Ces radiol. 2024, 78(1):27-33 | DOI: 10.55095/CesRadiol2024/004

Radial access in endovascular interventional proceduresReview article

Jan Kaván¹, Patrik Matras²

¹ Radiodiagnostická klinika 1. LF UK a VFN, Praha

² Radiologická klinika Fakulty zdravotnických studií UJEP a Krajské zdravotní, a. s. - Masarykova nemocnice v Ústí nad Labem, o. z.

First step in every endovascular procedure is obtaining a vascular access.Interventional radiologists usually use femoral access. Axillary and brachialaccess is used less often.
In many cardiac catheterization labs, the radial access is the first lineapproach. Radial access brings better postprocedural comfort for the patientand when used in compliance with the guidelines, it has less localcomplications than femoral, axillary and brachial access. Interventionalprocedures using radial access can be performed in a day-case setting andpatients themselves usually prefer radial access over femoral.
The radial access is gaining momentum also in interventional radiology, eventthough it has some limitations because of the distance from the access to thetarget vessel. When respecting the contraindications there will always be agroup of patients, who should not be offered the radial access because of highcomplication risk. Radial access definitely has a bright future ininterventional radiology.

Keywords: radial access, radial artery, endovascular interventions

Published: March 1, 2024  Show citation