Heart Disease Is The Leading Cause Of Death

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Abstract In the United States, heart disease is the leading cause of death. Diagnosis and treatment can involve invasive procedures including coronary angiography and percutaneous coronary intervention (PCI). The transfemoral artery approach remains the preferred method for coronary angiography and PCI in the United States despite a growing body of evidence that the use of the transradial approach (TRA) improves patient safety and efficiency. The purpose of this paper is to review the current literature, analyze several pertinent articles comparing cost and vascular complications of the two methods used for PCI, and to discuss the clinical implications of the TRA. Keywords: transradial catheterization, radial catheterization, coronary angiography, percutaneous coronary intervention Transradial Artery Access for Percutaneous Coronary Intervention Diagnosis and treatment of coronary heart disease often includes coronary angiography and percutaneous coronary intervention (PCI). “Femoral access for coronary angiography has been the dominant access site for the last two decades” (Jolly, Shoaib, Hamon, Yusuf, & Mehta, 2009, p. 132), and TRA has been viewed as a “backup plan” for patients without other vascular access (Rao, Cohen, Kandzari, Bertrand, & Gilchrist, 2010). There is a steep learning curve for physicians who are performing TRA. Because of this, some studies have shown that the TRA is associated with longer procedural and fluoroscopy times, higher access site
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