Related Experiment Video

Updated: Aug 9, 2025

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
05:31

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients

Published on: September 20, 2020

5.6K

Case report: Chronic radial artery occlusion treated with paclitaxel-coated balloon via distal transradial access

Ming-Hao Liu1, Hai-Ming Liu2, Li-Jian Gao1

  • 1Department of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

The Journal of Vascular Access
|February 17, 2023
PubMed

Insights

A patient with right radial artery occlusion after coronary angioplasty successfully underwent a second procedure using distal transradial access. The intervention restored radial artery patency, ensuring normal hand function and preventing future complications.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Access

Background:

  • Transradial access is a common approach for percutaneous coronary intervention.
  • Radial artery occlusion (RAO) can occur after transradial procedures, potentially limiting future access.
  • Recurrent angina necessitated a second coronary intervention in this patient.

Observation:

  • Physical examination revealed absent radial artery pulsation, suggesting proximal right radial artery occlusion.
  • Distal transradial access was successfully employed for the repeat percutaneous coronary intervention.
  • Angiography confirmed the presence of right radial artery occlusion.

Findings:

  • The guidewire and guiding catheter successfully navigated the occluded segment after balloon pre-dilation.
  • A paclitaxel drug-coated balloon was deployed to treat the radial artery lesion.
  • Radial artery pulsation was restored 24 hours post-procedure, and the artery remained patent at 8 and 14-month follow-up.

Implications:

  • Distal transradial access is a viable strategy for performing procedures when the proximal radial artery is occluded.
  • Successful treatment of RAO with a drug-coated balloon can restore vascular patency and preserve future access.
  • This approach avoids the need for anticoagulation and maintains normal hand function.

Keywords:
Radial artery occlusioncoronary artery interventiondistal transradial accessdrug-coated balloonintimal hyperplasia

More Related Videos

A Rat Carotid Artery Pressure-Controlled Segmental Balloon Injury with Periadventitial Therapeutic Application06:53

A Rat Carotid Artery Pressure-Controlled Segmental Balloon Injury with Periadventitial Therapeutic Application

Published on: July 9, 2020

5.1K
Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

1.6K

Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral 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...
17
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
16
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
19
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
23