Role of Radial Artery Varians on Transradial Procedure


Nowadays, transradial approach has become the most chosen procedure by the intervention cardiologists, either in diagnostic or coronary intervention. Possibilities of vascular variants of the radial artery and along the vascular axis until the aortic arch are not a reasonable challenge for not using this transradial approach. Complications due to the transradial approach are very rare and mostly are easier to be managed than due to the other approaches. Besides that, eary ambulation, comfortability and satisfaction of the patients, and a relative low cost lead it to be the most preferable one. Data and publication of variants along the axis of the radial artery to the aortic arch are very supporting to the procedure success. A thorough understanding and consideration about the variants can diminish the failure of this transradial approach or the crossover to another approach.


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Burzotta F, De Vita M, Trani C. How to manage difficult anatomic conditions affecting transradial approach coronary procedures? Indian Heart J. 2010; 62(3):238-44.

Yoo BS, Yoon J, Ko JY, Kim JY, Lee SH, Hwang SO et al. Anatomical consideration of the radial artery for transradial coronry procedures: arterial diameter, branching anomaly, and vessel tortuosity. Int J Cardiol. 2005;101(3):421-7.

Lo TS, Nolan J, Fountzopoulos E, Behan M, Butler R, Hetherington SL et al. Radial artery anomaly and its influence on transradial coronary procedural outcome. [cited 2012 1 dec 09]. EBSCOhost University City Public Library.

Lardizabal J, Cohen MG. Right versus left radial artery access. Cardiac Interventions Today May/June 2012.

Almany SL, O’Neill WW. Radial artery access for diagnostic and interventional procedures. Accumed Systems, Inc. Ann Arbor, Michigan, 1999.

Caputo RP, Ttremmel JA, Rao S, Gilchrist IC, Pyne C, Pancholy S, et al. Transradial arterial access for coronary and peripheral procedures: Executive summary by the transradial committee of the SCAI. Catheterization and Cardiovascular Interventions. Wiley Online Library, 2011. DOI 10.1002/ccd.23052. Availabale at: wiley

Pancholy S, Coppola J, Patel T, Roke-Thomas M. Prevention of radial artery occlusion-Patent Hemostasis Evaluation Trial (PROPHET Study): A randomized comparison of traditional versus patency documented hemo-stasis after transradial catheterization. Catheterization and Cardiovascular Interventions. 2008:72: 335-40.

Jang YK, Junghan Y, Il HJ, Hee SW, Hyun SJ, Byun SY et al. Transradial coronary intervention: Comparison of the left and right radial artery approach. Korean Circulation J. 2006;36:780-5.

Sanmartin M, Cuevas D, Goicolea J, Ruiz-Salmeron R, Gomez M, Argibay V. Vascular complications associated with radial artery access for cardiac catheterization. Rev Esp Cardiol. 2004;57(6):581-4.

Jelev L, Surchev L. Radial artery coursing behind the biceps brachii tendon: Significance for the transradial catetherization and a clinically oriented classification of the radial artery variations. Cardiovasc Intervent Radiol. 2008;31:1008-12.

Dehghani P, Mohammad A, Bajaj R, Hong T, Suen CM, Sharieff W et al. Mechanism and predictors of failed transradial approach for percutaneous coronary interventions. JACC: Cardiovascular Intervention. 2009;2(11): 1057-64.

Chugh SK, Chugh S, Chugh Y, Rao SV. Catheterization and Cardiovascular Interventions. Doi: 10.1002/ccd.24585.

Moore KL, Dalley AF, Agur AMR. Clinically Oriented Anatomy (Fifth Edition). Philadelphia: Lippincott Williams & Wilkins, 2006.

Sobotta J. Sobotta Atlas Anatomi Manusia Jilid 1 Kepala, Leher, Ekstremitas Atas Edisi 21. Jakarta: EGC,

Jung HH, Kook JC, Moo HK. Overcome the tortuosity from radial artery to subclavian artery-tips and tricks. TRI Manual Chapter 7. Available from: PDF.
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Role of Radial Artery Varians on Transradial Procedure. (2015). Indonesian Journal of Cardiology, 35(1), 40-9.
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