Feasibility of distal radial access for carotid interventions: the RADCAR-DISTAL pilot study

Nardai, Sándor; Végh, Edit; Óriás, Viktor; Nemes, Balázs; Tóth, J; Hüttl, Artúr; Hüttl, Kálmán; Avantadil, Babunashvili; Bertrand, Olivier; Merkely, Béla; Ruzsa, Zoltán

doi:10.4244/eij-d-19-00023

Cited by 18 publications

(19 citation statements)

References 8 publications

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“…For example, dTRA was certified a feasible and safe technique for abdominal interventional radiology embolization procedures [62]. In recent years, the advantages of the dTRA for vascular intervention have also attracted the attention of neurointerventionalists (Table 3) [63][64][65][66][67]. In 2018, McCarthy D et al [63] first reported the successful experiences in two patients.…”

Section: Application In Cerebral Angiography and Interventionmentioning

confidence: 99%

“…The total success rate of cannulation via the dTRA in these studies was 90.52%. A non-randomized study including 58 cases via the dTRA and 151 via the TRA, was conducted to explore the feasibility and safety of the novel technique in carotid intervention using 6.5F JR5 sheathless guiding [66]. The procedural success rate was not significantly different in the dTRA group (100%) and TRA group (94%).…”

Section: Application In Cerebral Angiography and Interventionmentioning

confidence: 99%

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Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Cai

Huang

Feng

et al. 2020

BMC Cardiovasc Disord

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Background: Transradial access (TRA) has been considered as the default choice in cardiac catheterization. Although infrequent, vascular complications of this approach remain. Recently, the distal transradial approach (dTRA) in cardiac catheterization was reported by interventionalists. Methods: We retrieved the relevant literatures and reviewed the safety and feasibility of this novel approach in cardiac catheterization. Results: The dTRA for cardiac intervention has superior safety and satisfaction. As a novel approach for cardiac catheterization, access related complications should also be considered by operators, such as RAO, radial spasm, bleeding and haematoma, and injury of the superficial branch of the radial nerve. Conclusions: The dTRA in cardiovascular angiography and intervention was safe and feasible.

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Section: Application In Cerebral Angiography and Interventionmentioning

confidence: 99%

Section: Application In Cerebral Angiography and Interventionmentioning

confidence: 99%

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Cai

Huang

Feng

et al. 2020

BMC Cardiovasc Disord

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“…19 Arteriovenous fistula is asymptomatic; it needs only local compression, and intervention is not necessary. 13 Pseudoaneurysm formation can be treated with ultrasound-guided compression. 14 The most important disadvantage of the technique is the difficult guidewire advancement in the proximal radial artery due to the smaller size and acute angulation of the DR artery, which limits the use of available materials.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7][8] Distal radial (DR) access was used first for Cimino fistula access and then for coronary and peripheral interventions. [9][10][11][12][13][14][15] The main advantages of this puncture site are the ease of compression and low rate of radial artery occlusion. The purpose of this study was to evaluate the acute success and complication rates of the DR approach and to compare the complication rate and procedural success with the conventional PR approach.…”

Section: Introductionmentioning

confidence: 99%

Distal Radial Artery Access for Superficial Femoral Artery Interventions

et al. 2020

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Purpose: To compare the acute success and complication rates of distal radial (DR) vs proximal radial (PR) artery access for superficial femoral artery (SFA) interventions. Materials and Methods: Between 2016 and 2019, 195 consecutive patients with symptomatic SFA stenosis were treated via DR (n=38) or PR (n=157) access using a sheathless guide. Secondary access was achieved through the pedal artery when necessary. The main outcomes were technical success, major adverse events (MAEs), and access site complications. Secondary outcomes were treatment success, fluoroscopy time, radiation dose, procedure time, and crossover rate to another puncture site. Results: Overall technical success was achieved in 188 patients (96.4%): 37 of 38 patients (97.3%) in the DR group and 151 of 157 patients (96.2%) in the PR group (p=0.9). Dual (transradial and transpedal) access was used in 14 patients (36.8%) in the DR group and 28 patients (18.9%) in the PR group (p<0.01). Chronic total occlusions were recanalized in 25 of 26 DR patients (96.1%) and in 79 of 81 PR patients (92.6%) (p=0.57). The crossover rate to femoral access was 0% in the DR group vs 3.2% in the PR group (p=0.59). Stents were implanted in the SFA in 15 DR patients (39.4%) and in 39 patients (24.8%) in the PR group (p=0.1). The contrast volume, fluoroscopy time, radiation dose, and procedure time were not statistically different between the DR and PR groups, nor were the rates of access site complications (2.6% and 7.0%, respectively). The cumulative incidences of MAE at 6 months in the DR and PR groups were 15.7% vs 14.6%, respectively (p=0.8). Conclusion: SFA interventions can be safely and effectively performed using PR or DR access with acceptable morbidity and a high technical success rate. DR access is associated with few access site complications.

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“…Transradial access is safe and effective alternative for iliac artery interventions, but the rate of minor vascular complications are high due to the current sheath size [1]. Distal radial artery access can be applied for peripheral interventions and the technique is related to less radial artery occlusions [2,3]…”

Section: Introductionmentioning

confidence: 99%

Distal Radial and Transpedal Access for Iliac Artery Chronic Total Occlusion Recanalisation using the Rendezvous Technique

Csavajda¹,

Deák²,

Domsik³

et al. 2019

Arch Clin Med Case Rep

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Distal radial artery access with combination of the transpedal access has not been published in the literature for iliac artery chronic total artery occlusion (CTO) recanalisation. A 70-years-old male patient with critical limb ischaemia was presented for iliac artery CTO recanalisation. The distal radial artery was punctured by ultrasonography guidance and the anterograde recanalisation was started from radial artery access, but due to the failed reentry the retrograde recanalisation was done from transpedal access and the retrograde reentry was performed with Rendezvous-technique using dual balloon inflations. Iliac artery stent implantation was done from transpedal access using 6F slender sheath with the good angiography result.

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Feasibility of distal radial access for carotid interventions: the RADCAR-DISTAL pilot study

Cited by 18 publications

References 8 publications

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Distal Radial Artery Access for Superficial Femoral Artery Interventions

Distal Radial and Transpedal Access for Iliac Artery Chronic Total Occlusion Recanalisation using the Rendezvous Technique

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