Precision approach for transradial access during PCI: a state-of-the-art review - Takeaways - MDSpire

Innovative Strategies for Transradial Access in Percutaneous Coronary Intervention: A Comprehensive Review

  • By

  • Tanawat Attachaipanich

  • Muzamil Khawaja

  • Hafeez Ul Hassan Virk

  • Dmitriy N. Feldman

  • Elmir Omerovic

  • Ian C. Gilchrist

  • Arnold H. Seto

  • Chayakrit Krittanawong

  • July 21, 2026

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  • 1

    The transradial approach (TRA) is preferred for coronary angiography and PCI due to reduced bleeding and vascular complications compared to transfemoral access.

  • 2

    Technical refinements in TRA, such as ultrasound guidance and vasodilator cocktails, enhance procedural success and reduce radial artery spasm.

  • 3

    Alternative access strategies like distal radial and ulnar approaches offer benefits but are limited by higher crossover rates and longer cannulation times.

  • 4

    Optimal intraprocedural anticoagulation strategies in TRA remain uncertain, as the bleeding advantage of alternatives may be less significant.

  • 5

    Future research should focus on refining anticoagulation strategies and evaluating alternative access techniques as operator experience improves.

Original Source(s)

Precision approach for transradial access during PCI: a state-of-the-art review

  • by Tanawat Attachaipanich, Muzamil Khawaja, Hafeez Ul Hassan Virk, Dmitriy N. Feldman, Elmir Omerovic, Ian C. Gilchrist, Arnold H. Seto, Chayakrit Krittanawong

  • July 21, 2026

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