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Balloon-assisted tracking: A practical solution to avoid radial access failure due to difficult anatomical
Ioannis Felekos1, Rafaqat Hussain2, Sundip J Patel3
1St. Thomas Hospital, London, UK.
Summary
The balloon assisted tracking (BAT) technique successfully overcomes anatomical challenges in radial procedures, achieving a 100% success rate. This method minimizes the need for alternative arterial access, enhancing procedural safety and efficiency.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Access
Background:
- Transradial approach (TRA) is a common method for coronary interventions.
- Anatomical variations can pose significant challenges during TRA.
- Standard techniques may fail to address complex radial artery anatomy.
Observation:
- Balloon assisted tracking (BAT) was used in 30 patients (2.72%) out of 1100 undergoing TRA.
- Primary difficulties included radial artery spasm (66.6%) and vessel perforation (16.6%).
- BAT was employed for percutaneous coronary intervention (PCI) in 86.7% of cases.
Findings:
- BAT technique successfully overcame all anatomical difficulties in 100% of cases.
- Coronary angiography and PCI were completed without alternative arterial access.
- Mean additional procedural time was minimal (131s), with no procedure-related complications.
Implications:
- BAT is a highly successful and safe technique for managing complex radial artery anatomy.
- It reduces the need for switching to alternative arterial access sites.
- This technique enhances the feasibility and safety of transradial interventions.
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