Radial Access for a Below the Diaphragm Case

The risk of stroke is I think it's just overplayed. We have seen radial artery occlusions, post-procedure. They're all clinically asymptomatic with the exception of one in our practice that was not. The use of standard dose heparin, even that one time standard dose of 5,000, my belief is that we're sort of overplaying this and it shouldn't be as much of a concern as some people make it out to be. It may relegate them to a femoral approach for all their interventions from a symptomatic standpoint. But it's very rare that these patients up with hand ischemia are going to end up with hand