Transradial approach to lower extremity interventions

Review

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Authors: Ravikiran Korabathina, Sidharth S Yadav, John T Coppola, et al

Published Date July 2010 Volume 2010:6 Pages 503 - 509

DOI: http://dx.doi.org/10.2147/VHRM.S11529

Ravikiran Korabathina¹, Sidharth S Yadav¹, John T Coppola², Cezar S Staniloae²

¹Department of Cardiovascular Medicine, Saint Vincents Catholic Medical Center, New York, NY, USA; ²Cardiac and Vascular Institute, New York University Medical Center, New York, NY, USA

Abstract: Percutaneous interventions of the coronary and peripheral vessels have historically been performed using a femoral artery approach. There has been increasing recognition of postprocedural 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.

Keywords: peripheral arterial disease, endovascular interventions, transradial interventions, aorto-iliac angioplasty