Application of transradial approach in peripheral interventional therapy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 YU Haibin , HE Xin

Department of Intervention Therapy, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, P. R. China;

Corresponding?author：

YU Haibin, Email: qqq7363636@163.com

Keywords：

trans-radial access; interventional therapy; complication; peripheral intervention

DOI：

10.7507/1007-9424.202203085

Video：

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With the development of interventional therapy technology, trans radial access (TRA) has gradually become the main approach of interventional therapy. Compared with trans femoral access (TFA), TRA has obvious advantages, which can shorten the time of lying in bed and reduce the incidence of complications. However, the radial artery is thinner than the femoral artery, the incidence of spasm is high, and the success rate of puncture is low, so the technical level of operation is required to be high. Nowadays, TRA has been gradually applied to lung cancer, aortic disease, hepatocellular carcinoma, spleen disease, renal artery disease, and other peripheral vascular diseases. With the confirmation of the safety and feasibility of TRA in interventional therapy in different fields, the popularization of TRA in different interventional fields will be supported.

Citation： YU Haibin, HE Xin. Application of transradial approach in peripheral interventional therapy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(5): 566-569. doi: 10.7507/1007-9424.202203085 Copy

1.	申寶忠, 楊建勇. 介入放射學. 北京: 人民衛生出版社, 2018: 1.
2.	Park JH, Kim DY, Kim JW, et al. Efficacy of transradial cerebral angiography in the elderly. J Korean Neurosurg Soc, 2013, 53(4): 213-217.
3.	葛均波. 冠狀動脈介入治療發展史一瞥. 上海醫學, 2010, 33(1): 1-3.
4.	劉高飛, 李達文. 經橈動脈途徑腦血管介入診療技術研究進展. 中華老年心腦血管病雜志, 2014, 16(12): 1340-1342.
5.	蔣奕瀟, 黃波, 王禹川, 等. 量化、簡化Allen試驗在經橈動脈介入治療術前的應用. 實用醫學雜志, 2021, 37(15): 1944-1947.
6.	van Dam L, Geeraedts T, Bijdevaate D, et al. distal radial artery access for noncoronary endovascular treatment is a safe and feasible technique. J Vasc Interv Radiol, 2019, 30(8): 1281-1285.
7.	Yamada R, Bracewell S, Bassaco B, et al. Transradial versus transfemoral arterial access in liver cancer embolization: randomized trial to assess patient satisfaction. J Vasc Interv Radiol, 2018, 29(1): 38-43.
8.	Toyoda H, Yasuda S, Shiota S, et al. Safety, feasibility, and comfort of hepatic angiography and transarterial intervention with radial access for hepatocellular carcinoma. JGH Open, 2021, 5(9): 1041-1046.
9.	賀喜強, 楊軍, 王聯璧, 等. 透壁法橈動脈穿刺置管術的臨床應用. 中國現代醫學雜志, 1998, (10): 76.
10.	崔旭輝, 胡怡, 雷兵. 經橈動脈介入治療89例不成功原因分析. 現代中西醫結合雜志, 2008, 17(34): 5353-5354.
11.	王全蕊, 王修美, 張華鋒. 3 327例經橈動脈介入手術患者的常見并發癥. 中國老年學雜志, 2016, 36(14): 3588-3589.
12.	Kim JY, Yoon J, Jung HS, et al. Feasibility of the radial artery as a vascular access route in performing primary percutaneous coronary intervention. Yonsei Med J, 2005, 46(4): 503-510.
13.	李亞威, 趙赫, 龔濤, 等. 經橈動脈與經股動脈途徑行TACE治療肝癌患者住院指標的相關研究. 醫學影像學雜志, 2020, 30(9): 1680-1683.
14.	Mann T, Cowper PA, Peterson ED, et al. Transradial coronary stenting: comparison with femoral access closed with an arterial suture device. Catheter Cardiovasc Interv, 2000, 49(2): 150-156.
15.	江海林, 孟小茜, 廖華強, 等. 經橈動脈途徑行外周介入的安全性與可行性. 介入放射學雜志, 2018, 27(11): 1027-1030.
16.	宋飛, 向盈盈, 張紀貴, 等. 經橈動脈途徑與股動脈途徑介入治療肺鱗癌的對比. 昆明醫科大學學報, 2021, 42(9): 134-137.
17.	羅紅. 經皮橈動脈穿刺在DebakeyⅢ型主動脈夾層動脈瘤腔內隔絕治療上的臨床應用. 中國中醫藥咨訊, 2011, 3(19): 99-100.
18.	陳嫄媛. 肝癌患者介入治療經橈動脈和經股動脈入路的對比: 系統評價和薈萃分析. 重慶: 重慶醫科大學, 2019.
19.	江海林. 經橈動脈途徑行外周血管介入的可行性與安全性研究. 上海: 中國人民解放軍海軍軍醫大學, 2021.
20.	趙瑞峰, 朱旭瑤, 信嘉軒, 等. 經橈動脈途徑脾動脈栓塞術經驗探討. 中國衛生標準管理, 2020, 11(16): 76-79.
21.	繆國斌, 李強, 陳明, 等. 經橈動脈途徑行腎動脈造影及介入治療的可行性研究. 中國醫藥導刊, 2013, (11): 1746-1747, 1749.
22.	劉繼軒, 陳光輝, 孫志軍, 等. 經股動脈與經橈動脈腎動脈造影及支架置入的安全性和有效性比較. 解放軍醫學院學報, 2016, 37(6): 529-531, 551.
23.	Scharf Z, Momah-Ukeh I, Kim AY. Trans-radial embolization of bleeding renal angiomyolipoma in pregnant 30-year-old female - A case report. J Radiol Case Rep, 2019, 13(2): 34-42.
24.	張煥鑫, 李波, 趙繼先. 經橈動脈路徑行選擇性腎動脈造影的臨床研究. 中國循證心血管醫學雜志, 2017, 9(11): 1346-1348.
25.	Al Qahtani N, ALahaideb BA, Basahai IA, et al. The indications and outcome of percutaneous trans-arterial embolization of the uterine artery: A single center experience. 2019. https://doi.org/10.33545/gynae.2021.v5.i4e.1001.
26.	Khayrutindov ER, Zharikov SB, Vorontsov IM, et al. Our first experience with prostatic artery embolization via transradial access. Int J Intervent Cardioangiol, 2015, 41: 32-35.
27.	Chen SX, Zhang B, Hao YX, et al. Percutaneous mechanical thrombectomy for acute superior mesenteric artery embolism via left distal transradial access in the anatomical snuffbox. Quant Imaging Med Surg, 2022, 12(2): 1641-1646.
28.	Ancheita RM, Virginia SM, Velazquez RCV. Superior mesenteric and hepatic artery percutaneous intervention by left radial artery approach in a cachectic patient with severe mesenteric ischemia. J Vasc Endovasc Therapy, 2018, 3(2): 9.

1. 申寶忠, 楊建勇. 介入放射學. 北京: 人民衛生出版社, 2018: 1.
2. Park JH, Kim DY, Kim JW, et al. Efficacy of transradial cerebral angiography in the elderly. J Korean Neurosurg Soc, 2013, 53(4): 213-217.
3. 葛均波. 冠狀動脈介入治療發展史一瞥. 上海醫學, 2010, 33(1): 1-3.
4. 劉高飛, 李達文. 經橈動脈途徑腦血管介入診療技術研究進展. 中華老年心腦血管病雜志, 2014, 16(12): 1340-1342.
5. 蔣奕瀟, 黃波, 王禹川, 等. 量化、簡化Allen試驗在經橈動脈介入治療術前的應用. 實用醫學雜志, 2021, 37(15): 1944-1947.
6. van Dam L, Geeraedts T, Bijdevaate D, et al. distal radial artery access for noncoronary endovascular treatment is a safe and feasible technique. J Vasc Interv Radiol, 2019, 30(8): 1281-1285.
7. Yamada R, Bracewell S, Bassaco B, et al. Transradial versus transfemoral arterial access in liver cancer embolization: randomized trial to assess patient satisfaction. J Vasc Interv Radiol, 2018, 29(1): 38-43.
8. Toyoda H, Yasuda S, Shiota S, et al. Safety, feasibility, and comfort of hepatic angiography and transarterial intervention with radial access for hepatocellular carcinoma. JGH Open, 2021, 5(9): 1041-1046.
9. 賀喜強, 楊軍, 王聯璧, 等. 透壁法橈動脈穿刺置管術的臨床應用. 中國現代醫學雜志, 1998, (10): 76.
10. 崔旭輝, 胡怡, 雷兵. 經橈動脈介入治療89例不成功原因分析. 現代中西醫結合雜志, 2008, 17(34): 5353-5354.
11. 王全蕊, 王修美, 張華鋒. 3 327例經橈動脈介入手術患者的常見并發癥. 中國老年學雜志, 2016, 36(14): 3588-3589.
12. Kim JY, Yoon J, Jung HS, et al. Feasibility of the radial artery as a vascular access route in performing primary percutaneous coronary intervention. Yonsei Med J, 2005, 46(4): 503-510.
13. 李亞威, 趙赫, 龔濤, 等. 經橈動脈與經股動脈途徑行TACE治療肝癌患者住院指標的相關研究. 醫學影像學雜志, 2020, 30(9): 1680-1683.
14. Mann T, Cowper PA, Peterson ED, et al. Transradial coronary stenting: comparison with femoral access closed with an arterial suture device. Catheter Cardiovasc Interv, 2000, 49(2): 150-156.
15. 江海林, 孟小茜, 廖華強, 等. 經橈動脈途徑行外周介入的安全性與可行性. 介入放射學雜志, 2018, 27(11): 1027-1030.
16. 宋飛, 向盈盈, 張紀貴, 等. 經橈動脈途徑與股動脈途徑介入治療肺鱗癌的對比. 昆明醫科大學學報, 2021, 42(9): 134-137.
17. 羅紅. 經皮橈動脈穿刺在DebakeyⅢ型主動脈夾層動脈瘤腔內隔絕治療上的臨床應用. 中國中醫藥咨訊, 2011, 3(19): 99-100.
18. 陳嫄媛. 肝癌患者介入治療經橈動脈和經股動脈入路的對比: 系統評價和薈萃分析. 重慶: 重慶醫科大學, 2019.
19. 江海林. 經橈動脈途徑行外周血管介入的可行性與安全性研究. 上海: 中國人民解放軍海軍軍醫大學, 2021.
20. 趙瑞峰, 朱旭瑤, 信嘉軒, 等. 經橈動脈途徑脾動脈栓塞術經驗探討. 中國衛生標準管理, 2020, 11(16): 76-79.
21. 繆國斌, 李強, 陳明, 等. 經橈動脈途徑行腎動脈造影及介入治療的可行性研究. 中國醫藥導刊, 2013, (11): 1746-1747, 1749.
22. 劉繼軒, 陳光輝, 孫志軍, 等. 經股動脈與經橈動脈腎動脈造影及支架置入的安全性和有效性比較. 解放軍醫學院學報, 2016, 37(6): 529-531, 551.
23. Scharf Z, Momah-Ukeh I, Kim AY. Trans-radial embolization of bleeding renal angiomyolipoma in pregnant 30-year-old female - A case report. J Radiol Case Rep, 2019, 13(2): 34-42.
24. 張煥鑫, 李波, 趙繼先. 經橈動脈路徑行選擇性腎動脈造影的臨床研究. 中國循證心血管醫學雜志, 2017, 9(11): 1346-1348.
25. Al Qahtani N, ALahaideb BA, Basahai IA, et al. The indications and outcome of percutaneous trans-arterial embolization of the uterine artery: A single center experience. 2019. https://doi.org/10.33545/gynae.2021.v5.i4e.1001.
26. Khayrutindov ER, Zharikov SB, Vorontsov IM, et al. Our first experience with prostatic artery embolization via transradial access. Int J Intervent Cardioangiol, 2015, 41: 32-35.
27. Chen SX, Zhang B, Hao YX, et al. Percutaneous mechanical thrombectomy for acute superior mesenteric artery embolism via left distal transradial access in the anatomical snuffbox. Quant Imaging Med Surg, 2022, 12(2): 1641-1646.
28. Ancheita RM, Virginia SM, Velazquez RCV. Superior mesenteric and hepatic artery percutaneous intervention by left radial artery approach in a cachectic patient with severe mesenteric ischemia. J Vasc Endovasc Therapy, 2018, 3(2): 9.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of transradial approach in peripheral interventional therapy

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