Distal Radial Artery Access for Noncoronary Endovascular Treatment Is a Safe and Feasible Technique

Dam, Lievay van; Geeraedts, Tychon; Bijdevaate, Diederick; Doormaal, Pieter Jan van; Moelker, Adriaan

doi:10.1016/j.jvir.2019.01.011

Cited by 25 publications

(15 citation statements)

References 18 publications

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“…In addition to CAG and PCI, the dTRA is also applied for other interventional diagnoses and treatments [60][61][62]. For example, dTRA was certified a feasible and safe technique for abdominal interventional radiology embolization procedures [62]. In recent years, the advantages of the dTRA for vascular intervention have also attracted the attention of neurointerventionalists (Table 3) [63][64][65][66][67].…”

Section: Application In Cerebral Angiography and Interventionmentioning

confidence: 99%

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Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Cai

Huang

Feng

et al. 2020

BMC Cardiovasc Disord

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Background: Transradial access (TRA) has been considered as the default choice in cardiac catheterization. Although infrequent, vascular complications of this approach remain. Recently, the distal transradial approach (dTRA) in cardiac catheterization was reported by interventionalists. Methods: We retrieved the relevant literatures and reviewed the safety and feasibility of this novel approach in cardiac catheterization. Results: The dTRA for cardiac intervention has superior safety and satisfaction. As a novel approach for cardiac catheterization, access related complications should also be considered by operators, such as RAO, radial spasm, bleeding and haematoma, and injury of the superficial branch of the radial nerve. Conclusions: The dTRA in cardiovascular angiography and intervention was safe and feasible.

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Section: Application In Cerebral Angiography and Interventionmentioning

confidence: 99%

“…In addition to CAG and PCI, the dTRA is also applied for other interventional diagnoses and treatments [ 60 – 62 ]. For example, dTRA was certified a feasible and safe technique for abdominal interventional radiology embolization procedures [ 62 ].…”

Section: Application In Cerebral Angiography and Interventionmentioning

confidence: 99%

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Cai

Huang

Feng

et al. 2020

BMC Cardiovasc Disord

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“…13 Pseudoaneurysm formation can be treated with ultrasound-guided compression. 14 The most important disadvantage of the technique is the difficult guidewire advancement in the proximal radial artery due to the smaller size and acute angulation of the DR artery, which limits the use of available materials. One more technical limitation of the distal puncture site is the need for longer devices (2-3 cm) than PR cases, but despite this, the procedure success was the same in DR and PR cases in our cohort.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7][8] Distal radial (DR) access was used first for Cimino fistula access and then for coronary and peripheral interventions. [9][10][11][12][13][14][15] The main advantages of this puncture site are the ease of compression and low rate of radial artery occlusion. The purpose of this study was to evaluate the acute success and complication rates of the DR approach and to compare the complication rate and procedural success with the conventional PR approach.…”

Section: Introductionmentioning

confidence: 99%

Distal Radial Artery Access for Superficial Femoral Artery Interventions

et al. 2020

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Purpose: To compare the acute success and complication rates of distal radial (DR) vs proximal radial (PR) artery access for superficial femoral artery (SFA) interventions. Materials and Methods: Between 2016 and 2019, 195 consecutive patients with symptomatic SFA stenosis were treated via DR (n=38) or PR (n=157) access using a sheathless guide. Secondary access was achieved through the pedal artery when necessary. The main outcomes were technical success, major adverse events (MAEs), and access site complications. Secondary outcomes were treatment success, fluoroscopy time, radiation dose, procedure time, and crossover rate to another puncture site. Results: Overall technical success was achieved in 188 patients (96.4%): 37 of 38 patients (97.3%) in the DR group and 151 of 157 patients (96.2%) in the PR group (p=0.9). Dual (transradial and transpedal) access was used in 14 patients (36.8%) in the DR group and 28 patients (18.9%) in the PR group (p<0.01). Chronic total occlusions were recanalized in 25 of 26 DR patients (96.1%) and in 79 of 81 PR patients (92.6%) (p=0.57). The crossover rate to femoral access was 0% in the DR group vs 3.2% in the PR group (p=0.59). Stents were implanted in the SFA in 15 DR patients (39.4%) and in 39 patients (24.8%) in the PR group (p=0.1). The contrast volume, fluoroscopy time, radiation dose, and procedure time were not statistically different between the DR and PR groups, nor were the rates of access site complications (2.6% and 7.0%, respectively). The cumulative incidences of MAE at 6 months in the DR and PR groups were 15.7% vs 14.6%, respectively (p=0.8). Conclusion: SFA interventions can be safely and effectively performed using PR or DR access with acceptable morbidity and a high technical success rate. DR access is associated with few access site complications.

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“…We performed angioplasty with DRA puncture in 4 patients, all of whom demonstrated anatomical and clinical success. Recently, the distal radial approach has been reported for noncoronary interventions [23,24]. To the best of our knowledge, management of AVF through the DRA has not been reported yet.…”

Section: Plos Onementioning

confidence: 99%

Percutaneous intervention for salvage of non-maturing arteriovenous fistulas: Which is the better approach, arterial or venous?

Lee

Won

et al. 2020

PLoS ONE

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Objectives To evaluate the efficacy and long-term patency of endovascular treatment for non-maturing native arteriovenous fistulas according to the approach route (arterial vs. venous). Methods Eighty-five patients underwent percutaneous transluminal angioplasty for non-maturing fistulas (63 radiocephalic and 22 brachiocephalic) between 2010 and 2019. Outcome variables such as procedural success, complications, and primary and secondary patency rates were analyzed from the patients' demographic, angiographic, clinical, and hemodialysis records according to the approach route (venous access group, n = 53 and arterial access group, n = 32). The Kaplan-Meier method was used to analyze the patency rates. Results The mean duration from fistula creation to fistulography was 78.4±51.4 days (range, 1-180 days). The anatomical and clinical success rates were 98.8% and 83.5%, respectively. Lesions were most commonly located at the juxta-anastomosis (55.3%). Accessory cephalic veins were observed in 16 patients. The primary patency rates were 83.9%, 71.9%, and 66.3% and the secondary patency rates were 98.6%, 95.9%, and 94.2% at 3 months, 6 months, and 1 year, respectively. The degree of hypertension (P = 0.023), minimal preoperative vein size (P = 0.041), and increment in postoperative vein diameter were higher in the venous access group than in the arterial access group (P<0.01). The frequency of using cutting balloons (P = 0.026) and complication rate were higher in the arterial access group than in the venous access group (arterial access: 1 major, 8 minor; venous access: 4 minor; P = 0.015).

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Distal Radial Artery Access for Noncoronary Endovascular Treatment Is a Safe and Feasible Technique

Cited by 25 publications

References 18 publications

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Distal Radial Artery Access for Superficial Femoral Artery Interventions

Percutaneous intervention for salvage of non-maturing arteriovenous fistulas: Which is the better approach, arterial or venous?

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