A Technical Guide Describing the Use of Transradial Access Technique for Endovascular Interventions

Fischman, A.; Swinburne, Nathaniel; Patel, Rahul

doi:10.1053/j.tvir.2015.04.002

Cited by 67 publications

(68 citation statements)

References 34 publications

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“…The benefits of TRA have been extensively described in the literature. Among the greatest benefits include significantly reduced access site and major complications, 4,5,7,11 ability to treat fully anticoagulated patients with low bleeding risk, 12 faster mobilization, 10,40 and cost-effectiveness. 9 TRA also allows operators opportunity for bilateral lower extremity treatment during the same procedure, and alternative access for treatment in cases where TFA may not be suitable such as in patients with severely calcified femoral arteries, tortuous iliac arteries preventing retrograde access, or having pros-thetic endografts.…”

Section: Resultsmentioning

confidence: 99%

Radial Access for Lower Extremity Peripheral Arterial Interventions: Do We Have the Tools?

Posham

Young

Lookstein

et al. 2018

Semin intervent Radiol

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The benefits of transradial arterial access (TRA) versus transfemoral arterial access (TFA) have been extensively described in the literature; however, TFA remains the predominant access site choice in the management of peripheral arterial disease (PAD). There are still significant unmet needs for operators wishing to provide the same effective interventions for lower extremity PAD via TRA as with TFA. This article provides an up-to-date review of the literature and devices currently available for operators wishing to treat lower extremity PAD via TRA and the limitations they may face.

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Section: Resultsmentioning

confidence: 99%

Radial Access for Lower Extremity Peripheral Arterial Interventions: Do We Have the Tools?

Posham

Young

Lookstein

et al. 2018

Semin intervent Radiol

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“…4 In comparison to the femoral artery, the radial artery is more superficial and there are no important structures near by, which are likely to be injured during arterial access. 5 In addition, its superficial position makes it easy to achieve hemostasis by manual compression, thus obviating the need for closure devic es. It is beneficial in obese patients, in whom the radial artery access has been shown to reduce the risk of bleeding.…”

Section: Discussionmentioning

confidence: 99%

Radial Arterial Access for Hepatobiliary and Gastrointestinal Arterial Interventions: Initial Experience

Rachapalli

Jaganathan

Palaniswamy

et al. 2018

J Clin Interv Radiol ISVIR

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“…Potential benefits of intervention include decreased blood pressure, reduced medication requirements, and preservation of renal function. Radial artery access should be considered due to reduced complication rates, lower cost, and improved patient satisfaction [45]. If a significant lesion warranting intervention is encountered, a stent can be deployed with the use of an embolic protection device.…”

Section: Current State Of Renal Artery Interventionmentioning

confidence: 99%

Endovascular Treatment of Renal Artery Stenosis in the Post CORAL Era

O’Connor

Lookstein

2016

Curr Treat Options Cardio Med

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Atherosclerotic renal artery stenosis (RAS) is highly associated with hypertension and renal insufficiency. Determining causation and who may benefit from RAS treatment remains difficult. The role of endovascular management of atherosclerotic RAS was challenged by several recent randomized controlled trials (RCT) which failed to demonstrate benefit of stenting. In the largest RCT to date, the Cardiovascular Outcomes in Renal Atherosclerotic Lesions (CORAL) study did not find benefit of revascularization compared to medical therapy alone. While such RCTs represent the highest level of evidence to date, the conclusions drawn from them should be interpreted with caution due to substantial flaws in study design, inclusion, and exclusion criteria. The current AHA/ACC recommendations for RAS management are supported by many level-II evidence cohort studies which consistently found benefit of revascularization in groups with the highest likelihood of clinically significant RAS. Further study of these patient groups are needed to define a clear role for endovascular therapy of renal artery stenosis.

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A Technical Guide Describing the Use of Transradial Access Technique for Endovascular Interventions

Cited by 67 publications

References 34 publications

Radial Access for Lower Extremity Peripheral Arterial Interventions: Do We Have the Tools?

Radial Access for Lower Extremity Peripheral Arterial Interventions: Do We Have the Tools?

Radial Arterial Access for Hepatobiliary and Gastrointestinal Arterial Interventions: Initial Experience

Endovascular Treatment of Renal Artery Stenosis in the Post CORAL Era

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