Celiac Artery Stent Placement for Coronary Ischemia

Editorial for “A new imaging classification for safer radial access visceral intervention of the liver and optimal case selection: A preliminary report”

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In arterial interventional procedure of abdomen, the femoral artery approach is traditionally used, but it is often necessary to approach from the upper extremity arteries, including the radial artery, depending on the branching configuration of the target abdominal artery branch or stenosis of target arteries, such as median arcuate ligament compression syndrome, distal arterial disease, or obesity. [1][2][3][4][5] However, when using the radial artery approach, which has a greater impact on the central nervous system arteries than the femoral approach, it is desirable to shorten the procedure time and determine the appropriate indication from the viewpoint of preventing neurological complications. 6 In this article entitled "A new imaging classification for safer radial access visceral intervention of the liver and optimal case selection: A preliminary report" published in Hepatology Research, Kawamura et al propose a simple and reproducible preoperative evaluation method that is useful for determining the indication for radial access visceral intervention (R.A.V.I.)

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“…abdominal angiographic procedure, such as the bifurcation angle or stenosis of the abdominal artery. 1,4,5 In abdominal angiography, not only the selectivity of the target vessel by guiding catheter, but also the stability of the guiding catheter is important. Therefore, it is desirable to develop a comprehensive index for judging the suitability of R.A.V.I.…”

“…In arterial interventional procedure of abdomen, the femoral artery approach is traditionally used, but it is often necessary to approach from the upper extremity arteries, including the radial artery, depending on the branching configuration of the target abdominal artery branch or stenosis of target arteries, such as median arcuate ligament compression syndrome, distal arterial disease, or obesity 1–5 . However, when using the radial artery approach, which has a greater impact on the central nervous system arteries than the femoral approach, it is desirable to shorten the procedure time and determine the appropriate indication from the viewpoint of preventing neurological complications 6 …”

“…The second point is to examine other factors that influence the R.A.V.I. abdominal angiographic procedure, such as the bifurcation angle or stenosis of the abdominal artery 1,4,5 . In abdominal angiography, not only the selectivity of the target vessel by guiding catheter, but also the stability of the guiding catheter is important.…”