RT Book, Section
A1 Tremmel, Jennifer A.
A2 Samady, Habib
A2 Fearon, William F.
A2 Yeung, Alan C.
A2 King III, Spencer B.
SR Print(0)
ID 1146597459
T1 Radial Approach to Coronary Angiography
T2 Interventional Cardiology, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071820363
LK accesscardiology.mhmedical.com/content.aspx?aid=1146597459
RD 2024/04/24
AB The  first  known  attempt  at  radial  artery  access  for  angiography  was  made  in  March  1947  by  Dr.  Stig  Radner  in  Lund,  Sweden.  He  reported  on  his  new  technique  a  year  later,  describing  a  radial  artery  cutdown  in  the  upper  third  of  the  forearm,  after  which  a  7-Fr  to  9-Fr  catheter  was  advanced  in  a  retrograde  fashion  to  perform  a  thoracic  aortogram.1  It  was  not  until  over  4  decades  later  that  the  radial  artery  started  to  be  accessed  percutaneously,  rather  than  through  a  cutdown,  and  for  the  purpose  of  cannulating  the  coronary  arteries.  In  1989,  emboldened  by  the  safety  of  the  radial  arterial  line  for  critically  ill  patients,  Dr.  Lucien  Campeau  from  Montreal  Heart  Institute  described  his  experience  of  accessing  the  left  radial  artery  for  coronary  angiography  in  100  patients  (90  men  and  10  women).2  Primarily  using  a  5-Fr  system,  he  was  successful  in  cannulating  the  radial  artery  in  90%  of  patients,  and  reported  only  2  complications,  including  a  brachial  artery  dissection  and  a  radial  artery  occlusion,  neither  of  which  were  symptomatic.  Three  years  later,  in  1992,  the  first  coronary  stents  were  placed  in  3  men  via  the  right  radial  artery  by  Dr.  Ferdinand  Kiemeneij  in  Amsterdam.3  He  attributed  his  ability  to  do  this  to  “miniaturization”  of  coronary  guiding  catheters  to  6-Fr  and  adequate  crimping  of  a  Palmaz-Schatz  stent  on  a  balloon  to  allow  it  to  pass  without  becoming  dislodged  within  the  small  guide.