Limitations of successive transradial approach in the same arm: The Japanese experience

Sakai, Hideaki; Ikeda, Satoshi; Harada, Takashi; Yonashiro, Suguru; Ozumi, Kiyoshi; Ohe, Haruto; Ochiai, Masahiko; Miyahara, Yoshiyuki; Kohno, Shigeru

doi:10.1002/ccd.1268.abs

Cited by 7 publications

(8 citation statements)

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“…The prevalence of structural changes in the scanned RAs in this study was considerably high (140/174, 80%), and were more commonly detected in RAs that were previously cannulated within one month prior to randomization. This is in concordance with previously published reports , thus, structural changes (acute and/or chronic) in any previously cannulated RA, is a universal and common finding. Nevertheless, in real life practice, repeated‐TRIs (without pre‐procedure scanning of the RAs) are done successfully in the high volume Cath.…”

Section: Discussionsupporting

confidence: 93%

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Role of vascular ultrasound scanning in repeated trans‐radial coronary artery intervention (prospective randomized study)

Elmahdy

Hammami

ElGuindy

2017

Cathet Cardio Intervent

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Section: Discussionsupporting

confidence: 93%

“…labs.) , consequently, the rate of repeated transradial intervention (TRI) increased significantly . On the other hand, lately, it was proven that TRA induces trauma to the radial artery (RA) that negatively affects its structure and function .…”

Section: Introductionmentioning

confidence: 99%

Role of vascular ultrasound scanning in repeated trans‐radial coronary artery intervention (prospective randomized study)

Elmahdy

Hammami

ElGuindy

2017

Cathet Cardio Intervent

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“…Tight puncture site compression with bandage after catheterization may also facilitate local thrombus formation [17]. Sakai et al, showed that repeat RA puncture failed in 3.5% of male and 7.9% female patients and 90% of failures (56 out of 62) were related with RA stenosis or occlusion [18].…”

Section: Discussionmentioning

confidence: 99%

Recanalization and reuse of early occluded radial artery within 6 days after previous transradial diagnostic procedure

Бабунашвили¹,

Дундуа²

2011

Cathet Cardio Intervent

129

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Late radial artery (RA) thrombosis occurs in 3-9% after transradial interventions. RA occlusion has made this approach unsuitable for repeat interventions and obviated the need for alternative vascular access for catheterization, e.g., left RA (with certain risk of bilateral RA occlusion) or femoral artery with its shortcomings and, sometimes, life-threatening complications requiring surgical treatment (large groin hematoma, arterio-venous fistula or false aneurysm, retroperitoneal hemorrhage). We demonstrate the possibility of retrograde RA recanalization, dilatation, and restoration of the RA patency within 6 days after first transradial coronary diagnostic catheterization complicated with acute RA occlusion. Thus we were able to recanalize previously occluded RA and reuse it for repeat transradial coronary interventions.

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“…On the other hand, we must recognize that the transradial approach has a limitation in that larger sized angioplasty, aspiration, or thrombectomy cannot be performed, though we did not encounter this in our study. The transradial approach also has an increasing dropout rate for successive repeated procedures, probably due to thickening of the tunica intima resulting from sheath insertion injuries [18], and a potential risk of radial artery occlusion. According to recent reports with transradial coronary intervention or peripheral intervention, the incidence of radial artery occlusion after the procedure is 0–6% [19–22].…”

Section: Discussionmentioning

confidence: 99%

Transradial intervention for native fistula failure

Kawarada

Yokoi

Nakata

et al. 2006

Cathet. Cardiovasc. Intervent.

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The native radiocephalic (Brescia-Cimino) fistula is usually constructed with an anastomosis of the cephalic vein and radial artery. Catheter interventions for native fistula failure have until now been performed via the transcephalic or transbrachial approach. Transradial intervention for native fistula failure was prospectively evaluated for a selected consecutive 11 patients. Six patients had a single lesion and 5 patients had double lesions. Twelve lesions were stenotic and 4 were occlusive with thrombus. Balloon angioplasty alone was successful in 10 lesions. In thrombosed fistulas, 2 lesions underwent manual catheter-directed thrombo-aspiration and 2 further lesions underwent a combination of catheter-directed thrombo-aspiration and mechanical thrombectomy. Cutting Balloon angioplasty was performed for 3 resistant venous stenoses and for 1 radial artery stenosis. Technical and clinical success were achieved in all patients. No vessel rupture or perforation was observed in this study, nor was distal embolization in the radial artery or symptomatic pulmonary embolism. No radial artery occlusion or fistula infection was seen during the follow-up. The primary patency rates were 82% at 3 months and 64% at 6 months. Transradial intervention for native fistula failure is considered safe and feasible in a selected population; yet requires further validation.

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Limitations of successive transradial approach in the same arm: The Japanese experience

Cited by 7 publications

References 0 publications

Role of vascular ultrasound scanning in repeated trans‐radial coronary artery intervention (prospective randomized study)

Role of vascular ultrasound scanning in repeated trans‐radial coronary artery intervention (prospective randomized study)

Recanalization and reuse of early occluded radial artery within 6 days after previous transradial diagnostic procedure

Transradial intervention for native fistula failure

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