Single-Center Retrospective Comparative Analysis of Transradial, Transbrachial, and Transfemoral Approach for Mesenteric Arterial Procedures

Update on Transradial Access for Percutaneous Transcatheter Visceral Artery Embolization

“…The technical and clinical success rates of TRA are generally comparable to those of TFA in the majority of procedures: transarterial embolization for hepatic malignancy (7,8,11,13), mesenteric arterial procedures (4), prostate artery embolization (20), or uterine fibroid embolization (10). Very recently, Nakhaei et al (10) compared the clinical and technical outcomes of TRA uterine artery embolization (UAE) with those of the TFA approach.…”

“…The radial artery is then compressed, and the pulse oximeter waveform is again analyzed for up to 2 minutes and graded. Depending on the type of waveform, a registered ulnopalmar patency has the following four types: A) no damping of pulse tracing immediately after compression, B) damping of pulse tracing, C) loss of pulse site complications; the patient-friendly compression device enables faster hemostasis and recovery, leading to shorter hospital stay (4,5). Fewer bleeding and vascular complications were reported in the majority of studies on cardiology, neurointervention, and body/peripheral interventions (4,6,16).…”

“…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.…”

Comparison of transradial and transfemoral access for transcatheter arterial embolization of iatrogenic renal hemorrhage

“…The number of transradial access (TRA) procedures has increased in patients undergoing visceral interventions, as TRA was found to enhance safety in patients with coagulopathy, as well as to result in early ambulation and discharge [4][5][6][7]. TRA was shown to be a feasible and safe alternative to TFA for renal interventions [8,9].…”