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3 . 2025

Distal transradial access for non-coronary endovascular restrictions

Abstract

Objective. To evaluate the possibility of using distal transradial access in routine practice for emergency and elective non-coronary endovascular interventions.

Patients and methods. The results of the use of distal transradial access were studied in patients who underwent endovascular interventions for gastrointestinal bleeding, renal bleeding in a complicated course of angiomyolipoma, traumatic injury to the spleen accompanied by bleeding, uterine leiomyomas, abnormal uterine bleeding, ectopic pregnancy, bleeding in cancer process in the pelvic organs. The study included 78 patients.

Results. The use of distal transradial access demonstrated the results comparable to those of the access to the radial artery in the classical form.

Conclusion. The distal transradial approach is a reliable and safe site of arterial access in patients who require strict control of hemostasis in combination with minimal risk of bleeding, also making it possible to maintain patency of the radial artery for future use as an arterial conduit.

Keywords: endovascular surgery; distal transradial access; anatomical snuffbox; safety; comfort; short-term immobilization

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflict of interest.

Authors’ contribution. Khudyakov Ya.A. – conception and design of the study, material collection and processing, data analysis, writing the text, approval of the final version of the article; Komarov R.N. – scientific supervision, critical revision of the text with important intellectual input, approval of the final version of the article; Kopylov Ph.Yu. – scientific supervision, analysis and interpretation of data, approval of the final version of the article; Samochatov D.N. – organization of the study, provision of resources for the work, text editing; Gognieva D.G. – statistical processing and data analysis, text editing; Ershova N.A. – work with literary sources, bibliography formation, technical editing of the text.

For citation: Khudyakov Ya.A., Komarov R.N., Kopylov Ph.Yu., Samochatov D.N., Gognieva D.G., Ershova N.A. Distal transradial access for non-coronary endovascular restrictionsAngiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2025; 31 (3): 117–21. DOI: https://doi.org/10.33029/1027-6661-2025-31-3-117-121

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CHIEF EDITOR
CHIEF EDITOR
Yuri V. Belov
Academician of the Russian Academy of Sciences Doctor of Medical Sciences, Professor, President of the Russian Society of Angiologists and Vascular Surgeons

 

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.

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