The many radial access learning curves

Key Points

• The radial approach to endovascular procedures has a series of learning curves: diagnostic heart catheterization, low-risk settings and “straightforward” percutaneous coronary intervention, high-risk settings, and complex coronary intervention, and peripheral vascular angiography and intervention.
• For diagnostic and low-risk interventional procedures, incremental improvements in technical success and safety are observed in the initial 200 procedures for most operators compared to highly experienced operators.
• Formal didactic training and ongoing support/review from an experienced radial operator(s) may expedite surmounting the series of radial learning curves while maintaining optimal procedural success and safety.
• Advances in technology and understanding will require the most experienced radial operators to continually embrace their next learning curve.

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