Endovascular Therapy of the Superficial Femoral Artery Via a Stand-Alone Transradial Access: A Single-Center Experience

Abstract

In patients with simple SFA disease, transradial recanalization appears feasible and safe but currently limited to balloon angioplasty ± orbital atherectomy. Proximal SFA stenting may be feasible in patients <160 cm in height.

Transradial stenting of a carotid pseudoaneurysm

“…First, with radial arteries being significantly smaller than femoral arteries, operators are generally limited to 6F sheaths, with which certain devices may be incompatible 19 . Second, given the considerable distance to traverse, there are limited devices capable of reaching the lower extremities from the radial arteries while maintaining pushability and trackability 20, 21. Finally, radial access has several relative contraindications relevant for vascular patients.…”

“…For instance, given the possibility of radial artery occlusion, some may hesitate to attempt radial access in patients who require dialysis access 22, 23. Still, technical advancements with new slimmer sheaths and longer catheters and wires have resulted in a renewed interest in radial access and, based on studies in current literature, the advantages seen in coronary and cerebral interventions can indeed be carried over to peripheral vascular procedures 20, 24. Of note, brachial artery access has also been previously investigated, but found to confer no advantage in terms of outcomes over femoral access 25 .…”