Patient Experience and Preference in Transradial versus Transfemoral Access during Transarterial Radioembolization: A Randomized Single-Center Trial

Nonfemoral Arterial Hemostasis Following Percutaneous Intervention Using a Focused Compression Device

“…Upper extremity and tibiopedal arterial access provide significant patient and operator benefits during percutaneous angiography and intervention. Transpedal access has been increasingly utilized in lower extremity revascularization during treatment of femoral-popliteal and tibioperoneal disease [10,11], and advantages of radial artery access for percutaneous coronary and peripheral intervention are well described [1][2][3][4][5][6][7][8][9]. Both access methods facilitate reduction in access site complications and time to patient ambulation; refined protocols for achieving hemostasis at these access sites may enable further improvement in patient safety and comfort to meet increasing demand for arterial access through these approaches.…”

“…The benefits of radial artery access relative to common femoral artery access are well studied: decreased bleeding and vascular complications, increased patient comfort and satisfaction, decreased time to hemostasis, and in the setting of percutaneous coronary intervention for ST-elevation myocardial infarction, significantly lower mortality [1][2][3][4]. Radial access is also used during noncoronary interventions [5], also showing improved patient satisfaction [6][7][8][9]. Retrograde tibiopedal access offers several mechanical advantages in the setting of lower extremity revascularization and may allow for successful endovascular treatment of tibioperoneal and femoropopliteal disease when antegrade-only techniques have failed [10,11].…”

Update on Transradial Access for Percutaneous Transcatheter Visceral Artery Embolization

“…Since the introduction of transradial access (TRA) in cardiology in 1989 (1), evidence favoring TRA over transfemoral access (TFA), in terms of patient preference, quality of life, lower complication and morbidity rates, and shorter hospital stay, has been presented (2)(3)(4)(5)(6)(7)(8).…”

“…Most studies on TRA were based on cardiology and neurointerventional procedures, and studies of the use of TRA in body and peripheral interventions performed by interventional radiologists are relatively few (4,(7)(8)(9)(10)(11)(12)(13)(14)(15). In this review, we aimed to compare the difference between TRA and TFA, provide the detailed technique and clinical applications of TRA in percutaneous transcatheter visceral artery embolization, and discuss the management of complications.…”

Radial Access for Neurovascular Procedures

“…The cardiology and body interventional literature has shown radial access to offer a variety of advantages over traditional transfemoral access including safety benefits such as lower bleeding/vascular complications and mortality, [2][3][4]19 lower costs related to several factors, 20 as well as improved patient satisfaction. [6][7][8] The same benefits are now being realized in the cerebrovascular literature and thus radial access for neurointerventional procedures is an inevitable paradigm shift. As the training and experience continues to grow, radial access should be embraced and adopted into the toolbox of every practicing neurointerventionalist.…”