The role of the transradial approach in invasive diagnostics and treatment of peripheral arterial disease

    Authors

    Keywords

    transradial access, peripheral artery disease, transluminal intervention

    DOI

    https://doi.org/10.15836/ccar2016.111

    Full Text

    Transradial approach became frequent procedure in treatment of percutaneous coronary interventions while the same approach is still used rarely with the patients who need invasive angiology diagnostics. The main advantages of the transradial approach concerning the potential complications are generally very well known as well as the advantages in the means of comfort for the patient. (1-3) In University Clinical Centre “Sestre milosrdnice” from 2011 transradial approach was used in total of 101 cases of invasive diagnostics or interventional treatment. In 32 situations it was used as one of the additional approaches within the main intervention on iliac arteries, whilst in 11 cases the transradial approach was the main the intervention on iliac arteries. For now, the transradial approach is mainly reserved for the interventions on renal and iliac arteries. Transradial approach is safe and reliable method for invasive diagnostics of peripheral arteries whilst the application of the interventions on arteries of the lower limb just recently started to be applied more often.

    Literature

    1. Coscas R, de Blic R, Capdevila C, Javerliat I, Goëau-Brissonniere O, Coggia M. Percutaneous radial access for peripheral transluminal angioplasty. J Vasc Surg. 2015;61(2):463–8. https://doi.org/10.1016/j.jvs.2014.07.009
    2. Cortese B, Trani C, Lorenzoni R, Sbarzaglia P, Latib A, Tommasino A, et al. Safety and feasibility of iliac endovascular interventions with a radial approach. Results from a multicenter study coordinated by the Italian Radial Force. Int J Cardiol. 2014;175(2):280–4. https://doi.org/10.1016/j.ijcard.2014.05.012
    3. Ruzsa Z, Tóth K, Jambrik Z, Kovács N, Nardai S, Nemes B, et al. Transradial access for renal artery intervention. Interv Med Appl Sci. 2014;6(3):97–103. https://doi.org/10.1556/IMAS.6.2014.3.1
    Cardiologia Croatica
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    The role of the transradial approach in invasive diagnostics and treatment of peripheral arterial disease

    Abstract
    Issue3-4
    Published
    Pages111
    PDF via DOIhttps://doi.org/10.15836/ccar2016.111
    transradial access
    peripheral artery disease
    transluminal intervention

    Authors

    Tomislav Krčmar*ORCIDUniversity Hospital Centre “Sestre milosrdnice”, Zagreb, Croatia
    Ivica BenkoORCIDUniversity Hospital Centre “Sestre milosrdnice”, Zagreb, Croatia
    Jadranka DaskijevićORCIDUniversity Hospital Centre “Sestre milosrdnice”, Zagreb, Croatia

    *Correspondence email: tomislav.krcmar@gmail.com

    Full Text

    Transradial approach became frequent procedure in treatment of percutaneous coronary interventions while the same approach is still used rarely with the patients who need invasive angiology diagnostics. The main advantages of the transradial approach concerning the potential complications are generally very well known as well as the advantages in the means of comfort for the patient. (1–3)

    In University Clinical Centre “Sestre milosrdnice” from 2011 transradial approach was used in total of 101 cases of invasive diagnostics or interventional treatment. In 32 situations it was used as one of the additional approaches within the main intervention on iliac arteries, whilst in 11 cases the transradial approach was the main the intervention on iliac arteries. For now, the transradial approach is mainly reserved for the interventions on renal and iliac arteries. Transradial approach is safe and reliable method for invasive diagnostics of peripheral arteries whilst the application of the interventions on arteries of the lower limb just recently started to be applied more often.

    Literature

    1. 1.
      Coscas R, de Blic R, Capdevila C, Javerliat I, Goëau-Brissonniere O, Coggia M. Percutaneous radial access for peripheral transluminal angioplasty. J Vasc Surg. 2015;61(2):463–8.DOI
    2. 2.
      Cortese B, Trani C, Lorenzoni R, Sbarzaglia P, Latib A, Tommasino A, et al. Safety and feasibility of iliac endovascular interventions with a radial approach. Results from a multicenter study coordinated by the Italian Radial Force. Int J Cardiol. 2014;175(2):280–4.DOI
    3. 3.
      Ruzsa Z, Tóth K, Jambrik Z, Kovács N, Nardai S, Nemes B, et al. Transradial access for renal artery intervention. Interv Med Appl Sci. 2014;6(3):97–103.DOI