Access Sites for Vascular Interventions

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Abstract

Arterial access for the purpose of coronary angiography and intervention can be obtained via several sites, of which the femoral artery and radial artery are in most common use today. Optimal arterial access permits procedural success and efficiency while avoiding bleeding and vascular complications and optimizing patient comfort. In this chapter, we address the current status of arterial access for coronary angiography and intervention. We review anatomic considerations, techniques, and complications of arterial access for the most common access sites, including a review of approaches to arterial hemostasis. In the second half of the chapter, we provide an evidence-based multifaceted comparison of femoral versus radial access, concluding with future directions for research.

Keywords

Percutaneous Coronary Intervention Radial Artery Access Site Common Femoral Artery Closure Device 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Glossary of Terms

National Cardiovascular Data Registry (NCDR)

Is the American College of Cardiology's suite of data registries helping hospitals and private practices measure and improve the quality of cardiovascular care they provide.

Abbreviations

NCDR

National Cardiovascular Data Registry

PCI

Percutaneous coronary intervention

RIVAL

Radial versus femoral access for coronary intervention trial

STEMI

ST-segment elevation myocardial infarction

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Further Reading

  1. Byrne RA, Cassese S, Linhardt M, Kastrati A (2013) Vascular access and closure in coronary angiography and percutaneous intervention. Nat Rev Cardiol 10(1):27–40. doi:10.1038/nrcardio.2012.160PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Zena and Michael A. Wiener Cardiovascular InstituteIcahn School of Medicine at Mount Sinai New YorkNew YorkUSA
  2. 2.Pritzker School of Medicine, North Shore University Health System, Cardiology DivisionUniversity of ChicagoEvanstonUSA

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