Transradial approach to lower extremity interventions.
Percutaneous interventions of the coronary and peripheral vessels have historically been performed using a femoral artery approach. There has been increasing recognition of post-procedural bleeding complications and its impact on short- and long-term mortality. Because of its now recognized safety, the transradial approach has recently emerged as a preferred method compared to the transfemoral approach. The limitations associated with the distance from the puncture site to the lesion location are being addressed as new tools are developed for the endovascular treatment of peripheral arterial disease. In this review, we discuss the many facets of the transradial approach to lower extremity endovascular interventions, highlighting its safety and efficacy. Approaches to special populations including individuals with prior surgical bypass, Leriche's syndrome, and those committed to chronic anticoagulation are also reviewed.
Korabathina
Ravikiran
R
Department of Cardiovascular Medicine, Saint Vincents Catholic Medical Center, New York, NY, USA.
Yadav
Sidharth S
SS
Coppola
John T
JT
Staniloae
Cezar S
CS
D000925:Anticoagulants / Q000627:therapeutic use; D001026:Coronary Artery Bypass / Q000379:methods; D057510:Endovascular Procedures / Q000009:adverse effects / Q000379:methods*; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007925:Leriche Syndrome / Q000601:surgery; D017534:Radial Artery / Q000033:anatomy & histology / Q000601:surgery; D016896:Treatment Outcome
D000925:Anticoagulants