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Rivista sulle Malattie del Cuore e dei Vasi

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

Periodicità: Bimestrale

ISSN 0026-4725

Online ISSN 1827-1618


Minerva Cardioangiologica 2016 Nov 15

Updates on radial approach for percutaneous coronary intervention in patients with chronic total occlusion

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.

lingua: Inglese


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