Transradial Access for Bariatric Embolization

2021 ◽  
pp. 233-241
Author(s):  
Mario A. Cedillo ◽  
Kirema Garcia-Reyes ◽  
Aaron M. Fischman
Keyword(s):  
Transradial Access ◽  
Bariatric Embolization

Understanding Hunger Physiology for Clinical Management of Bariatric Embolization

2019 ◽  
Author(s):  
Victor Kondray ◽  
Chris Kondray ◽  
Lisa Walker ◽  
Sidhartha Tavri
Keyword(s):  
Clinical Management ◽  
Bariatric Embolization

scholarly journals Feasibility and safety of the successive use of distal transradial access for coronary angiography and intervention in the same arm

2021 ◽  
Author(s):  
Takeshi Yamada ◽  
Soichiro Washimi ◽  
Sho Hashimoto ◽  
Norimasa Taniguchi ◽  
Shunsuke Nakajima ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
Transradial Access

scholarly journals TCT-752 Transradial Access is Associated With an Increased of Risk Catheter-Induced Coronary Artery Dissection Compared with Transfemoral Access

2018 ◽  
Vol 72 (13) ◽  
pp. B300-B301
Author(s):  
Paul Boland ◽  
Trevor Simard ◽  
Ian Pitcher ◽  
Pietro Di Santo ◽  
Francisco Ramirez ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Artery Dissection ◽  
Coronary Artery Dissection ◽  
Transradial Access

Radial To Peripheral: The Efficacy of Transradial Access for Peripheral Interventions in Patients With Complex Transfemoral Access

2021 ◽  
Vol 28 ◽  
pp. S26
Author(s):  
Mohamed Elmassry ◽  
Marina Iskandir ◽  
Anna Srivastava ◽  
Malak Faragallah ◽  
Menfil Orellana-Barrios ◽  
...  
Keyword(s):  
Transradial Access

scholarly journals Non-target digital ischemia in an ulnar artery distribution following transradial access: Case report and review of best practice techniques

2021 ◽  
pp. 112972982110008
Author(s):  
Patrick Kennedy ◽  
Darren Klass ◽  
John Chung
Keyword(s):  
Best Practice ◽  
Artery Aneurysm ◽  
Ulnar Artery ◽  
Complication Rates ◽  
Endovascular Interventions ◽  
Transradial Access ◽  
Digital Ischemia ◽  
Aneurysm Embolization ◽  
Lower Complication ◽  
Access Complications

Transradial access is a safe approach for visceral endovascular interventions, with lower complication rates compared to transfemoral access. This report describes an unusual case of ulnar artery thrombosis following splenic artery aneurysm embolization via left transradial approach, resulting in non-target digital ischemia and eventual amputation of the ring and little finger distal phalanges. Technical considerations to reduce the incidence of access complications are also reviewed, along with practice modifications undertaken at our institution following this case to improve outcomes.

Transradial access and the risk of periprocedural stroke

2017 ◽  
Vol 186 ◽  
pp. e5-e6 ◽  
Author(s):  
Artur Dziewierz ◽  
Zbigniew Siudak ◽  
Tomasz Rakowski ◽  
Dariusz Dudek
Keyword(s):  
Transradial Access ◽  
Periprocedural Stroke

Abstract P541: Avoiding the Radial Paradox: Radial Adoption is Not Associated With Worse Femoral Outcomes in Neuroendovascular Cases

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
D. Andrew Wilkinson ◽  
Neil Majmundar ◽  
Joshua Catapano ◽  
Tyler Cole ◽  
Jacob Baranoski ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Vascular Access ◽  
Older Patients ◽  
Population Level ◽  
Single Center ◽  
Access Site ◽  
Patient Level ◽  
Transradial Access ◽  
Increased Risk ◽  
Historical Controls

Background and Purpose: Transradial access (TRA) for neuroendovascular procedures is increasing in prevalence, although numerous procedures are still performed using transfemoral access (TFA). Some cardiology studies have suggested the safety benefits of TRA at a patient level may be offset at a population level by a paradoxical increase in TFA vascular access site complications (VASCs) associated with radial adoption, the so-called “radial paradox.” We studied the effect of TRA adoption on TFA performance and VASC rates in neuroendovascular procedures. Methods: Data were collected for all neuroendovascular procedures performed over a 10-month period by trainees after implementation of a radial-first paradigm at a single center. Results: Over the study period, 1,084 procedures were performed, including 689 (63.6%) via TRA and 395 (36.4%) via TFA. In comparison to TRA, TFA cases were performed in older patients (TFA 63 ±15 vs. TRA 56 ±16), were predominantly male (TFA 52.9% vs. TRA 38.6%), used larger sheath sizes (≥7 French, TFA 56.6% vs. TRA 2.3%), were more often emergent (TFA 37.7% vs. TRA 1.1%), and used tPA administration (TFA 15.3% vs. TRA 0%) (p<.001 for all comparisons). Overall, 29 VASCs occurred (2.7%), including 27 minor (TFA 4.6% [18/395] vs. TRA 1.3% [9/689], p=.002) and 2 major (TFA 0.3% [1/395] vs. TRA 0.1% [1/689], p>.99) complications. After multivariate analysis, independent predictors of any VASC included TFA (OR 2.8, 95% CI 1.1-7.4) and use of dual antiplatelets (OR 4.2, 95% CI 1.6—11.1). Conclusions: TFA remains an essential route for neuroendovascular procedures, accounting for 36.4% of cases under a radial-first paradigm. TFA is disproportionately performed in patients undergoing procedures with an increased-risk for VASCs, though the minor and major VASC rates are comparable to historical controls. TFA proficiency may still be achieved in radial-first training without an increase in femoral complications.

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