Radialer Zugang bei Koronarinterventionen

Abstract

There is ongoing discussion about the optimal access site for PCI and stent implantation. The transradial access (TRA) is being increasingly used over the past years. Recent studies in patients with acute coronary syndrome (RIVAL study) and in patients with STEMI (RIFLE-STEACS study), revealed a reduced access site-related bleeding and a better cardiovascular outcome in patients with TRA compared to patients with transfemoral access (TFA). This was especially true in high risk patients and in experienced interventionalists in centres with high radial volume. Within this manuscript we will describe the pros and cons of the TRA versus the TF approach as well as current evidence from the literature. In conclusion the TRA should be the favourite and first choice approach for almost all of our patients.

• Literatur

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