Related Experiment Video
Updated: May 7, 2026
05:31
Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Transradial access for peripheral and cerebrovascular interventions
Roberto Lorenzoni1, Marco Roffi
1UO Malattie Cardiovascolari, Ospedale San Luca, 55100 - Lucca, Italy. lorenzoni.r@gmail.com.
The Journal of Invasive Cardiology
|October 4, 2013
Summary
Transradial access (TRA) offers a viable alternative for peripheral and cerebrovascular interventions when transfemoral access is not possible. This technique may become the preferred method for specific peripheral lesions.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Endovascular Interventions
Background:
- Transfemoral access is standard for percutaneous interventions but carries significant vascular complication risks.
- Femoral access can be challenging in patients with advanced vascular disease.
- Brachial access is an alternative but has associated local complications.
Purpose of the Study:
- To review the indications, equipment, techniques, outcomes, and complications of transradial access (TRA).
- To evaluate the utility of TRA in both peripheral and cerebrovascular interventions.
- To compare TRA with traditional access methods in endovascular procedures.
Main Methods:
- Systematic review of literature on transradial access in peripheral and cerebrovascular interventions.
- Analysis of case studies and clinical data regarding TRA procedures.
- Evaluation of dedicated equipment and technical variations for TRA.
Main Results:
- Transradial access is feasible for a wide range of peripheral and cerebrovascular interventions.
- Dedicated equipment facilitates successful TRA in most vascular territories.
- Complication rates and outcomes associated with TRA require further investigation.
Conclusions:
- Transradial access can serve as an alternative access of choice when transfemoral access is precluded.
- TRA may be the preferred approach for treating selected peripheral lesions.
- Further research is needed to establish TRA as a standard for complex endovascular procedures.
Related Concept Videos
01:11Assessment of radial pulse
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
01:29Drug Delivery: Parenteral Route
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
01:16Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
01:21Cardiac Catheterization II: Right Heart Catheterization
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...