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Official Journal of the Italian Society of Angiology and Vascular Pathology
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,752
Online ISSN 1827-1618
Lazzaro PARAGGIO, Francesco BURZOTTA, Cristina AURIGEMMA, Carlo TRANI
Institute of Cardiology, Catholic University of Sacred Heart, Rome, Italy
INTRODUCTION: Radial approach is the emerging arterial access for percutaneous coronary interventions (PCIs) in patients with coronary artery disease.
EVIDENCE ACQUISITION: Among the different subset of complex targets for PCI, chronic total occlusion (CTO) still represent a challenge for the interventional cardiologist. Is radial approach suitable for PCI on CTO? A series of data collected in selected centres with high volume of transradial procedures supported the change from elective transfemoral approach to systematic transradial approach.
EVIDENCE SYNTHESIS: In this paper, we tried to provide an update on the technical aspects and the theoretical data which may be useful during the planning of CTO procedures.
CONCLUSIONS: Overall, a full knowledge of upper limb vascular anatomy, arterial sheaths / guiding catheters selections, transradial PCI technique and CTO lesion management skill is pivotal to safely offer CTO patients the potential benefit of reduced bleeding risks through radial access adoption.