Transradial approach for noncoronary angiography and interventions

Abstract

The transradial approach was useful for non-coronary angiography and interventions and offers the advantages of low risk and reduced stress on patients.

Transradial arterial access for coronary and peripheral procedures: Executive summary by the transradial committee of the SCAI

“…A few observational studies, feasibility studies, technical reports, case series, and case reports have demonstrated successful application of TRA for addressing peripheral arterial disease (PAD) including internal carotid, vertebral and basilar, subclavian and innominate, renal, iliac, celiac, mesenteric, and superficial femoral artery lesions [117–126]. Importantly, TRA provides an alternative to the femoral approach in patients with severe lower limb and/or aortoiliac vascular disease.…”

Expert reviews Radial artery occlusion after percutaneous coronary interventions – an underestimated issue

“…In the registry from Leipzig [42] the incidence of RAO during hospitalization was evaluated and was as follows: for 5 Fr sheaths 13.7%, and for 6 Fr sheaths up to 30.5%. Nagai underlines the usefulness of radial artery diameter assessment by Doppler before cannulation, in finding the right equipment [57]. In this study, the ratio of the sheath diameter to the radial artery diameter > 1 was associated with a higher risk of RAO (38% vs. 14%, p < 0.01).…”

“…Radial artery occlusion is frequently observed in women, which is associated with a smaller diameter of the radial artery and its greater predisposition to contraction [56]. Additionally, the presence of diabetes [57], peripheral arterial disease [58] and smoking [36] are predictors of this complication.…”

Segurança e eficácia da cateterização cardíaca direita e esquerda pelo acesso transradial comparado ao transfemoral: experiência inicial

“…Mesmo em áreas antes indiscutíveis do acesso femoral, como no estudo de enxertos arteriais e venosos após cirurgia de revascularização do miocárdio 5 e para o diagnóstico e intervenção não-coronária 6 , a via radial tem sido utilizada com a manutenção dos resultados e diminuição das complicações, apesar da necessidade de se ultrapassar a curva de aprendizagem 7 .…”