Purpose
The use of the radial artery as the primary access vessel into the arterial system for percutaneous interventions is not a new concept.
The first successful transradial angiography was described in 1989 by Lucien Campeau [1].
Since then,
the usage of this technique has significantly grown worldwide.
Despite this growth,
its utilization is largely absent in the interventional radiology.
Most percutaneous peripheral embolizations are performed now using transfemoral approach (FA).
The risk of bleeding complications associated with FA has been reported to range from 2%...
Methods and materials
126 patients were enrolled in our study from October 2013 to September 2014.
Uterine fibroid embolization (UFE) was performed in 50,
transarterial chemoembolization (TACE) - in 62 and bronchial artery embolization (BAE) - in 14 patients.
RA was used in 62 and FA in 64 patients.
Procedures were performed by 3 different interventional radiologists.
All of them had a wide experience in the use of radial and femoral approach.
Clinical characteristics of the patients were comparable between the two groups (Table 1).
Table 1. Clinical...
Results
Embolization procedure was successfully performed in all patients from both groups.
There were no cases of access site failure or inability to catheterize the target artery.
The duration of the procedure,
time needed for catheterization of the target arteries and radiation exposure were comparable between the two groups among the patients undergoing TACE and BAE.
However,
these parameters were significantly lower in the RA group among the patients undergoing UFE (Table 3).
In the RA group,
major vascular complications were not seen and 7 (11.2%)...
Conclusion
Clinical success of the procedure,
duration of the procedure and radiation exposure are comparable between the patients undergoing TACE and BAE using transradial and transfemoral approach.
RA is associated with a significant reduction in the duration of the procedure and radiation exposure among the patients undergoing UFE.
The rate of major vascular complications and all parameters of procedural discomfort are significantly lower among the patients undergoing peripheral artery embolization using a RA.
References
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Percutaneous radial artery approach for coronary angiography.
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Agostoni P.,
Biondi-Zoccai G.G.L.,
De Benedictis M.L.
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Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures.
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Cooper C.J.,
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Effect of transradial access on quality of life and cost of cardiac catheterization: a randomised comparison.
Am....