Transradial Access for Coronary Angiography and Angioplasty: A Novel Approach

VYT Lim, CNS Chan, V Kwok, KH Mak, TH Koh
Correspondence: A/Prof Charles Chan, Charles_CHAN@nhc.com.sg

ABSTRACT
Coronary angiography and angioplasty are usually performed via transfemoral access. Though this route provides an easier vascular access, it is associated with a small but potentially serious incidence of vascular complications at the puncture site that may result in significant groin haematoma, blood transfusion or require surgical repair. A useful alternative approach is through the transradial access. This route has a very low rate of vascular complications and also allows early mobilisation of patients. We performed an analysis of our experience with transradial angiography and angioplasty, demonstrating this to be a safe and effective technique suitable for most patients.

Keywords: Allen’s test, coronary angiography, coronary angioplasty, transradial angiography, transradial intervention
Singapore Med J 2003; 44(11): 563-569