Transradial access for renal artery intervention is feasible and safe

Oluseun Alli, Verghese Mathew, Aaron M. From, Gregory Barsness, Sanjay Misra, Rajiv Gulati

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Transradial access for coronary intervention is associated with reduced access complications compared with transfemoral. Transradial access for renal artery intervention has been less well studied. Safety compared with transfemoral access is undetermined. Methods and Results: We evaluated the feasibility of transradial renal intervention (n = 11 patients) and compared safety parameters with a matched group of transfemoral controls (n = 44). All transradial interventions were successful with no complications. Femoral crossover was required in one due to insufficient guide length. Compared with transfemoral, there were fewer access complications in the transradial group (0 of 11 vs 3 of 44, P =.06) but no differences in fluoroscopy time or contrast volumes (25.3 ± 14.4 vs 29.0 ± 25.1 minutes, P =.47; 83.0 ± 43.7 vs 82.6 ± 35.2 cc, P =.97). At follow-up (median 6 months), radial patency was 100%. Creatinine and systolic blood pressure had decreased (mean 1.4 ± 0.5 to 1.2 ± 0.5, P =.06; 160 ± 25 to 135 ± 17, P =.009). Conclusions: Elective transradial renal intervention is feasible and safe. Radial-renal distance is a limitation with available guides.

Original languageEnglish (US)
Pages (from-to)738-742
Number of pages5
JournalVascular and Endovascular Surgery
Volume45
Issue number8
DOIs
StatePublished - Nov 2011

Fingerprint

Renal Artery
Kidney
Blood Pressure
Fluoroscopy
Patient Safety
Thigh
Creatinine
Research Design
Safety

Keywords

  • complications
  • renal artery stenosis
  • stent
  • transradial

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Transradial access for renal artery intervention is feasible and safe. / Alli, Oluseun; Mathew, Verghese; From, Aaron M.; Barsness, Gregory; Misra, Sanjay; Gulati, Rajiv.

In: Vascular and Endovascular Surgery, Vol. 45, No. 8, 11.2011, p. 738-742.

Research output: Contribution to journalArticle

Alli, Oluseun ; Mathew, Verghese ; From, Aaron M. ; Barsness, Gregory ; Misra, Sanjay ; Gulati, Rajiv. / Transradial access for renal artery intervention is feasible and safe. In: Vascular and Endovascular Surgery. 2011 ; Vol. 45, No. 8. pp. 738-742.
@article{96a1dc1bc52a42d0ab3c32cc77670996,
title = "Transradial access for renal artery intervention is feasible and safe",
abstract = "Background: Transradial access for coronary intervention is associated with reduced access complications compared with transfemoral. Transradial access for renal artery intervention has been less well studied. Safety compared with transfemoral access is undetermined. Methods and Results: We evaluated the feasibility of transradial renal intervention (n = 11 patients) and compared safety parameters with a matched group of transfemoral controls (n = 44). All transradial interventions were successful with no complications. Femoral crossover was required in one due to insufficient guide length. Compared with transfemoral, there were fewer access complications in the transradial group (0 of 11 vs 3 of 44, P =.06) but no differences in fluoroscopy time or contrast volumes (25.3 ± 14.4 vs 29.0 ± 25.1 minutes, P =.47; 83.0 ± 43.7 vs 82.6 ± 35.2 cc, P =.97). At follow-up (median 6 months), radial patency was 100{\%}. Creatinine and systolic blood pressure had decreased (mean 1.4 ± 0.5 to 1.2 ± 0.5, P =.06; 160 ± 25 to 135 ± 17, P =.009). Conclusions: Elective transradial renal intervention is feasible and safe. Radial-renal distance is a limitation with available guides.",
keywords = "complications, renal artery stenosis, stent, transradial",
author = "Oluseun Alli and Verghese Mathew and From, {Aaron M.} and Gregory Barsness and Sanjay Misra and Rajiv Gulati",
year = "2011",
month = "11",
doi = "10.1177/1538574411418845",
language = "English (US)",
volume = "45",
pages = "738--742",
journal = "Vascular and Endovascular Surgery",
issn = "1538-5744",
publisher = "SAGE Publications Inc.",
number = "8",

}

TY - JOUR

T1 - Transradial access for renal artery intervention is feasible and safe

AU - Alli, Oluseun

AU - Mathew, Verghese

AU - From, Aaron M.

AU - Barsness, Gregory

AU - Misra, Sanjay

AU - Gulati, Rajiv

PY - 2011/11

Y1 - 2011/11

N2 - Background: Transradial access for coronary intervention is associated with reduced access complications compared with transfemoral. Transradial access for renal artery intervention has been less well studied. Safety compared with transfemoral access is undetermined. Methods and Results: We evaluated the feasibility of transradial renal intervention (n = 11 patients) and compared safety parameters with a matched group of transfemoral controls (n = 44). All transradial interventions were successful with no complications. Femoral crossover was required in one due to insufficient guide length. Compared with transfemoral, there were fewer access complications in the transradial group (0 of 11 vs 3 of 44, P =.06) but no differences in fluoroscopy time or contrast volumes (25.3 ± 14.4 vs 29.0 ± 25.1 minutes, P =.47; 83.0 ± 43.7 vs 82.6 ± 35.2 cc, P =.97). At follow-up (median 6 months), radial patency was 100%. Creatinine and systolic blood pressure had decreased (mean 1.4 ± 0.5 to 1.2 ± 0.5, P =.06; 160 ± 25 to 135 ± 17, P =.009). Conclusions: Elective transradial renal intervention is feasible and safe. Radial-renal distance is a limitation with available guides.

AB - Background: Transradial access for coronary intervention is associated with reduced access complications compared with transfemoral. Transradial access for renal artery intervention has been less well studied. Safety compared with transfemoral access is undetermined. Methods and Results: We evaluated the feasibility of transradial renal intervention (n = 11 patients) and compared safety parameters with a matched group of transfemoral controls (n = 44). All transradial interventions were successful with no complications. Femoral crossover was required in one due to insufficient guide length. Compared with transfemoral, there were fewer access complications in the transradial group (0 of 11 vs 3 of 44, P =.06) but no differences in fluoroscopy time or contrast volumes (25.3 ± 14.4 vs 29.0 ± 25.1 minutes, P =.47; 83.0 ± 43.7 vs 82.6 ± 35.2 cc, P =.97). At follow-up (median 6 months), radial patency was 100%. Creatinine and systolic blood pressure had decreased (mean 1.4 ± 0.5 to 1.2 ± 0.5, P =.06; 160 ± 25 to 135 ± 17, P =.009). Conclusions: Elective transradial renal intervention is feasible and safe. Radial-renal distance is a limitation with available guides.

KW - complications

KW - renal artery stenosis

KW - stent

KW - transradial

UR - http://www.scopus.com/inward/record.url?scp=84855993048&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84855993048&partnerID=8YFLogxK

U2 - 10.1177/1538574411418845

DO - 10.1177/1538574411418845

M3 - Article

C2 - 21900332

AN - SCOPUS:84855993048

VL - 45

SP - 738

EP - 742

JO - Vascular and Endovascular Surgery

JF - Vascular and Endovascular Surgery

SN - 1538-5744

IS - 8

ER -