Coronary Angiography and Intervention in Acute Coronary Syndrome: A Scientific Statement From the American Heart Association. Circ Cardiovasc Interv 2018 Sep;11(9):e000035

Date

10/26/2018

Pubmed ID

30354598

DOI

10.1161/HCV.0000000000000035

Scopus ID

2-s2.0-85055595191 (requires institutional sign-in at Scopus site)   353 Citations

Abstract

Transradial artery access for percutaneous coronary intervention is associated with lower bleeding and vascular complications than transfemoral artery access, especially in patients with acute coronary syndromes. A growing body of evidence supports adoption of transradial artery access to improve acute coronary syndrome-related outcomes, to improve healthcare quality, and to reduce cost. The purpose of this scientific statement is to propose and support a "radial-first" strategy in the United States for patients with acute coronary syndromes. This document also provides an update to previously published statements on transradial artery access technique and best practices, particularly as they relate to the management of patients with acute coronary syndromes.

Author List

Mason PJ, Shah B, Tamis-Holland JE, Bittl JA, Cohen MG, Safirstein J, Drachman DE, Valle JA, Rhodes D, Gilchrist IC, American Heart Association Interventional Cardiovascular Care Committee of the Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Peripheral Vascular Disease; and Council on Genomic and Precision Medicine

Author

Peter Mason MD Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Acute Coronary Syndrome
American Heart Association
Catheterization, Peripheral
Clinical Decision-Making
Consensus
Coronary Angiography
Hemorrhage
Humans
Patient Selection
Percutaneous Coronary Intervention
Predictive Value of Tests
Punctures
Radial Artery
Risk Factors
Treatment Outcome
United States