Transradial approach for challenging vascular access interventions

Background Percutaneous interventional procedures for vascular access are usually performed using the draining cephalic or basilic vein. The transradial approach, which has been extensively investigated for coronary angiography and intervention, could be an attractive new technique for peri-anastomo...

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Bibliographic Details
Published in:Vascular 2015-08, Vol.23 (4), p.374-381
Main Authors: Rahmatzadeh, Mitra, Vijayan, Vikram, Ritter, Carsten J, Hockley, Joseph, Leong, Benjamin DK, Sandford, Monique, Mwipatayi, Bibombe P
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Angioplasty - instrumentation
Angioplasty - methods
Arterial Occlusive Diseases - etiology
Arterial Occlusive Diseases - physiopathology
Arteriovenous Shunt, Surgical - adverse effects
Catheterization, Peripheral - instrumentation
Catheterization, Peripheral - methods
Constriction, Pathologic
Equipment Design
Female
Humans
Kaplan-Meier Estimate
Kidney Failure, Chronic - diagnosis
Kidney Failure, Chronic - therapy
Male
Middle Aged
Plethysmography
Punctures
Radial Artery - diagnostic imaging
Radial Artery - physiopathology
Radiography
Renal Dialysis
Retrospective Studies
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Color
Vascular Access Devices
Vascular Patency
Western Australia
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Summary:Background Percutaneous interventional procedures for vascular access are usually performed using the draining cephalic or basilic vein. The transradial approach, which has been extensively investigated for coronary angiography and intervention, could be an attractive new technique for peri-anastomotic arteriovenous fistula stenosis. Method From June 2012 to February 2013, 30 patients with end-stage renal failure were evaluated for transradial vascular access intervention. A 4-French (Fr) micropuncture kit was used to access the radial artery and then subsequently upgraded to a 5-Fr sheath. Fourteen patients required an upgrade to a 6-Fr sheath for the final intervention. Results Primary technical success (residual stenosis
ISSN:1708-5381
1708-539X
DOI:10.1177/1708538114546882