Feasibility Study of “Snuffbox” Radial Access for Visceral Interventions

Pua, Uei; Sim, Jordan Zheng Ting; Quek, Lawrence Han Hwee; Kwan, Jun; Lim, Grace; Huang, Ivan Kuang Hsin

doi:10.1016/j.jvir.2018.05.002

Cited by 31 publications

(33 citation statements)

References 8 publications

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“…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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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%

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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“…Distal radial access can also be used for interventions other than cardiac, and a study in 2017 demonstrates using this approach in 50 visceral interventions [33]. Another case series study in 2019 on 85 patients demonstrates the feasibility of this approach as diagnostic in cerebral angiography [34].…”

Section: Noncardiac Usementioning

confidence: 99%

“…Another case series study in 2019 on 85 patients demonstrates the feasibility of this approach as diagnostic in cerebral angiography [34]. Distal radial access is used for proximal RAO even if it associated with acute coronary syndrome, based on a case reported recently [33]. The last one, which is common, is using the DRA for arteriovenous fistula in dialysis, which affords more advantages than the traditional proximal fistula [35,36].…”

Section: Noncardiac Usementioning

confidence: 99%

Distal Radial Artery Access: The Future of Cardiovascular Intervention

Nairoukh¹,

Jahangir²,

Adjepong³

et al. 2020

Cureus

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Access sites for coronary intervention have been changing over the last several decades, from the femoral artery to the radial artery and then to the distal radial artery. Distal radial access, which was first used in 2017 and is still not recommended by the guidelines, shows a higher success rate and less complications than other sites; therefore, it might be the future for cardiovascular intervention. In this study, we reviewed almost all of the articles that are related to the distal radial access, from 2017 to present, and summarized the technique, success rate, advantages, disadvantages, and noncardiac use of this access site.

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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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Feasibility Study of “Snuffbox” Radial Access for Visceral Interventions

Cited by 31 publications

References 8 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: The Future of Cardiovascular Intervention

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

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