Radial access may revolutionize the field of peripheral artery interventions

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Radial access may revolutionize the field of peripheral artery interventions
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A new study published today in the Journal of the Society for Cardiovascular Angiography & Interventions (JSCAI) explores the safety and efficacy of using radial access (RA) for peripheral artery interventions.

Reviewed by Megan Craig, M.Sc.Oct 16 2023 The study, conducted by a team of researchers from prominent medical centers, aimed at examining evaluating the safety and feasibility of RA for complex endovascular lower extremity interventions.

From June 2020 to June 2021, 120 patients at 8 U.S. centers were enrolled. Mean age was 68.7 years and 31.7% were women. The 224 lesions treated were in iliac , femoro-popliteal , isolated popliteal and tibial vessels. The primary efficacy endpoint was achieved in 112 patients. One patient required femoral access conversion to complete the procedure. Thirty patients required one or more additional access to facilitate crossing and/or to complete the planned treatment .

Additionally, radial access was found to have the potential to be a safe and effective alternative for performing peripheral artery interventions. The researchers believe that the wrist and forearm offer several advantages over the traditional femoral access site, including improved patient comfort, reduced bleeding complications, and faster ambulation.

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