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July 2023 Br J Cardiol 2023;30:99–103 doi:10.5837/bjc.2023.021

Cardiac catheterisation: avoiding common pitfalls with transradial vascular access

Matthew Sadler, Clive Lawson

Abstract

Introduction Introduced by Dr Lucien Campeau in 1989, transradial vascular access (TRA) is now the standard approach for diagnostic coronary angiography due to a reduced incidence of complications compared with femoral access, increased patient satisfaction, a quicker recovery time and a reduction in mortality in those with ST-elevation myocardial infarction (STEMI).1 Radial access is associated with a 77% reduction in major vascular complications compared with transfemoral access, and is, therefore, recommended as the default access for patients presenting with acute coronary syndromes in current European Society of Cardiology (ESC) guidelin

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