Analysis of cardiovascular registry data suggests that cardiologists who practice femoral cardiac catheterization can convert to safer transradial approaches with a learning experience of 30–50 procedures. This conversion is associated with no loss of procedural success and no increase in serious adverse outcomes.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Hess, C. N. et al. The learning curve for transradial percutaneous coronary intervention among operators in the United States: a study from the National Cardiovascular Data Registry®. Circulation http://dx.doi.org/10.1161/circulationaha.113.006356.
Balwanz, C. R. et al. Transradial and transfemoral coronary angiography and interventions: 1-year outcomes after initiating the transradial approach in a cardiology training program. Am. Heart J. 165, 310–316 (2013).
Ball, W. T. et al. Characterization of operator learning curve for transradial coronary interventions. Circ. Cardiovasc. Interv. 4, 336–341 (2011).
Looi, J. L., Cave, A. & El-Jack, S. Learning curve in transradial coronary angiography. Am. J. Cardiol. 108, 1092–1095 (2011).
El-Shiekh, R. A., Burket, M. W., Mouhaffel. A., Moore, J. A. & Cooper, C. J. US experience of transradial coronary stenting utilizing Palmaz Schatz stents. Cathet. Cardiovasc. Diagn. 40, 166–169 (1997).
Feldman, D. N. et al. Adoption of radial access and comparison of outcomes to femoral access in percutaneous coronary intervention: an updated report from the national cardiovascular data registry (2007–2012). Circulation 127, 2295–2306 (2013).
Resnic, F. S. et al. Quantifying the learning curve in the use of a novel vascular closure device: an analysis of the NCDR (National Cardiovascular Data Registry) CathPCI Registry. JACC Cardiovasc. Interv. 5, 82–89 (2012).
Nadarasa, K. et al. Rapid cycle change to predominantly radial access coronary angiography and percutaneous coronary intervention: effect on vascular access site complications. Catheter. Cardiovasc. Interv. 79, 589–594 (2012).
Barbash, I. M. et al. Operator learning curve for transradial percutaneous coronary interventions: implications for the initiation of a transradial access program in contemporary US practice. Cardiovasc. Revasc. Med. http://dx.doi.org/10.1016/j.carrev.2014.03.001.
Bertrand, O. F. et al. Transradial approach for coronary angiography and interventions: results of the first international transradial practice survey JACC Cardiovasc. Interv. 3, 1022–1031 (2010).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The author declares no competing financial interests.
Rights and permissions
About this article
Cite this article
Gilchrist, I. Transformation to transradial—safe and effective. Nat Rev Cardiol 11, 437–438 (2014). https://doi.org/10.1038/nrcardio.2014.79
Published:
Issue Date:
DOI: https://doi.org/10.1038/nrcardio.2014.79
