Percutaneous Coronary Intervention and vascular access complications: A contemporary review

npj Cardiovascular Health 2026 Open access

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Authors: Tanawat Attachaipanich, Muzamil Khawaja, Edwin A. Takahashi, Hafeez Ul Hassan Virk, Mahboob Alam, Ian C. Gilchrist, Chayakrit Krittanawong
DOI: 10.1038/s44325-026-00125-6
Cited by: 3
References: 121

Abstract

Transradial approach (TRA) is preferred over transfemoral approach (TFA) for percutaneous coronary interventions due to lower bleeding, vascular complications, and mortality, particularly in acute coronary syndrome. Radial access complications included intraprocedural events (spasm, dissection, and perforation) and postprocedural events (radial artery occlusion, hematoma, pseudoaneurysm, arteriovenous fistula, nerve injury, and infection). TFA remains necessary in certain settings but carries higher complication risk. Optimizing patient selection and procedural planning is essential to minimize vascular complications.

Fields of Study & Subjects

Vascular Procedures and Complications Central Venous Catheters and Hemodialysis Peripheral Artery Disease Management

Publication details

Journal / source
npj Cardiovascular Health
Publisher
Springer Science and Business Media LLC
Volume
3
Issue
1
Publication date
28 April 2026
Language
EN