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Radial Artery Access for Peripheral Vascular Interventions: A Review of the Literature
Carolyn Song1, Sarah J Carlson2
1The Division of Surgery, Veterans Affairs Boston Healthcare System, West Roxbury, MA.
Background:
Percutaneous radial artery access for lower extremity arterial interventions has increased in popularity in recent years. The purpose of this review is to summarize available data regarding its safety and efficacy.
Methods:
Studies related to the use of the percutaneous radial artery access for peripheral artery intervention were identified in a search of the PubMed database. Outcomes evaluated were access complications and technical success.
Results:
Thirteen studies that evaluated patients undergoing percutaneous radial artery access with peripheral interventions were reviewed. Several studies were able to demonstrate use of up to 8Fr sheath; however, the majority was 6Fr. Reported rates of asymptomatic radial artery occlusion ranged up to 16% and reported radial artery access site complication rate ranged from 0 to 15.6%. Technical success ranged from 74 to 98.7%.
Conclusions:
Percutaneous radial artery access can effectively and safely be used in select patients.
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