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Association of Statin Use With All-Cause and Cardiovascular Mortality in US Veterans 75 Years and Older Heart Failure With Improved Ejection Fraction-Is it Possible to Escape One’s Past? The Role of the Pericardium in Heart Failure: Implications for Pathophysiology and Treatment Effect of Evolocumab on Complex Coronary Disease Requiring Revascularization Empagliflozin Increases Cardiac Energy Production in Diabetes - Novel Translational Insights Into the Heart Failure Benefits of SGLT2 Inhibitors Mediterranean Diet and the Association Between Air Pollution and Cardiovascular Disease Mortality Risk Sequence variations in PCSK9, low LDL, and protection against coronary heart disease Extreme Levels of Air Pollution Associated With Changes in Biomarkers of Atherosclerotic Plaque Vulnerability and Thrombogenicity in Healthy Adults Impact of Intravascular Ultrasound-Guided Drug-Eluting Stent Implantation on Patients With Chronic Kidney Disease: Subgroup Analysis From ULTIMATE Trial Atherosclerosis — An Inflammatory Disease

Review ArticleVolume 12, Issue 22, November 2019

JOURNAL:JACC Cardiovasc Interv. Article Link

Best Practices for the Prevention of Radial Artery Occlusion After Transradial Diagnostic Angiography and Intervention An International Consensus Paper

I Bernat, A Aminian, the RAO International Group. Keywords: hemostasis; radial artery occlusion; transradial

ABSTRACT

Transradial access (TRA) is increasingly used worldwide for percutaneous interventional procedures and associated with lower bleeding and vascular complications than transfemoral artery access. Radial artery occlusion (RAO) is the most frequent post-procedural complication of TRA, restricting the use of the same radial artery for future procedures and as a conduit for coronary artery bypass graft. The authors review recent advances in the prevention of RAO following percutaneous TRA diagnostic or interventional procedures. Based on the available data, the authors provide easily applicable and effective recommendations to prevent periprocedural RAO and maximize the chances of access in case of repeat catheterization or coronary artery bypass grafting surgery.