Managing Transradial Artery Access Complications During Coronary Intervention: Three Case Reports

Abstract

Transradial access (TRA) has grown in popularity recently. It has postprocedural percutaneous coronary intervention success rates that are similar to transfemoral access. TRA coronary angiography is associated with fewer vascular and bleeding complications, earlier ambulation, greater postprocedural comfort and better cost-effectiveness. Coronary heart disease has become the most prevalent cardiovascular disease, making TRA the best option for undergoing coronary angiography or percutaneous coronary intervention. It is associated with fewer vascular and bleeding complications than the transfemoral approach. However, TRA is associated with several intraprocedural difficulties during coronary angiography or percutaneous coronary intervention, such as radial artery spasm, perforation and catheter kinking. Operators must recognise the potential vascular complications associated with radial artery access. This article describes various techniques to help manage complications, leading to a successful procedure.