Consensus document on the radial approach in percutaneous cardiovascular interventions: position paper by the European Association of Percutaneous Cardiovascular Interventions and Working Groups on Acute Cardiac Care** and Thrombosis of the European Society of Cardiology.
Radial access use has been growing steadily but, despite encouraging results, still varies greatly among operators, hospitals, countries and continents. Twenty years from its introduction, it was felt that the time had come to develop a common evidence-based view on the technical, clinical and organisational implications of using the radial approach for coronary angiography and interventions. The European Association of Percutaneous Cardiovascular Interventions (EAPCI) has, therefore, appointed a core group of European and non-European experts, including pioneers of radial angioplasty and operators with different practices in vascular access supported by experts nominated by the Working Groups on Acute Cardiac Care and Thrombosis of the European Society of Cardiology (ESC). Their goal was to define the role of the radial approach in modern interventional practice and give advice on technique, training needs, and optimal clinical indications.
Recherche Clinique, Bureau 364, Centre Hospitalier Universitaire de Caen, Avenue Côte de Nacre, 14033 Caen, Normandie, France. hamon-m@chu-caen.fr
Martial
M
Hamon
Christian
C
Pristipino
Carlo
C
Di Mario
James
J
Nolan
Josef
J
Ludwig
Marco
M
Tubaro
Manel
M
Sabate
Josepa
J
Mauri-Ferré
Kurt
K
Huber
Kari
K
Niemelä
Michael
M
Haude
William
W
Wijns
Dariusz
D
Dudek
Jean
J
Fajadet
Ferdinand
F
Kiemeneij
D002983:Clinical Competence / Q000592:standards*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy*; D019317:Evidence-Based Medicine / Q000592:standards; D006801:Humans; D059032:Learning Curve; D016017:Odds Ratio; D018579:Patient Selection; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects / Q000379:methods* / Q000401:mortality / Q000592:standards*; D011237:Predictive Value of Tests; D011677:Punctures; D017534:Radial Artery / Q000000981:diagnostic imaging; D011829:Radiation Dosage; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome