Slender approach and sheathless techniques

Saurabh Sanon, Rajiv Gulati

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations


Most radial arteries cannot accommodate 7- and 8-French introducer sheaths for large-bore percutaneous coronary intervention without overstretch. In addition to being uncomfortable, radial artery overstretch is associated with spasm and higher rates of procedure-related radial artery occlusion. Methods for the transradial interventionist to overcome the limitation of radial artery-sheath size mismatch include both sheath-based and sheathless approaches. In this article we discuss a variety of techniques that can be used to minimize radial artery stretch for straightforward and complex coronary procedures.

Original languageEnglish (US)
Pages (from-to)161-166
Number of pages6
JournalInterventional Cardiology Clinics
Issue number2
StatePublished - Apr 1 2015


  • Percutaneous coronary intervention
  • Radial artery
  • Sheathless
  • Slender
  • Transradial intervention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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