Difficulty Gaining Radial Access

  • Will T. Roberts
  • James Nolan


Radial artery puncture is often perceived as a daunting challenge to the radial newcomer, however certain techniques exist that can maximise the chances of success. In this chapter we discuss preparation of the patient, emphasising hydration and anxiety reduction measures. The most successful radial puncture techniques are covered, along with guidance on sheath type and size. Once the radial artery has been accessed, traversing tortuous anatomy in the radial artery is also discussed.


Radial Puncture Technique Sheath Transfixion Seldinger Cannula Tortuosity 


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Copyright information

© Springer-Verlag London 2016

Authors and Affiliations

  1. 1.Department of CardiologyWorcestershire Royal HospitalWorcesterUK
  2. 2.Department of CardiologyUniversity Hospital of North Staffordshire, University Hospital of North Staffordshire NHS TrustStoke-on-TrentUK

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