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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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, MDIn-depth review of the latest prospective, multi-center study on radial access for visceral embolization procedures.
VIEW VIDEOAre You Radial First? Radial Access for Visceral Intervention
Marcelo Guimaraes, MD & Keith Pereira, MDLearn about the 30 day outcomes of the RAVI Registry and how to apply radial access to your practice.
VIEW VIDEOTreating a Splenic Artery Aneurysm from a Radial Approach with Aaron Fischman, MD
Aaron Fischman, MDJoin Dr. Aaron Fischman as he performs a splenic artery embolization via left radial artery access with AZUR™ CX coils.
VIEW VIDEOHow to Perform the Barbeau Test for Transradial Access
Marcelo Guimaraes, MDIn 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.
VIEW VIDEOThe RAVI registry: prospective, multicenter study of radial access in embolization procedures – 30 days follow up
Marcelo Guimaraes, MD et alPresented 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.
READ FINDINGSTransradial Versus Transfemoral Arterial Access in Liver Cancer Embolization: Randomized Trial to Assess Patient Satisfaction
Ricardo Yamada, MD et alIn this trial study, TRA was the preferred access for the majority of patients and was associated with less radiation exposure to the operator.
READ FINDINGSTransradial Approach for Noncoronary Interventions: A Single-Center Review of Safety and Feasibility in the First 1,500 Cases
Raghuram Posham, MD et alThis retrospective analysis demonstrated that TRA was safe and well tolerated in a heterogeneous patient population across a range of peripheral vascular interventions.
READ FINDINGSTransradial and Transfemoral Uterine Fibroid Embolization Comparative Study: Technical and Clinical Outcomes
Masoud Nakhaei, MD et alTransradial and transfemoral UAE have similar technical and clinical outcomes, with low rates of access site complications.
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EXPLORE TRAININGSREFERENCES
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