Combined Transradial and Transpedal Approach for Femoral Artery Interventions

• DOI: 10.1016/j.jcin.2018.03.038
• Publication Date: 2018-06-04T18:10:08Z
• Authors: Zoltán Ruzsa; Robert Bellavics; Balázs Nemes; Artúr Hüttl; András Nyerges; Péter Sótonyi; Olivier Francois ...; Kálmán Hüttl; Béla Merkely
• Keywords: Cumulative incidence

The purpose of this prospective study was to evaluate the acute success and complication rates combined transradial transpedal access for femoral artery intervention.Improved equipment techniques have resulted in transition from transfemoral intervention superficial artery.Between 2014 2016, clinical angiographic data 145 consecutive patients with symptomatic stenosis, treated via primary radial using 6-F SheathLess Eaucath PV guiding catheter were evaluated a pilot study. Secondary achieved through pedal or popliteal artery. endpoints major adverse events, target lesion revascularization, minor access-site complications. included outcome, procedural factors, crossover rate site, duration hospitalization.Technical 138 (95.2%). Combined obtained 22 (15.1%). site 2%. Stent implantation necessary 23.4% patients. Chronic total occlusion recanalization performed 63 patients, 90.4% technical rate. mean contrast consumption, radiation dose, procedure time 112.9 ml (101.8 123.9 ml), 21.84 Gy/cm2 (9.95 33.72 Gy/cm2), 34.9 min (31.02 38.77 min), respectively. cumulative complications 4.8% (0% major, minor). incidence events at 3 12 months follow-up 8.3% 19.2%. death 3- 12-month 2.8% 5.6%.Femoral can be safely effectively acceptable morbidity high