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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Transradial access for carotid artery stenting: a single-center experience
C Bakoyiannis1, K P Economopoulos, S Georgopoulos
1First Department of Surgery, Vascular Department, University of Athens, Laiko General Hospital, Athens, Greece. bakogian@hotmail.com
Summary
Transradial access for carotid artery stenting (CAS) is a safe and effective option for high-risk patients. This approach offers a 100% technical success rate with no major complications, making it a promising alternative to traditional methods.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Neurology
Background:
- Carotid artery stenting (CAS) is a crucial procedure for stroke prevention.
- Traditional femoral access may be unsuitable for certain patients due to anatomical or pathological limitations.
Purpose of the Study:
- To evaluate the initial experience and feasibility of using the radial artery for CAS.
- To review the existing literature on transradial CAS.
Main Methods:
- A prospective study of nine high-risk patients undergoing CAS via radial artery access.
- Evaluation of major (stroke, TIA, MI, death) and minor (radial artery occlusion, hematoma) complications.
Main Results:
- 100% technical success rate in all nine patients.
- All patients were mobilized within two hours and discharged post-procedure.
- No major or minor complications were reported during the study period.
Conclusions:
- Transradial access is a viable alternative for CAS in patients with unfavorable iliofemoral or aortic anatomy.
- Further refinement of transradial techniques and devices may lead to its wider adoption, potentially replacing conventional femoral access.