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Transradial Access for Radial-to-Peripheral Revascularization in Acute Limb Ischemia
Shadi Halabi1, Ahmad Mohammad2, Marwan Halabi2
1Department of Cardiology, Community Hospital, Powers Health, Munster, Indiana, USA; Indiana University School of Medicine, Indianapolis, Indiana, USA.
JACC. Case Reports
|May 11, 2026
Summary
This study showcases a successful transradial intervention for acute limb ischemia caused by superficial femoral artery occlusion. The procedure involved thrombectomy and angioplasty, restoring blood flow effectively in a single session.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Endovascular Therapy
Background:
- Peripheral artery disease (PAD) and chronic kidney disease (CKD) are significant risk factors for cardiovascular events.
- Acute limb ischemia (ALI) is a critical manifestation of PAD, requiring prompt intervention to preserve limb viability.
Purpose of the Study:
- To report a successful endovascular management of acute limb ischemia secondary to superficial femoral artery occlusion.
- To highlight the efficacy of a transradial approach for complex lower extremity interventions.
Main Methods:
- A 60-year-old female patient with PAD and CKD presented with Rutherford Class IIa ALI.
- Transradial angiography identified a 100% thrombotic occlusion of the superficial femoral artery.
- The lesion was treated with successful crossing, thrombectomy, and drug-coated balloon angioplasty in one session.
Main Results:
- Restoration of TIMI (Thrombolysis In Myocardial Infarction) flow grade 3 was achieved.
- The intervention was completed successfully within a single session.
- The transradial approach facilitated the complex endovascular procedure.
Conclusions:
- Endovascular therapy, including thrombectomy and angioplasty via a transradial approach, is effective for treating acute limb ischemia due to SFA occlusion.
- This approach offers a viable option for patients with comorbidities like CKD.
- Prompt intervention can lead to successful limb salvage and restoration of arterial flow.
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