Michael P. Savage, MD; David L. Fischman, MD; Nicholas J. Ruggiero, MD
This article was published online first at www.annals.org on 10 November 2015.
Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-2444.
Requests for Single Reprints: Michael P. Savage, MD, Jefferson Angioplasty Center, 111 South 11th Street, Gibbon Building, Suite 6210, Thomas Jefferson University Hospital, Philadelphia, PA 19107; e-mail, Michael.firstname.lastname@example.org.
Current Author Addresses: Drs. Savage, Fischman, and Ruggiero: Jefferson Angioplasty Center, 111 South 11th Street, Gibbon Building, Suite 6210, Thomas Jefferson University Hospital, Philadelphia, PA 19107.
Savage M., Fischman D., Ruggiero N.; A Call to Arms: Radial Artery Access for Percutaneous Coronary Intervention. Ann Intern Med. 2015;163:956-957. doi: 10.7326/M15-2444
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Published: Ann Intern Med. 2015;163(12):956-957.
Published at www.annals.org on 10 November 2015
Peripheral vascular access complications persist as risks of cardiac catheterization and percutaneous coronary intervention (PCI). With the increasing popularity of radial artery access, the pendulum of the preferred access site is swinging again—initially from the arm, to the leg, and now back to the arm. The technique of selective coronary angiography introduced by Dr. F. Mason Sones was a pivotal development that ushered in the modern era of coronary revascularization with bypass surgery and coronary angioplasty (1). The Sones technique used the arm for vascular access by surgical cutdown of the brachial artery. Subsequently, percutaneous access was obtained using the larger femoral artery of the leg. This approach was considered easier and faster because of the elimination of surgical cutdown and availability of preshaped catheters. The advent of coronary angioplasty and its attendant need for larger catheters further solidified the femoral artery as the primary access site for several decades.
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Cardiology, Coronary Heart Disease, Percutaneous Coronary Intervention.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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