Scholarlink

<p>The transradial approach (TRA) is the preferred standard access for invasive coronary angiography and intervention, offering clear advantages in terms of mortality, bleeding complications, vascular safety and length of hospital stay. The European Society for Cardiology (ESC) guidelines 2023 and 2024 assign a&#xa0;class&#xa0;I‑A recommendation to TRA for acute or chronic coronary syndrome. The most frequent complication is radial artery occlusion (RAO), with a reported frequency of 5–15%. The RAO is usually asymptomatic, although about one third of patients experience mainly local discomfort. Severe impairment of hand perfusion is very rare and the incidence of clinically significant hand ischemia after TRA is below 0.1%. Key preventive measures include a meticulous puncture technique, adequate anticoagulation during the procedure, avoidance of arterial spasm and short nonocclusive hemostasis.Routine use of collateral tests such as the Allen test are unnecessary. The diagnostics of RAO should be reserved for clinically symptomatic patients. In selected cases medicinal, interventional or surgical treatment can be considered. The overarching aim is the sustainable preservation of the radial access as a&#xa0;safe, patient-friendly and safe standard access technique in interventional cardiology.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Verschlüsse der Arteria radialis nach Herzkathetereingriffen – DGK-Stellungnahme

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月10日

查看全文
  • Philipp Breitbart,
  • Ralf Birkemeyer,
  • Christine Espinola-Klein,
  • Julinda Mehilli,
  • Rostislav Prog,
  • Karsten Schenke

摘要

The transradial approach (TRA) is the preferred standard access for invasive coronary angiography and intervention, offering clear advantages in terms of mortality, bleeding complications, vascular safety and length of hospital stay. The European Society for Cardiology (ESC) guidelines 2023 and 2024 assign a class I‑A recommendation to TRA for acute or chronic coronary syndrome. The most frequent complication is radial artery occlusion (RAO), with a reported frequency of 5–15%. The RAO is usually asymptomatic, although about one third of patients experience mainly local discomfort. Severe impairment of hand perfusion is very rare and the incidence of clinically significant hand ischemia after TRA is below 0.1%. Key preventive measures include a meticulous puncture technique, adequate anticoagulation during the procedure, avoidance of arterial spasm and short nonocclusive hemostasis.Routine use of collateral tests such as the Allen test are unnecessary. The diagnostics of RAO should be reserved for clinically symptomatic patients. In selected cases medicinal, interventional or surgical treatment can be considered. The overarching aim is the sustainable preservation of the radial access as a safe, patient-friendly and safe standard access technique in interventional cardiology.