Status and progress of peripheral interventions <i>via</i> trans-radial access_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

DU Nan ^1,2,3 , ZHOU Xin ^1,2 ,  ZHANG Wen ^1,2,3

1. National Clinical Research Center for Interventional Medicine, Shanghai 200032, P. R. China;
2. Department of Interventional Radiology, Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, P. R. China;
3. Shanghai Institute of Medical Imaging, Shanghai 200032, P. R. China;

Corresponding author：

ZHANG Wen, Email: zhang.wen2@zs-hospital.sh.cn

Keywords：

trans-radial access; peripheral vascular disease; interventional surgery

DOI：

10.7507/1007-9424.202203018

Video：

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Trans-radial access (TRA) has been a common approach to percutaneous coronary intervention (PCI). Comparing with trans-femoral access (TFA), TRA is used as an alternative approach for PCI with less local complications, higher comfort level, and better outcome. In recent years, TRA has been paid more and more attention in peripheral vascular interventions. We reviewed recent developments in peripheral vascular intervention using TRA, with detail summary of the effectiveness, safety, limits, and future developments of it, aiming to improve the understanding and performance of TRA in interventionalists to benefit patients.

Citation： DU Nan, ZHOU Xin, ZHANG Wen. Status and progress of peripheral interventions via trans-radial access. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(5): 561-565. doi: 10.7507/1007-9424.202203018 Copy

1.	Som S, Patel AK, Sethi V, et al. Barriers for transradial coronary angiography and interventions in 2016. Cardiovasc Revasc Med, 2017, 18(3): 221-225.
2.	Kolkailah AA, Alreshq RS, Muhammed AM, et al. Transradial versus transfemoral approach for diagnostic coronary angiography and percutaneous coronary intervention in people with coronary artery disease. Cochrane Database Syst Rev, 2018, 4(4): CD012318.
3.	Franchi E, Marino P, Biondi-Zoccai GG, et al. Transradial versus transfemoral approach for percutaneous coronary procedures. Curr Cardiol Rep, 2009, 11(5): 391-397.
4.	Ibanez B, James S, Agewall S, et al. 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J, 2018, 39(2): 119-177.
5.	Mason PJ, Shah B, Tamis-Holland JE, et al. An update on radial artery access and best practices for transradial coronary angiography and intervention in acute coronary syndrome: a scientific statement from the American Heart Association. Circ Cardiovasc Interv, 2018, 11(9): e000035.
6.	Sgueglia GA, Di Giorgio A, Gaspardone A, et al. Anatomic basis and physiological rationale of distal radial artery access for percutaneous coronary and endovascular procedures. JACC Cardiovasc Interv, 2018, 11(20): 2113-2119.
7.	van Dam L, Geeraedts T, Bijdevaate D, et al. Distal radial artery access for noncoronary endovascular treatment is a safe and feasible technique. J Vasc Interv Radiol, 2019, 30(8): 1281-1285.
8.	Achim A, Kákonyi K, Jambrik Z, et al. Distal radial artery access for coronary and peripheral procedures: a multicenter experience. J Clin Med, 2021, 10(24): 5974.
9.	Posham R, Biederman DM, Patel RS, et al. Transradial approach for noncoronary interventions: a single-center review of safety and feasibility in the first 1, 500 cases. J Vasc Interv Radiol, 2016, 27(2): 159-166.
10.	Patel IJ, Davidson JC, Nikolic B, et al. Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol, 2012, 23(6): 727-736.
11.	Titano JJ, Biederman DM, Zech J, et al. Safety and outcomes of transradial access in patients with international normalized ratio 1.5 or above. J Vasc Interv Radiol, 2018, 29(3): 383-388.
12.	Liu LB, Cedillo MA, Bishay V, et al. Patient experience and preference in transradial versus transfemoral access during transarterial radioembolization: a randomized single-center trial. J Vasc Interv Radiol, 2019, 30(3): 414-420.
13.	Oren O, Oren M, Turgeman Y. Transradial versus transfemoral approach in peripheral arterial interventions. Int J Angiol, 2016, 25(3): 148-152.
14.	Iezzi R, Pompili M, Posa A, et al. Transradial versus transfemoral access for hepatic chemoembolization: intrapatient prospective single-center study. J Vasc Interv Radiol, 2017, 28(9): 1234-1239.
15.	Yamada R, Bracewell S, Bassaco B, et al. Transradial versus transfemoral arterial access in liver cancer embolization: randomized trial to assess patient satisfaction. J Vasc Interv Radiol, 2018, 29(1): 38-43.
16.	Du N, Ma J, Yang M, et al. Transradial access chemoembolization for hepatocellular carcinoma patients. J Vis Exp, 2020, （163）. doi: 10.3791/61109.
17.	Adnan SM, Romagnoli AN, Martinson JR, et al. A comparison of transradial and transfemoral access for splenic angio-embolisation in trauma: a single centre experience. Eur J Vasc Endovasc Surg, 2020, 59(3): 472-479.
18.	Ruzsa Z, Tóth K, Jambrik Z, et al. Transradial access for renal artery intervention. Interv Med Appl Sci, 2014, 6(3): 97-103.
19.	van Dijk LJD, van Noord D, van Mierlo M, et al. Single-center retrospective comparative analysis of transradial, transbrachial, and transfemoral approach for mesenteric arterial procedures. J Vasc Interv Radiol, 2020, 31(1): 130-138.
20.	Sanghvi K, Kurian D, Coppola J. Transradial intervention of iliac and superficial femoral artery disease is feasible. J Interv Cardiol, 2008, 21(5): 385-387.
21.	Becher T, Behnes M, Ünsal M, et al. Radiation exposure and contrast agent use related to radial versus femoral arterial access during percutaneous coronary intervention (PCI)-results of the FERARI study. Cardiovasc Revasc Med, 2016, 17(8): 505-509.
22.	Simard T, Hibbert B, Natarajan MK, et al. Impact of center experience on patient radiation exposure during transradial coronary angiography and percutaneous intervention: a patient-level, international, collaborative, multi-center analysis. J Am Heart Assoc, 2016, 5(6): e003333.
23.	Iezzi R, Posa A, Merlino B, et al. Operator learning curve for transradial liver cancer embolization: implications for the initiation of a transradial access program. Diagn Interv Radiol, 2019, 25(5): 368-374.
24.	Caputo RP, Tremmel JA, Rao S, et al. Transradial arterial access for coronary and peripheral procedures: executive summary by the Transradial Committee of the SCAI. Catheter Cardiovasc Interv, 2011, 78(6): 823-839.
25.	Pancholy SB, Karuparthi PR, Gulati R. A novel nonpharmacologic technique to remove entrapped radial sheath. Catheter Cardiovasc Interv, 2015, 85(1): E35-E38.
26.	Dieter RS, Akef A, Wolff M. Eversion endarterectomy complicating radial artery access for left heart catheterization. Catheter Cardiovasc Interv, 2003, 58(4): 478-480.
27.	Sandoval Y, Bell MR, Gulati R. Transradial artery access complications. Circ Cardiovasc Interv, 2019, 12(11): e007386.
28.	Jolly SS, Yusuf S, Cairns J, et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet, 2011, 377(9775): 1409-1420.
29.	Hage F, Badaoui G, Routledge H, et al. Radial artery occlusion ofter coronarography: is it really a problem? Ann Cardiol Angeiol （Paris）, 2020, 69（1）: 46-50.
30.	Sanmartin M, Gomez M, Rumoroso JR, et al. Interruption of blood flow during compression and radial artery occlusion after transradial catheterization. Catheter Cardiovasc Interv, 2007, 70(2): 185-189.
31.	Pancholy S, Coppola J, Patel T, et al. Prevention of radial artery occlusion-patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization. Catheter Cardiovasc Interv, 2008, 72(3): 335-340.
32.	Cubero JM, Lombardo J, Pedrosa C, et al. Radial compression guided by mean artery pressure versus standard compression with a pneumatic device (RACOMAP). Catheter Cardiovasc Interv, 2009, 73(4): 467-472.
33.	Garg N, Madan BK, Khanna R, et al. Incidence and predictors of radial artery occlusion after transradial coronary angioplasty: doppler-guided follow-up study. J Invasive Cardiol, 2015, 27(2): 106-112.
34.	Saito S, Ikei H, Hosokawa G, et al. Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention. Catheter Cardiovasc Interv, 1999, 46(2): 173-178.
35.	Pancholy SB. Comparison of the effect of intra-arterial versus intravenous heparin on radial artery occlusion after transradial catheterization. Am J Cardiol, 2009, 104(8): 1083-1085.
36.	Rashid M, Kwok CS, Pancholy S, et al. Radial artery occlusion after transradial interventions: a systematic review and meta-analysis. J Am Heart Assoc, 2016, 5(1): e002686.
37.	da Silva RL, de Andrade PB, Abizaid AAC, et al. Comparison of minimum pressure and patent hemostasis on radial artery occlusion after transradial catheterization. J Invasive Cardiol, 2020, 32(4): 147-152.
38.	Tuncez A, Kaya Z, Aras D, et al. Incidence and predictors of radial artery occlusion associated transradial catheterization. Int J Med Sci, 2013, 10(12): 1715-1719.
39.	Sanmartín M, Cuevas D, Goicolea J, et al. Vascular complications associated with radial artery access for cardiac catheterization. Rev Esp Cardiol, 2004, 57(6): 581-584.
40.	Sandoval Y, Burke MN, Lobo AS, et al. Contemporary arterial access in the cardiac catheterization laboratory. JACC Cardiovasc Interv, 2017, 10(22): 2233-2241.
41.	Tizón-Marcos H, Barbeau GR. Incidence of compartment syndrome of the arm in a large series of transradial approach for coronary procedures. J Interv Cardiol, 2008, 21(5): 380-384.
42.	Sirker A, Kwok CS, Kotronias R, et al. Influence of access site choice for cardiac catheterization on risk of adverse neurological events: a systematic review and meta-analysis. Am Heart J, 2016, 181: 107-119.
43.	Dziewierz A, Siudak Z, Tokarek T, et al. Determinants of stroke following percutaneous coronary intervention in acute myocardial infarction (from ORPKI Polish National Registry). Int J Cardiol, 2016, 223: 236-238.
44.	Ochała A, Siudak Z, Legutko J, et al. Percutaneous interventions in cardiology in Poland in the year 2014. Summary report of the Association of Cardiovascular Interventions of the Polish Cardiac Society AISN PTK. Postepy Kardiol Interwencyjnej, 2015, 11(3): 177-181.
45.	Fanaroff AC, Rao SV, Swaminathan RV. Radial access for peripheral interventions. Interv Cardiol Clin, 2020, 9(1): 53-61.

1. Som S, Patel AK, Sethi V, et al. Barriers for transradial coronary angiography and interventions in 2016. Cardiovasc Revasc Med, 2017, 18(3): 221-225.
2. Kolkailah AA, Alreshq RS, Muhammed AM, et al. Transradial versus transfemoral approach for diagnostic coronary angiography and percutaneous coronary intervention in people with coronary artery disease. Cochrane Database Syst Rev, 2018, 4(4): CD012318.
3. Franchi E, Marino P, Biondi-Zoccai GG, et al. Transradial versus transfemoral approach for percutaneous coronary procedures. Curr Cardiol Rep, 2009, 11(5): 391-397.
4. Ibanez B, James S, Agewall S, et al. 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J, 2018, 39(2): 119-177.
5. Mason PJ, Shah B, Tamis-Holland JE, et al. An update on radial artery access and best practices for transradial coronary angiography and intervention in acute coronary syndrome: a scientific statement from the American Heart Association. Circ Cardiovasc Interv, 2018, 11(9): e000035.
6. Sgueglia GA, Di Giorgio A, Gaspardone A, et al. Anatomic basis and physiological rationale of distal radial artery access for percutaneous coronary and endovascular procedures. JACC Cardiovasc Interv, 2018, 11(20): 2113-2119.
7. van Dam L, Geeraedts T, Bijdevaate D, et al. Distal radial artery access for noncoronary endovascular treatment is a safe and feasible technique. J Vasc Interv Radiol, 2019, 30(8): 1281-1285.
8. Achim A, Kákonyi K, Jambrik Z, et al. Distal radial artery access for coronary and peripheral procedures: a multicenter experience. J Clin Med, 2021, 10(24): 5974.
9. Posham R, Biederman DM, Patel RS, et al. Transradial approach for noncoronary interventions: a single-center review of safety and feasibility in the first 1, 500 cases. J Vasc Interv Radiol, 2016, 27(2): 159-166.
10. Patel IJ, Davidson JC, Nikolic B, et al. Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol, 2012, 23(6): 727-736.
11. Titano JJ, Biederman DM, Zech J, et al. Safety and outcomes of transradial access in patients with international normalized ratio 1.5 or above. J Vasc Interv Radiol, 2018, 29(3): 383-388.
12. Liu LB, Cedillo MA, Bishay V, et al. Patient experience and preference in transradial versus transfemoral access during transarterial radioembolization: a randomized single-center trial. J Vasc Interv Radiol, 2019, 30(3): 414-420.
13. Oren O, Oren M, Turgeman Y. Transradial versus transfemoral approach in peripheral arterial interventions. Int J Angiol, 2016, 25(3): 148-152.
14. Iezzi R, Pompili M, Posa A, et al. Transradial versus transfemoral access for hepatic chemoembolization: intrapatient prospective single-center study. J Vasc Interv Radiol, 2017, 28(9): 1234-1239.
15. Yamada R, Bracewell S, Bassaco B, et al. Transradial versus transfemoral arterial access in liver cancer embolization: randomized trial to assess patient satisfaction. J Vasc Interv Radiol, 2018, 29(1): 38-43.
16. Du N, Ma J, Yang M, et al. Transradial access chemoembolization for hepatocellular carcinoma patients. J Vis Exp, 2020, （163）. doi: 10.3791/61109.
17. Adnan SM, Romagnoli AN, Martinson JR, et al. A comparison of transradial and transfemoral access for splenic angio-embolisation in trauma: a single centre experience. Eur J Vasc Endovasc Surg, 2020, 59(3): 472-479.
18. Ruzsa Z, Tóth K, Jambrik Z, et al. Transradial access for renal artery intervention. Interv Med Appl Sci, 2014, 6(3): 97-103.
19. van Dijk LJD, van Noord D, van Mierlo M, et al. Single-center retrospective comparative analysis of transradial, transbrachial, and transfemoral approach for mesenteric arterial procedures. J Vasc Interv Radiol, 2020, 31(1): 130-138.
20. Sanghvi K, Kurian D, Coppola J. Transradial intervention of iliac and superficial femoral artery disease is feasible. J Interv Cardiol, 2008, 21(5): 385-387.
21. Becher T, Behnes M, Ünsal M, et al. Radiation exposure and contrast agent use related to radial versus femoral arterial access during percutaneous coronary intervention (PCI)-results of the FERARI study. Cardiovasc Revasc Med, 2016, 17(8): 505-509.
22. Simard T, Hibbert B, Natarajan MK, et al. Impact of center experience on patient radiation exposure during transradial coronary angiography and percutaneous intervention: a patient-level, international, collaborative, multi-center analysis. J Am Heart Assoc, 2016, 5(6): e003333.
23. Iezzi R, Posa A, Merlino B, et al. Operator learning curve for transradial liver cancer embolization: implications for the initiation of a transradial access program. Diagn Interv Radiol, 2019, 25(5): 368-374.
24. Caputo RP, Tremmel JA, Rao S, et al. Transradial arterial access for coronary and peripheral procedures: executive summary by the Transradial Committee of the SCAI. Catheter Cardiovasc Interv, 2011, 78(6): 823-839.
25. Pancholy SB, Karuparthi PR, Gulati R. A novel nonpharmacologic technique to remove entrapped radial sheath. Catheter Cardiovasc Interv, 2015, 85(1): E35-E38.
26. Dieter RS, Akef A, Wolff M. Eversion endarterectomy complicating radial artery access for left heart catheterization. Catheter Cardiovasc Interv, 2003, 58(4): 478-480.
27. Sandoval Y, Bell MR, Gulati R. Transradial artery access complications. Circ Cardiovasc Interv, 2019, 12(11): e007386.
28. Jolly SS, Yusuf S, Cairns J, et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet, 2011, 377(9775): 1409-1420.
29. Hage F, Badaoui G, Routledge H, et al. Radial artery occlusion ofter coronarography: is it really a problem? Ann Cardiol Angeiol （Paris）, 2020, 69（1）: 46-50.
30. Sanmartin M, Gomez M, Rumoroso JR, et al. Interruption of blood flow during compression and radial artery occlusion after transradial catheterization. Catheter Cardiovasc Interv, 2007, 70(2): 185-189.
31. Pancholy S, Coppola J, Patel T, et al. Prevention of radial artery occlusion-patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization. Catheter Cardiovasc Interv, 2008, 72(3): 335-340.
32. Cubero JM, Lombardo J, Pedrosa C, et al. Radial compression guided by mean artery pressure versus standard compression with a pneumatic device (RACOMAP). Catheter Cardiovasc Interv, 2009, 73(4): 467-472.
33. Garg N, Madan BK, Khanna R, et al. Incidence and predictors of radial artery occlusion after transradial coronary angioplasty: doppler-guided follow-up study. J Invasive Cardiol, 2015, 27(2): 106-112.
34. Saito S, Ikei H, Hosokawa G, et al. Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention. Catheter Cardiovasc Interv, 1999, 46(2): 173-178.
35. Pancholy SB. Comparison of the effect of intra-arterial versus intravenous heparin on radial artery occlusion after transradial catheterization. Am J Cardiol, 2009, 104(8): 1083-1085.
36. Rashid M, Kwok CS, Pancholy S, et al. Radial artery occlusion after transradial interventions: a systematic review and meta-analysis. J Am Heart Assoc, 2016, 5(1): e002686.
37. da Silva RL, de Andrade PB, Abizaid AAC, et al. Comparison of minimum pressure and patent hemostasis on radial artery occlusion after transradial catheterization. J Invasive Cardiol, 2020, 32(4): 147-152.
38. Tuncez A, Kaya Z, Aras D, et al. Incidence and predictors of radial artery occlusion associated transradial catheterization. Int J Med Sci, 2013, 10(12): 1715-1719.
39. Sanmartín M, Cuevas D, Goicolea J, et al. Vascular complications associated with radial artery access for cardiac catheterization. Rev Esp Cardiol, 2004, 57(6): 581-584.
40. Sandoval Y, Burke MN, Lobo AS, et al. Contemporary arterial access in the cardiac catheterization laboratory. JACC Cardiovasc Interv, 2017, 10(22): 2233-2241.
41. Tizón-Marcos H, Barbeau GR. Incidence of compartment syndrome of the arm in a large series of transradial approach for coronary procedures. J Interv Cardiol, 2008, 21(5): 380-384.
42. Sirker A, Kwok CS, Kotronias R, et al. Influence of access site choice for cardiac catheterization on risk of adverse neurological events: a systematic review and meta-analysis. Am Heart J, 2016, 181: 107-119.
43. Dziewierz A, Siudak Z, Tokarek T, et al. Determinants of stroke following percutaneous coronary intervention in acute myocardial infarction (from ORPKI Polish National Registry). Int J Cardiol, 2016, 223: 236-238.
44. Ochała A, Siudak Z, Legutko J, et al. Percutaneous interventions in cardiology in Poland in the year 2014. Summary report of the Association of Cardiovascular Interventions of the Polish Cardiac Society AISN PTK. Postepy Kardiol Interwencyjnej, 2015, 11(3): 177-181.
45. Fanaroff AC, Rao SV, Swaminathan RV. Radial access for peripheral interventions. Interv Cardiol Clin, 2020, 9(1): 53-61.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Status and progress of peripheral interventions via trans-radial access

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