Transradial Approach for Noncoronary Interventions: A Single-Center Review of Safety and Feasibility in the First 1,500 Cases

Abstract

TRA was safe and well tolerated in a heterogeneous patient population across a range of peripheral vascular interventions.

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].…”

SCAI appropriate use criteria for peripheral arterial interventions: An update

“…There has been rapid adoption of transradial access for coronary angiography and interventions. There is growing interest in the transradial approach for renal, mesenteric and lower extremity intervention in suitable patients . Pre‐procedural planning is required to ensure that large diameter balloons and stents on shaft lengths of at least 150 mm may be delivered through radial access arterial sheaths (4–7 French) .…”

Complementary roles of interventional radiology and therapeutic endoscopy in gastroenterology

“…Typically, the femoral artery is used as the site for arterial access unless other factors prevent this approach; however, radial approach is an alternative which has been gaining interest at some centers[26]. If upper GI bleeding is suspected, the celiac artery is usually cannulated first[8].…”