Transradial artery access for percutaneous cardiovascular procedures: state of the art and future directions

Bellamoli, Michele; Venturi, Gabriele; Pighi, Michele; Pacchioni, Andrea

doi:10.23736/s2724-5683.20.05391-8

Cited by 3 publications

(3 citation statements)

References 115 publications

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“…The utilization of balloon-assisted tracking (BAT) has increasingly become a standardized approach to address a range of anatomical challenges encountered during transradial access (TRA). These challenges encompass resistant spasm, severe tortuosity, difficult loops, narrower vessels, stenotic lesions, and iatrogenic perforations [9][10][11][12]. The prevalence of these unfavorable anatomical variations varies from 2% to 10% in different studies and significantly contributes to procedure failure rates [10][11][12][13][14][15].…”

Section: Resultsmentioning

confidence: 99%

“…does, however, offer certain anatomical difficulties in some individuals, which might result in access failure and call for the use of a different vascular access method. These structural challenges may include severe spasm, decreased artery width, atherosclerotic disease, complicated routes, complex loops, and the occasional dissection or perforation induced by catheter placement [9][10][11][12]. Several strategies have been used to circumvent these restrictions [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

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Balloon asisted tracking technique in complex transradial access: A single center experience

Donmez,

Acar

2023

j-ebr

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The transradial technique (TRA) has become widely accepted for coronary catheterization. While TRA offers numerous benefits, certain anatomical challenges can lead to access failure. Balloon-assisted tracking (BAT) has emerged as a valuable technique to overcome these challenges and improve success rates. This study aims to evaluate the feasibility and efficacy of BAT during coronary interventions using TRA. Methods: A retrospective analysis was conducted on patients who underwent diagnostic or percutaneous coronary intervention (PCI) procedures between September 2020 and May 2023. Patient demographics, clinical data, and procedural information were collected for cases where BAT was employed to overcome radial or brachial arterial complexity. Results: A total of 23 patients encountered anatomical difficulties necessitating BAT during the procedure, both elective and acute coronary syndrome (ACS). Radial artery spasm was the most common indication for BAT, with a high proportion of female patients. Successful completion of coronary intervention using BAT, without the need for femoral artery crossover, was achieved in all cases except one. Also, the complexity of anatomy (such as tortuosity, arterial loop, or small artery crossing) was another reason for BAT use. The mean procedural time was 47.9 minutes, and no complications related to the access site were observed. Conclusions:The findings demonstrate that BAT is a safe and effective technique for overcoming complex radial artery anatomical challenges and radial spasm during TRA. The study supports the adoption of BAT in TRA procedures and highlights its potential benefits in both elective and ACS cases.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Balloon asisted tracking technique in complex transradial access: A single center experience

Donmez,

Acar

2023

j-ebr

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“…Recently, transradial coronary intervention (TRI) has gained popularity in the treatment of CAD because of advantages such as low incidence rates of access site bleeding and vascular complications, early ambulation, improved patient comfort, and short hospital stay ( 3 , 4 ). Furthermore, several clinical trials ( 4 , 5 ) and meta-analyses ( 6 ) associated TRI with higher procedural success rates, lower mortality rates, and comparable main adverse cardiovascular and cerebrovascular event (MACCE) rates compared with TFI.…”

Section: Introductionmentioning

confidence: 99%

Guidezilla™ guide extension catheter I for transradial coronary intervention

Lei

Liang

Fang

et al. 2022

Front. Cardiovasc. Med.

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BackgroundPercutaneous coronary intervention (PCI) is the preferred treatment method for coronary artery diseases (CAD). This study aimed to evaluate the effectiveness and complications of the Guidezilla™ guide extension catheter I (GGEC I) in transradial coronary intervention (TRI).MethodsThis case series study included patients with CAD who underwent TRI using the GGEC I between August 2016 and January 2019 at the First Affiliated Hospital of Xi’an Jiaotong University.ResultsA total of 221 patients aged 65.1 ± 9.26 years were included. Coronary angiography results indicated that most patients (77.8%) had triple-vessel lesions, including 47.5% with chronic total occlusion (CTO). A total of 237 target lesions were treated, most being type C lesions (95.8%). The most common indication for GGEC I use was heavy calcification (67%), followed by extreme tortuosity (12.2%), extreme tortuosity and heavy calcification (10.9%), distally located lesion (4.5%), picking up the retrograde wire (3.2%), anomalous vessel origin (1.8%), and releasing the burr incarceration (0.4%). The mean operation time was 58 min, and the overall success rate was 94.1%. Four patients received a drug-coated balloon. No significant differences were found in operation time and success rate among the low (<23), intermediate (23–32), and severe (>32) CAD groups based on SYNTAX score stratification (P > 0.05). Two subacute thrombosis cases each were reported perioperatively, during hospitalization, and at the 1-month follow-up.ConclusionThe GGEC I might have advantages for TRI and is unaffected by SYNTAX score stratification.

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Comparison of long-term prognoses of percutaneous coronary intervention via distal transradial and conventional transradial access for acute coronary syndrome

Xu,

Lu,

Shi

et al. 2024

Hellenic Journal of Cardiology

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Transradial artery access for percutaneous cardiovascular procedures: state of the art and future directions

Cited by 3 publications

References 115 publications

Balloon asisted tracking technique in complex transradial access: A single center experience

Balloon asisted tracking technique in complex transradial access: A single center experience

Guidezilla™ guide extension catheter I for transradial coronary intervention

Comparison of long-term prognoses of percutaneous coronary intervention via distal transradial and conventional transradial access for acute coronary syndrome

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