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Transradial Access Technique 

Transradial Access Technique
Chapter:
Transradial Access Technique
Author(s):

Kyle Sanders

, Craig Miller

, Ricardo Yamada

, and Marcelo Guimaraes

DOI:
10.1093/med/9780199986071.003.0058
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date: 25 February 2020

Transradial access (TRA) competency can be rapidly achieved by the experienced interventionist. Statistically significant reductions in bleeding and other access site complications have been shown in randomized and meta-analysis studies when comparing TRA to both brachial and femoral artery access. Despite accumulating data, vascular interventional radiologists have been hesitant to adopt TRA for a variety of reasons. However, TRA offers distal dual blood supply, easily achievable hemostasis, and no adjacent critical structures. Other advantages of TRA are safer endovascular approach concomitant with earlier ambulation, improved patient comfort, decreased length of stay, as well as potential for cost savings. This chapter discusses the TRA technique, applications, challenges, and potential complications.

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