Distal radial access for endovascular interventions

Abstract

This article, based on the guidelines of the European Society of Cardiology (ESC), Russian clinical recommendations and large randomized trials, summarizes information about traditional radial access used in X-ray endovascular interventions. We present a description and characteristics of a new distal radial approach. It is a puncture of the deep palmar branch of the radial artery (DLV LA) and catheterization of the radial artery distal to its bifurcation to the superfi cial and deep palmar arches.The aim of this study is to present real time data about distal radial access as current clinical guidelines do not contain information about this new method; to evaluate its advantages and disadvantages, and to assess the frequency of complications. Analysis of references showed that the new distal radial approach is safe, eff ective, competitive and it may be the method of choice for endovascular interventions.

Efficacy and safety of uterine artery embolization via the distal radial approach for uterine fibroids or adenomyosis: a single-center retrospective cohort study

“…Furthermore, there are many complications that may arise, such as having high risk of developing deep vein thrombosis of the lower limbs, puncture point bleeding, and formation of pseudoaneurysm. With improved access techniques, the transradial approach may be a better option ( 4 , 5 ). At present, there are no reports of uterine artery embolization in the distal radial artery approach, and we have more than 1300 successful experiences in the application of this technique in hepatic artery chemoembolization, and it is known that it is safe and effective through this pathway.…”