Management of the access site after transradial percutaneous procedures: literature overview

J Cardiovasc Med (Hagerstown). 2013 Oct;14(10):705-13. doi: 10.2459/JCM.0b013e3283577374.


The transradial approach (TRA) is emerging as a promising strategy to improve the safety of percutaneous coronary diagnostic or interventional procedures. Nevertheless, a series of specific complications related to the radial access have been described so that their prevention and optimal management is clinically relevant. In this article, the types of access-related vascular complications potentially occurring after TRA and their possible management are described. In particular, the vascular complications have been classified in three groups according to the main pathogenetic mechanism: thrombotic, hemorrhagic and nonthrombotic nonhemorrhagic. Moreover, a practical operative protocol for prompt diagnosis and treatment has been proposed.

Publication types

  • Review

MeSH terms

  • Arterial Occlusive Diseases / etiology
  • Arterial Occlusive Diseases / therapy*
  • Hemorrhage / etiology
  • Hemorrhage / prevention & control*
  • Hemostatic Techniques*
  • Humans
  • Percutaneous Coronary Intervention / adverse effects
  • Percutaneous Coronary Intervention / methods*
  • Punctures
  • Radial Artery*
  • Risk Factors
  • Thrombosis / etiology
  • Thrombosis / therapy*
  • Treatment Outcome