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Slow adoption of trans-radial access (TRA) for left heart catheterization (LHC) in the U.S. may be related to concerns about procedural complexity and a steep learning curve. However, TRA acceptance among novice operators remains poorly characterized.We initiated a 1-year TRA learning period among lower-risk outpatients, followed by a “radial-first” policy for all LHC patients beginning year 2. By...
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