Keywords:
Interventional vascular, Catheter arteriography, Arterial access
Authors:
C. Gozzo, M. C. Calcagno, A. Motta, A. Boncoraglio, G. Caltabiano, P. V. Foti, S. Palmucci, A. Basile; Catania/IT
DOI:
10.1594/ecr2018/C-0873
Methods and materials
From March 2017 to September 2017,
at the Department of Radiology “ARNAS" Garibaldi Hospital in Catania,
TRA was performed in 11 patients (8 female,
3 male; aged from 41 to 84 years). Procedures include 4 abdominal bleedings,
one pelvic bleeding and 6 uterine artery embolisations (UAE) for fibroid treatment.
AE were performed in emergency,
UAE in programmed activity. To evaluate the feasibility of TRA,
a Barbeau test (8,
figure 1) and radial artery sonography were performed before the procedure.
In one case the presence of a type D waveform at Barbeau test contraindicated the traditional TRA.
In this patient a “distale transradial access” (TDA) through the deep palmar arch was choosen,
because it allows a sufficient hand’s perfusion even in case of occlusion (7).