Distal Radial Access: Scientific Foundations And Applied Techniques

1. 1. Front Matter

      Pages 1-1

   2. Introduction

      • Ferdinand Kiemeneij

      Pages 3-5

   3. Current Status

      • Sunil V. Rao, Claudiu Ungureanu

      Pages 7-15

   4. Anatomic Basis

      • Thierry Corcos, Francesco Bianchini, Francesco Burzotta

      Pages 17-31

   5. Physiological Rationale

      • Angela Di Giorgio, Avtandil Babunashvili

      Pages 33-41

   6. Hand Circulation Variants for Distal Radial Access

      • Gregory A. Sgueglia, Jun-Won Lee

      Pages 43-60

2. Practical and Technical Aspects

   1. Front Matter

      Pages 61-61

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   2. Patient Selection and Preparation

      • Christopher M. Fernandez, Karim Ratib, Sandeep Nathan

      Pages 63-69

   3. Conventional Puncture

      • Sang Yeub Lee, Ian C. Gilchrist

      Pages 71-77

   4. Ultrasound-Guided Puncture

      • Enrique A. Flores, Darren Klass

      Pages 79-97

   5. Advanced Distal Radial Access

      • Fuminobu Yoshimachi, Gregory A. Sgueglia

      Pages 99-106

   6. Troubleshooting Transradial Issues

      • Mauricio G. Cohen, Tejas Patel

      Pages 107-115

   7. Hemostasis Methods

      • Bong-Ki Lee, Enrique A. Flores, Samir B. Pancholy

      Pages 117-127

   8. Prevention and Management of Complications

      • Aleksandr Kaledin, Andrea Pacchioni

      Pages 129-159

3. Safety and Efficacy

   1. Front Matter

      Pages 161-161

   2. Hand Function

      • Christian F. Said, Sudhir Rathore, Tom J. Ford

      Pages 163-169

   3. Radiation Exposure

      • Alessandro Sciahbasi, Mladen I. Vidovich

      Pages 171-176

   4. Evidence from Clinical Registries

      • Karsten Schenke, Jin Bae Lee

      Pages 177-189

   5. Evidence from Randomized Controlled Trials

      • Adel Aminian, Shigeru Saito

      Pages 191-201

       

      1. 1. Front Matter

            Pages 203-203

         2. Acute Coronary Syndrome

            • Grigorios Tsigkas, Anastasios Apostolos, Marco Valgimigli

            Pages 205-212

         3. Slender Approach

            • Giovanni Amoroso, Takashi Matsukage

            Pages 213-223

         4. Sheathless Methods

            • Stefan Harb, Giuseppe Colletti

            Pages 225-241

         5. Complex Coronary Procedures

            • Juan F. Iglesias, Pierfrancesco Agostoni

            Pages 243-253

         6. Ancillary Distal Radial Access

            • Azeem Latib, Stefano Rigattieri

            Pages 255-261

         7. Structural Heart Interventions

            • Carlo Tumscitz, Ignacio M. Seropian

            Pages 263-270

         8. Radial Artery Recanalization

            • Gabriele L. Gasparini, Zoltan Ruzsa

            Pages 271-282

         9. Peripheral Vascular Procedures

            • Marcelo Guimaraes, Harkanwar S. Gill, Sasko Kedev

            Pages 283-298

         10. Neurointervention

             • Ajit S. Puri, Anna Luisa Kuhn, Kareem El Naamani, Jasmeet Singh, Pascal Jabbour

             Pages 299-312

      2. Initiating and Progressing Distal Radial Access

         1. Front Matter

            Pages 313-313

         2. Learning Curve

            • Haydn Hoffman, Yongcheol Kim

            Pages 315-324

         3. Starting a Distal Radial Access Program

            • Ivo Bernat, James Nolan

            Pages 325-331

         4. Current Challenges and Future Opportunities

            • Gregory A. Sgueglia, Juan F. Granada

            Pages 333-343

This is the first book devoted entirely to distal radial access, a novel vascular access technique that has become a major topic of interest in interventional cardiology, interventional radiology and neurointervention. The rapid spread of distal radial access through social media has been remarkable, reflecting the wide curiosity surrounding this approach. While almost every interventionalist is aware of it, many have yet to fully grasp its clinical significance and the nuances of its proper implementation. Given its growing importance, this topic warrants a more structured, rigorous and comprehensive discussion.

This volume aims to elucidate the scientific basis of distal radial access and provide a thorough critical review of the existing literature. Each chapter focuses on a different aspect of the technique and is written by leading experts from different institutions, ensuring a diverse perspective that enriches the content.

With its commitment to scientific excellence, this book serves as the most comprehensive and up-to-date reference on distal radial access, written by the very pioneers who have contributed to its development and evaluation. It is intended primarily for interventional cardiologists, interventional radiologists, and neurointerventionalists who wish to improve their understanding and clinical practice in this evolving field.