Transradial access (TRA) is favored over transfemoral access for performing coronary angiography and percutaneous coronary intervention due to the reduced risk for vascular and bleeding complications and the documented survival benefit in ST-segment–elevation myocardial infarction patients who undergo primary percutaneous coronary intervention. TRA complications can be categorized as intra- or postprocedural and further categorized as related to bleeding or nonbleeding issues. Major intra- and postprocedural complications such as radial artery perforation and compartment syndrome are rare following TRA. Their occurrence, however, can be associated with morbid consequences, including requirement for surgical intervention if not identified and treated promptly. Nonbleeding complications such as radial artery spasm and radial artery occlusion are typically less morbid but occur much more frequently. Strategies to prevent TRA complications are essential and include the use of contemporary access techniques that limit arterial injury. This document summarizes contemporary techniques to prevent, identify, and manage TRA complications.

中文翻译：

---

经radi动脉通路并发症。

经performing动脉通路（TRA）优于经股动脉通路进行冠状动脉造影和经皮冠状动脉介入治疗，因为降低了血管和出血并发症的风险，并且有证据表明，经原发性经皮冠状动脉介入治疗的ST段抬高型心肌梗死患者具有生存优势。TRA并发症可分为术中或术后，也可进一步分类为与出血或不出血有关。TRA后很少发生严重的术中和术后并发症，例如radial动脉穿孔和隔室综合征。然而，它们的发生可能与病态后果相关，包括如果未及时发现和及时治疗，则需要进行外科手术干预。诸如complications动脉痉挛和radial动脉闭塞等非出血并发症的发病率通常较低，但发生频率更高。预防TRA并发症的策略至关重要，其中包括使用限制动脉损伤的现代介入技术。本文档总结了预防，识别和管理TRA并发症的现代技术。