REVIEW   Free access

Italian Journal of Vascular and Endovascular Surgery 2021 December;28(4):136-9

DOI: 10.23736/S1824-4777.21.01522-9

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Radial artery access for peripheral endovascular procedures

Snehal BINDRA ¹, Maria GHATAS ², Abhas RAJHANS ², Sam S. AHN ^{3, 4, 5} ✉

¹ Vanderbilt University Medical Center, Nashville, TN, USA; ² University of California, Los Angeles, CA, USA; ³ DFW Vascular Group, Dallas, TX, USA; ⁴ University Vascular Associates, Los Angeles, CA, USA; ⁵ TCU School of Medicine, Fort Worth, TX, USA

Although the use of radial artery access is uncommon in peripheral endovascular procedures, recent studies have suggested it can be favorable. These studies are reviewed in this article. The research examined suggests that radial access is associated with a decreased complication rate, as well as no occurrence of critical limb ischemia, hand amputations, or stroke. Furthermore, the utilization of a smaller sheath, as well as a more superior closure device such as a transradial band, has been proven to further remedy some of the complications which may occur. In cases in which there are patients with lumbosacral spinal diseases and extensive bilateral femoral diseases, radial access is especially useful. Altogether, the studies reviewed propose the safety and efficacy of the use of radial artery access in peripheral vascular interventions.

KEY WORDS: Vascular surgical procedures; Endovascular procedures; Radial artery