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Chapter-69 History and Future of Coronary Angioplasties by Radial Approach

BOOK TITLE: Textbook of Cardiology (A Clinical & Historical Perspective)

Author
1. Sengottuvelu G
ISBN
9789350900819
DOI
10.5005/jp/books/12259_69
Edition
1/e
Publishing Year
2013
Pages
3
Author Affiliations
1. Apollo Hospitals, Greams Lane Chennai, Tamil Nadu, India, Apollo Hospitals, Chennai, Tamil Nadu, India, Apollo Hospital, Chennai, Tamil Nadu, India, Apollo Main Hospitals, Chennai, Tamil Nadu, India, Interventional Cardiology (France); Apollo Hospitals, Chennai, Tamil Nadu, India; The TN Dr MGR Medical University, Chennai, Tamil Nadu, India
Chapter keywords
radial artery, angioplasty, transradial intervention, coronary angioplasty techniques, vascular complications, coronary bypass graft angiography, right and left heart catheterization, myocardial infarction, radial artery access

Abstract

The radial artery has been increasingly accepted as a reasonable alternative route for angioplasty. The safe and immediate mobilization of patients following transradial intervention would allow more outpatients coronary angioplasty techniques. In settings where vascular complications are more likely, radial access becomes a dominant strategy because of the ability to improve postprocedural quality of life. Given data being presented recently on the safety and efficacy of the transradial approach for more complex lesions, peripheral disease, coronary bypass graft angiography, as well as potentially right and left heart catheterization and primary angioplasty during acute myocardial infarction, it is likely the indications for radial artery access to coronary angioplasty will continue to grow. Further, various new methods and materials have been introduced over the years which would make the technique more operator friendly.

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