నైరూప్య

Feasibility, safety and efficacy of peripheral arteriographies through radial access. Early clinical experience of 40 consecutive cases

Ricardo de Souza A. Ferreira*, Jose L. Attab dos Santos, Clemente Greguolo, Jose Fabio Fabris Jr, Marcelo D'anzicourt Pinto, Vicente Paulo Resende, Alan Nascimento Paiva, Cesar Franco de Souza, Leandro Coumbis Mandaloufas, Marcio Alves de Urzeda, Patricia de Godoy Bueno, Naiara do Prado Andrade, Renato Sanchez Antonio

Introduction: Transradial approach (TRA) is a well-established technique for settings of coronary intervention, showing superiority above transfemoral approach (TFA). Most of the benefits of TRA approach can be reproduced to peripheral vascular approaches, despite the absence of scientific evidences in this setting. TRA access has been gradually emerging as an alternative and effective way for arteriographies and vascular interventions comparing to TFA. Our objective is to demonstrate the feasibility and safety of TRA access for the accomplishment of peripheral arteriographies and to provide a guide for those who look for a new TRA peripheral program.

Method: series of 40 consecutive cases, with description of the technique, complications and immediate and short term results of peripheral and visceral arteriographies through TRA access in Hospital Regional do Coração , in the South of Minas Gerais.

Results: Between August, 2017 and March, 2018, 40 patients were submitted to peripheral and visceral arteriographies through TRA access. All the procedures were performed and ended through radial access, with only one crossover access, performed through contralateral radial artery. There were no major complications (bleeding, pseudoaneurysm, occlusion of the symptomatic radial artery, EASY>III hematoma, arteriovenous fistula). Seven patients presented EASY I hematoma, 85,71% female, 72 years of age, on average, and in a 100% of the cases the introducer was 6fr.

Conclusion: Peripheral and visceral arteriography through TRA access proved to be a safe and effective alternative. It allows precocious walking with low rates of complications.