Author + information
- Received March 7, 2018
- Revision received April 22, 2018
- Accepted April 24, 2018
- Published online October 15, 2018.
- Gregory A. Sgueglia, MD, PhDa,∗ (, )
- Angela Di Giorgio, MDb,
- Achille Gaspardone, MD, MPhila and
- Avtandil Babunashvili, MD, PhDc
- aDivision of Cardiology, Sant’Eugenio Hospital, Rome, Italy
- bFondazione Policlinico Universitario Agostino Gemelli, Rome, Italy
- cDepartment of Cardiovascular Surgery, Center for Endosurgery and Lithotripsy, Moscow, Russian Federation
- ↵∗Address for correspondence:
Dr. Gregory A. Sgueglia, Sant’Eugenio Hospital, Division of Cardiology, Piazzale dell’Umanesimo, 10, Rome, Roma 00144, Italy.
Transradial access offers important advantages over transfemoral access, including overall increased procedure comfort and better outcomes. Still, complications of transradial access exist, with radial artery occlusion being the most clinically relevant one. Puncture sites in the hand allowing distal radial artery access have initially been described for anterograde angioplasty of occluded radial arteries and could represent a valuable alternative to traditional wrist puncture for radial artery catheterization. What may at first appear as a “radialist eccentricity” definitely has a sound rationale, which the authors review. Knowledge of the anatomic and physiological principles at the basis of distal radial artery access is essential to promote rigorous understanding and practice of this new opportunity for both patients and interventional specialists.
The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- Received March 7, 2018.
- Revision received April 22, 2018.
- Accepted April 24, 2018.
- 2018 American College of Cardiology Foundation
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