Radial artery access for coronary angiography and percutaneous coronary intervention

The development of percutaneous procedures to diagnose and treat coronary artery disease has transformed the lives of many patients. Patients with limiting symptoms can now often be returned to full activity by percutaneous coronary intervention (PCI), with a low risk of procedure related cardiac events. PCI has obvious advantages over coronary artery bypass grafting, and, because increasingly complex disease can be treated in patients with previously prohibitive comorbidity, the demand for both diagnostic and interventional procedures increases every year.1 In percutaneous coronary procedures a sheath with a haemostatic valve is introduced into a peripheral artery under local anaesthetic. Preshaped catheters are passed through the sheath to the ostium of the relevant coronary artery, thus allowing the delivery of radiography contrast medium, angioplasty wires, balloons, and stents. [PUBLICATION ABSTRACT]