Contemporary Techniques for Femoral and Radial Arterial Access in the Cardiac Catheterization Laboratory

James D. Gladden, Rajiv Gulati, Yader Sandoval

Research output: Contribution to journalReview articlepeer-review


Safe and efficient arterial access is critical for optimal patient outcomes and procedural success in the cardiac catheterization laboratory. Because of the lower risk for vascular and bleeding complications, as well as patient comfort, transradial access has become the predominant approach for diagnostic coronary angiography and percutaneous coronary intervention. Transfemoral access, however, is still required for selected complex percutaneous coronary interventions, mechanical circulatory support, and structural heart procedures. The use of adjunctive technology and techniques such as ultrasound guidance and micropuncture can be combined with fluoroscopy and palpation to improve outcomes associated with vascular access. The importance of optimal access techniques has augmented due to increasing volume of structural heart and mechanical circulatory support procedures requiring large bore sheaths. In this document we review the contemporary techniques for femoral and radial access in the cardiac catheterization laboratory.

Original languageEnglish (US)
Article number316
JournalReviews in cardiovascular medicine
Issue number9
StatePublished - Sep 2022


  • catheterization laboratory
  • vascular access

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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