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RADIAL ACCESS FOR VISCERAL INTERVENTION

Embolization is a highly effective way of controlling bleeding and is much less invasive than open surgery. When using Transradial Artery Access (TRA) in embolization procedures, proven benefits are obtained such as reduced bleeding complications, easy access site management, improved patient satisfaction and the opportunity for same day discharge. 1-8

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RESOURCES

Video Workshop

The Pulse of Modern Embolization – Latest Clinical Evidence on Radial Access and Hydrogel Coil Technology

Marcelo Guimaraes, MD, MBA, FSIR, Keith Pereira, MD, Jean-Pierre Pelage, MD

In-depth review of the latest prospective, multi-center study on radial access for visceral embolization procedures.

Video Workshop

Are You Radial First? Radial Access for Visceral Intervention

Marcelo Guimaraes, MD & Keith Pereira, MD

Learn about the 30 day outcomes of the RAVI Registry and how to apply radial access to your practice.

Video Workshop

Treating a Splenic Artery Aneurysm from a Radial Approach with Aaron Fischman, MD

Aaron Fischman, MD

Join Dr. Aaron Fischman as he performs a splenic artery embolization via left radial artery access with AZUR™ CX coils.

Video Workshop

How to Perform the Barbeau Test for Transradial Access

Marcelo Guimaraes, MD

In this video, Dr. Marcelo Guimaraes performs a live demonstration of the Barbeau Test and explains how it is used to evaluate a potential radial candidate.

Study

The RAVI registry: prospective, multicenter study of radial access in embolization procedures – 30 days follow up

Marcelo Guimaraes, MD et al

Presented at SIR 2023, this prospective registry confirmed the safety and efficacy of radial access for men's and women's health procedures across multiple centers.

Study

Transradial Versus Transfemoral Arterial Access in Liver Cancer Embolization: Randomized Trial to Assess Patient Satisfaction

Ricardo Yamada, MD et al

In this trial study, TRA was the preferred access for the majority of patients and was associated with less radiation exposure to the operator.

Study

Transradial Approach for Noncoronary Interventions: A Single-Center Review of Safety and Feasibility in the First 1,500 Cases

Raghuram Posham, MD et al

This retrospective analysis demonstrated that TRA was safe and well tolerated in a heterogeneous patient population across a range of peripheral vascular interventions.

Study

Transradial and Transfemoral Uterine Fibroid Embolization Comparative Study: Technical and Clinical Outcomes

Masoud Nakhaei, MD et al

Transradial and transfemoral UAE have similar technical and clinical outcomes, with low rates of access site complications.

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REFERENCES

 

1. Amin A, et al. Costs associated with access site and same-day discharge among Medicare beneficiaries undergoing percutaneous coronary intervention. JACC Cardiovasc Interv. 2017;10(4):342-51.
2. Schussler JM. Effectiveness and safety of transradial artery access for cardiac catheterization. Proc (Bayl Univ Med Cent). 2011; 24(3):205-209.
3. Marso S. et al. Association Between Use of Bleeding Avoidance Strategies and Risk of Periprocedural Bleeding Among Patients Undergoing Percutaneous Coronary Intervention. JAMA. 2010;303(21):2156-2164.
4. Duffin DC, Muhlestein JB, Allisson SB, et al. Femoral arterial puncture management after percutaneous coronary procedures: a comparison of clinical outcomes and patient satisfaction between manual compression and two different vascular closure devices. J Invasive Cardiol. 2001;13(5):354-362.
5. Valgimigli M, et al. MATRIX Trial. Radial versus femoral access in patients with acute coronary syndromes undergoing invasive management: a randomized multicenter trial. Lancet. 2015;385:2465-76.
6. Rathore S. Impact of Length and Hydrophilic Coating of the Introducer Sheath on Radial Artery Spasm During Transradial Coronary Intervention A Randomized Study. JACC Cardiovasc Interv. 2010;3(5):475-83.
7. Yamada R. et al. Transradial Versus Transfemoral Arterial Access in Liver Cancer Embolization: Randomized Trial to Assess Patient Satisfaction. J Vasc Interv Radiol. 2018 Jan;29(1):38-43.
8. Guimaraes, M., Fischman, A., Yu, H. et al. The RAVI registry: prospective, multicenter study of radial access in embolization procedures – 30 days follow up. CVIR Endovasc 7, 15 (2024). https://doi.org/10.1186/s42155-023-00415-5

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