Radial Versus Femoral Arterial Access for Interventional Procedures: Is There a Preference Among Nursing Care Providers?

Chandra, Vishnu; Shanmugasundaram, S.; Sare, Antony; Jamil, Omar; Shukla, Pratik A.; Kumar, Abhishek

doi:10.1016/j.jradnu.2019.11.005

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…We opted for a distal left radial artery/anatomical snuff box puncture for the workup, with a second conventional radial puncture for the treatment. The rationale for this was to reduce nursing aftercare [15], permit ambulation and self-care between procedures [16], and reduce portering requirements. A catheter could have been left in situ between the map and treat, but it was felt that this would require increased nursing support to assess/flush an indwelling sheath between the cases.…”

Section: Discussionmentioning

confidence: 99%

Ambulatory Same-Day Map-and-Treat Angiography for Selective Internal Radiation Therapy Using a Transradial Approach

Frost¹,

Bell²,

Lawrance³

et al. 2022

Cureus

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Historically, selective internal radiation therapy (SIRT) with yttrium-90 (Y-90) requires a two-week interval between workup and treatment (map and treat). The intervening gap between workup and treatment is used to plan for the dose required and obtain delivery of the radioactive Y-90. During the coronavirus disease 2019 pandemic, the delivery of a robust SIRT service was challenging due to unprecedented demands on all hospital services. Emergent practice changes were required to ensure this service could still be delivered to patients while retaining sufficient inpatient hospital beds and services for acutely unwell patients.In response to this, the interventional radiology team proposed the retention of a full SIRT service by removing the historical two-week interval between map and treat, delivering both components of the SIRT procedure on the same day. A traditional approach using femoral access would require a prolonged period of immobility and potentially an overnight stay. By adopting a transradial approach without sedo-analgesia, an ambulatory day-case map and treat SIRT with no post-procedure immobilisation was performed. This case report demonstrates the technical feasibility of same-day 'map-and-treat' SIRT, highlighting a paradigm shift from the conventional femoral access method and immobilisation to an 'ambulatory' approach with immediate mobilisation post-procedure.

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Section: Discussionmentioning

confidence: 99%

Ambulatory Same-Day Map-and-Treat Angiography for Selective Internal Radiation Therapy Using a Transradial Approach

Frost¹,

Bell²,

Lawrance³

et al. 2022

Cureus

View full text Add to dashboard Cite

show abstract

“…4,[14][15][16] These factors, and the generally lower complication rate compared to femoral access most likely explain the preference for radial over femoral access amongst nurses too. 17 Furthermore, radial procedures confer less radiation exposure to the operator, 14 which is particularly important as the younger generation of interventionalists take on increasingly busy theatre lists. The above likely explains why radial access has already become established practice in many centres for performing elective procedures such as trans-arterial chemoembolization and uterine artery embolization.…”

Section: Discussionmentioning

confidence: 99%

A Single-Centre Retrospective Analysis of Radial Versus Femoral Prostate Artery Embolization

Zakeri

Mohammad

Nowakowska

et al. 2022

Vasc Endovascular Surg

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Purpose: To determine whether route of access, transradial or transfemoral, leads to any discernible differences in patient radiation or contrast medium exposure as well as procedure time in elective prostate artery embolization (PAE). Methods: This retrospective study included sixty patients in total: n = 30 in the radial PAE group, and n = 30 in the femoral PAE group. All procedures were performed in a single angiography suite between May 2018 and January 2021, using a standard kit for each type of vascular access, the same microcatheter/wire combination and embolic agent to super-selectively target and embolize one or both prostate arteries. Outcome measures included dose area product (DAP, µGym 2 ), air kerma (mGy), fluoroscopy time (mins), procedure time (mins) and volume of contrast medium used (mL). Adverse events were also recorded. Results: The radial and femoral groups were matched for age (73.2 ± 7.5 vs 71.3 ± 10.14, P = .41) and body mass index (27.53 ± 5.08 vs 26.41 ± 3.93, P = .38). No significant difference in dose area product, air kerma, fluoroscopy time, procedure time or volume of contrast medium used was found between radial and femoral PAE. No adverse events occurred in either group. Conclusion: Radial PAE is safe and comparable to femoral PAE with respect to patient radiation exposure, contrast medium usage, and procedure duration. Radial access is a useful skill to add to the armament of the interventional radiologist in elective PAE.

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Radial Versus Femoral Arterial Access for Interventional Procedures: Is There a Preference Among Nursing Care Providers?

Cited by 2 publications

References 13 publications

Ambulatory Same-Day Map-and-Treat Angiography for Selective Internal Radiation Therapy Using a Transradial Approach

Ambulatory Same-Day Map-and-Treat Angiography for Selective Internal Radiation Therapy Using a Transradial Approach

A Single-Centre Retrospective Analysis of Radial Versus Femoral Prostate Artery Embolization

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