title: Prone Transradial Catheterization for Combined Single-Session Transarterial Embolization and Percutaneous Posterior Approach Cryoablation of Solid Neoplasms.
abstract: Transradial access (TRA) has been associated with improved post-procedure hemostasis and patient satisfaction, and decreased hemorrhagic complications, sedation requirements, recovery times, and procedure-related costs when compared with traditional transfemoral catheterization. Supine TRA has been described for the treatment of myocardial infarctions, aortoiliac and femoropopliteal stenoses, and a variety of neoplasms. This original research describes prone transradial catheterization to facilitate combined single-session transarterial embolization and percutaneous cryoablation of solid neoplasms from a posterior approach without repositioning. Prone TRA access, transarterial embolization, and percutaneous cryoablation were successful in all cases described. Mean procedure time was 210 min (range: 140-250 min). One minor complication, transient bacteremia which responded to antibiotics, was reported. No major complications occurred.
authors.affiliation: Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA. jeffreychick@gmail.com.
authors.forename: Jeffrey Forris Beecham
authors.initials: JFB
authors.lastname: Chick
authors.affiliation: Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
authors.forename: Casey
authors.initials: C
authors.lastname: Branach
authors.affiliation: Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
authors.forename: Bill Saliba
authors.initials: BS
authors.lastname: Majdalany
authors.affiliation: Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
authors.forename: J
authors.initials: J
authors.lastname: Matthew Meadows
authors.affiliation: Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
authors.forename: Douglas A
authors.initials: DA
authors.lastname: Murrey
authors.affiliation: Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
authors.forename: Wael A
authors.initials: WA
authors.lastname: Saad
authors.affiliation: Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
authors.forename: Minhaj S
authors.initials: MS
authors.lastname: Khaja
authors.affiliation: Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
authors.forename: Kyle J
authors.initials: KJ
authors.lastname: Cooper
authors.affiliation: Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
authors.forename: Matthew L
authors.initials: ML
authors.lastname: Osher
authors.affiliation: Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.
authors.forename: Ravi Nara
authors.initials: RN
authors.lastname: Srinivasa
mesh_terms: D000328:Adult; D000368:Aged; D017115:Catheter Ablation / Q000295:instrumentation / Q000379:methods*; D003131:Combined Modality Therapy; D000072226:Computed Tomography Angiography; D003452:Cryosurgery / Q000295:instrumentation / Q000379:methods*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000000981:diagnostic imaging / Q000401:mortality / Q000628:therapy*; D061646:Operative Time; D016684:Prone Position; D017534:Radial Artery; D015996:Survival Rate; D016896:Treatment Outcome
keywords: Combined transarterial embolization and percutaneous ablation; Cryoablation; Interventional oncology; Interventional radiology; Prone transradial access; Renal cell carcinoma; Sarcoma; Supine transradial access; Transradial access