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Updated: Aug 24, 2025

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
A narrative review of history, advantages, future developments of the distal radial access
Alexander Vladimirovich Korotkikh1, Avtandil Mikhailovich Babunashvili2, Anton Nikolaevich Kazantsev3
1Cardiac Surgery Clinic, Amur State Medical Academy, Blagoveshchensk, Russia.
Abstract:
This article presents a historical excursus and a review of modern literature on distal radial access for interventional surgery, discussing the anatomical and physiological substantiation of the use of this access point in endovascular surgery, its advantages and disadvantages. The main considerations directly related to distal puncture, choice of instrumentation, hemostasis, possible complications, and prevention are analyzed. The major areas of interventional surgery (coronary, vascular, oncological, and neurointerventional), where the distal radial approach is actively used, are reflected and their characteristics are highlighted. In general, it has been shown that with the development of technology, improved manual skills, the widespread use of hydrophilic introducers, and modern sheathless guiding catheters, the vessel diameter, and puncture site are not decisive factors when choosing access for any type of intervention.
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