Transradial access for coronary diagnostic and interventional procedures: Consensus statement and recommendations for India

• Main Authors: Pravin K. Goel, Ajit Menon, Ajit Sankardas Mullasari, Ajit Kumar Valaparambil, Brian Pinto, Dev Pahlajani, Sengottuvelu Gunasekaran, Vijay Kumar Trehan, Rajpal K. Abhaichand, Sanjay Kumar Chugh, M.S. Hiremath
• Format: Article
• Language: English
• Published: Elsevier 2018-11-01
• Series: Indian Heart Journal
• Online Access: http://www.sciencedirect.com/science/article/pii/S0019483218301214

Radial access for cardiac catheterization and intervention in India has been growing steadily over the last decade with favorable clinical outcomes. However, its usage by interventional cardiologists varies greatly among Indian operators and hospitals due to large geographic disparities in health care delivery systems and practice patterns. It also remains unclear whether the advantages, as well as limitations of transradial (TR) intervention (as reported in the western literature), are applicable to developing countries like India or not. An evidence-based review involving various facets of radial procedure for cardiac catheterization, including practical, patient-related and technical issues was conducted by an expert committee that formed a part of Advancing Complex CoronariES Sciences through TransRADIAL intervention (ACCESS RADIAL™) Advisory Board. Emerging challenges in redefining TR management based on evidence supporting practices were discussed to formulate these final recommendations through consensus. Keywords: Challenges, Radial access, Transradial intervention, Transradial consensus