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The Advent of Transradial Interventions: An Overview

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Transradial Access in Interventional Radiology

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Abstract

The first documented transradial procedure was performed in 1947. Dr. Radner at the University of Lund in Sweden performed an intracranial angiography after accessing the radial artery via surgical exposure. Due to the technical difficulties and lack of appropriately sized and flexible catheters, use of transradial access remained very limited. In 1989, Dr. Lucien Campeau at the Montreal Heart Institute published his series of 100 percutaneous coronary angiography using the distal radial artery. Campeau’s work inspired Dr. Kiemeneij, of the Onze Lieve Vrouwe Gasthuis (OLVG) in Amsterdam, to apply the technique to percutaneous coronary interventions (PCI). Dr. Kiemeneij’s and Dr. Campeau’s pioneering work eventually culminated with transradial access being widely accepted in the field of cardiology as the gold standard for access for PCI. The first transradial (TRA) noncoronary interventions were first performed in Japan in 1999. However, uptake of the transradial approach has been slow in the field of interventional radiology. Dr. Aaron Fischman, at the Mount Sinai Hospital in Manhattan, NY, performed the first chemoembolization via the radial artery in the United States in 2012. With the subsequent establishment of the Annual TransRadial Endovascular Advanced Therapies (TREAT) Conference and increasing feasibility and safety data, TRA in interventional radiology is gradually transitioning from a single center endeavor to wide acceptance in multiple centers in the USA.

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Abbreviations

CABG:

Coronary arterial bypass graft

CAD:

Coronary arterial disease

ESC:

European Society of Cardiology

PCI:

Percutaneous coronary interventions

PTCA:

Percutaneous transluminal coronary angioplasty

TCT:

Transcatheter Cardiovascular Therapeutics

TRA:

Transradial

TREAT:

TransRadial Endovascular Advanced Therapies

TRI:

Percutaneous transradial interventions

References

  1. Radner S. Intracranial angiography via the vertebral artery: preliminary report of a new technique. Acta Radiol. 1947;28:838–42.

    Article  CAS  PubMed  Google Scholar 

  2. Radner S. Thoracal aortography by catheterization from the radial artery. Acta Radiol. 1948;29:178–80.

    Article  CAS  PubMed  Google Scholar 

  3. Bertrand O, Rao S. Best practices for transradial approach. Philadelphia: Lippincott Williams & Wilkins; 2014.

    Google Scholar 

  4. Jonsson G. Thoracic aortography by means of a cannula inserted percutaneously into the common carotid artery. Acta Radiol. 1949;31:376–86.

    Article  CAS  PubMed  Google Scholar 

  5. Helmsworth JA, McGUIRE J, Felson B. Arteriography of the aorta and its branches by means of the polyethylene catheter. Am J Roentgenol Radium Ther. 1950;64:196–213.

    CAS  PubMed  Google Scholar 

  6. Peirce EC 2nd. Percutaneous femoral artery catheterization in man with special reference to aortography. Surg Gynecol Obstet. 1951;93:56–74.

    PubMed  Google Scholar 

  7. Donald DC. An improved technic for percutaneous cerebral angiography. AMA Arch Neurol Psychiatry. 1951;65:508.

    Article  CAS  PubMed  Google Scholar 

  8. Seldinger SI. Catheter replacement of the needle in percutaneous arteriography. A new technique. Acta Radiol Suppl. 1953;434:47–52.

    Google Scholar 

  9. Campeau L. Entry sites for coronary angiography and therapeutic interventions: from the proximal to the distal radial artery. Can J Cardiol. 2001;17:319–25.

    CAS  PubMed  Google Scholar 

  10. Sones FM Jr, Shirey EK. Cine coronary arteriography. Mod Concepts Cardiovasc Dis. 1962;31:735–8.

    PubMed  Google Scholar 

  11. Dotter CT, Frische LH. Visualization of the coronary circulation by occlusion aortography: a practical method. Radiology. 1958;71:502–24.

    Article  CAS  PubMed  Google Scholar 

  12. Lehman JS, Novack P, Kasparian H, Likoff W, Perlmutter HI. Selective coronary arteriography. Radiology. 1964;83:846–53.

    Article  CAS  PubMed  Google Scholar 

  13. Lemmon WM, Stauffer Lehman J, Boyer RA. Suprasternal transaortic coronary arteriography. Circulation. 1959;19:47–54.

    Article  CAS  PubMed  Google Scholar 

  14. Ryan TJ. The coronary angiogram and its seminal contributions to cardiovascular medicine over five decades. Circulation. 2002;106:752–6.

    Article  PubMed  Google Scholar 

  15. Payne MM. Charles Theodore Dotter. The father of intervention. Tex Heart Inst J. 2001;28:28–38.

    CAS  PubMed  PubMed Central  Google Scholar 

  16. Ricketts HJ, Abrams HL. Percutaneous selective coronary cine arteriography. JAMA. 1962;181:620–4.

    Article  CAS  PubMed  Google Scholar 

  17. Judkins MP. Selective coronary arteriography. I. A percutaneous transfemoral technic. Radiology. 1967;89:815–24.

    Article  CAS  PubMed  Google Scholar 

  18. Amplatz K, Formanek G, Stanger P, Wilson W. Mechanics of selective coronary artery catheterization via femoral approach. Radiology. 1967;89:1040–7.

    Article  CAS  PubMed  Google Scholar 

  19. Gorlin R, Taylor WJ. Selective revascularization of the myocardium by internal-mammary-artery implant. N Engl J Med. 1966;275:283–90.

    Article  CAS  PubMed  Google Scholar 

  20. Favaloro RG. Bilateral internal mammary artery implants. Operative technic--a preliminary report. Cleve Clin Q. 1967;34:61–6.

    Article  CAS  PubMed  Google Scholar 

  21. Dotter CT, Judkins MP. Transluminal treatment of arteriosclerotic obstruction. Description of a new technic and a preliminary report of its application. Circulation. 1964;30:654–70.

    Article  CAS  PubMed  Google Scholar 

  22. Meier B. The first patient to undergo coronary angioplasty — 23-year follow-up. N Engl J Med. 2001;344:144–5.

    Article  CAS  PubMed  Google Scholar 

  23. Grüntzig A. Transluminal dilatation of coronary-artery stenosis. Lancet. 1978;311:263.

    Article  Google Scholar 

  24. Kiemeneij F. The history and evolution of transradial coronary interventions. In: Transradial approach for percutaneous interventions; 2017. p. 3–7. https://doi.org/10.1007/978-94-017-7350-8_1.

    Chapter  Google Scholar 

  25. Kiemeneij F, Laarman GJ. Percutaneous transradial artery approach for coronary stent implantation. Catheter Cardiovasc Diagn. 1993;30:173–8.

    Article  CAS  Google Scholar 

  26. Kiemeneij F, Laarman GJ, Odekerken D, Slagboom T, van der Wieken RA. Randomized comparison of percutaneous transluminal coronary angioplasty by the radial, brachial and femoral approaches: the access study. J Am Coll Cardiol. 1997;29:1269–75.

    Article  CAS  PubMed  Google Scholar 

  27. Chase AJ, et al. Association of the arterial access site at angioplasty with transfusion and mortality: the M.O.R.T.A.L study (Mortality benefit Of Reduced Transfusion after percutaneous coronary intervention via the Arm or Leg). Heart. 2008;94:1019–25.

    Article  CAS  PubMed  Google Scholar 

  28. Jolly SS, et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet 2011;377:1409–20.

    Google Scholar 

  29. Romagnoli E, et al. Radial versus femoral randomized investigation in ST-segment elevation acute coronary syndrome: the RIFLE-STEACS (Radial Versus Femoral Randomized Investigation in ST-Elevation Acute Coronary Syndrome) study. J Am Coll Cardiol. 2012;60:2481–9.

    Article  PubMed  Google Scholar 

  30. Valgimigli M, et al. Radial versus femoral access in patients with acute coronary syndromes undergoing invasive management: a randomised multicentre trial. Lancet. 2015;385:2465–76.

    Article  PubMed  Google Scholar 

  31. Hamon M, et al. Consensus document on the radial approach in percutaneous cardiovascular interventions: position paper by the European Association of Percutaneous Cardiovascular Interventions and Working Groups on Acute Cardiac Care** and Thrombosis of the European Society of Cardiology. EuroIntervention. 2013;8:1242–51.

    Article  PubMed  Google Scholar 

  32. Nusbaum M, Baum S, Blakemore WS. Clinical experience with the diagnosis and management of gastrointestinal hemorrhage by selective mesenteric catheterization. Ann Surg. 1969;170:506–14.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Morgan RA. Image-guided interventions e-book: expert radiology series. Philadelphia: Elsevier Health Sciences; 2020.

    Google Scholar 

  34. Kato T, et al. Magnetic microcapsules for targeted delivery of anticancer drugs. Appl Biochem Biotechnol. 1984;10:199–211.

    Article  CAS  PubMed  Google Scholar 

  35. Yamashita T, et al. Transradial approach for noncoronary angiography and interventions. Catheter Cardiovasc Interv. 2007;70:303–8.

    Article  PubMed  Google Scholar 

  36. Shiozawa S, et al. Transradial approach for transcatheter arterial chemoembolization in patients with hepatocellular carcinoma: comparison with conventional transfemoral approach. J Clin Gastroenterol. 2003;37:412–7.

    Article  PubMed  Google Scholar 

  37. Frangos C, Noble S. How to transform you into a radialist: literature review. Cardiovasc Med. 2011;14:277–82.

    Article  Google Scholar 

  38. Sanghvi K, Kurian D, Coppola J. Transradial intervention of iliac and superficial femoral artery disease is feasible. J Interv Cardiol. 2008;21:385–7.

    Article  PubMed  Google Scholar 

  39. Shiozawa S, Tsuchiya A, Endo S, Kumazawa K, Ogawa K. Transradial approach for transcatheter arterial chemoembolization in patients with hepatocellular carcinoma. Nihon Shokakibyo Gakkai Zasshi. 2002;99:1450–4.

    PubMed  Google Scholar 

  40. Resnick NJ, et al. Uterine artery embolization using a transradial approach: initial experience and technique. J Vasc Interv Radiol. 2014;25:443–7.

    Article  PubMed  Google Scholar 

  41. Bishay V, et al. Transradial approach for hepatic radioembolization: initial results and technique. J Vasc Interv Radiol. 2014;25:S88.

    Article  Google Scholar 

  42. Isaacson AJ, Fischman AM, Burke CT. Technical feasibility of prostatic artery embolization from a transradial approach. AJR Am J Roentgenol. 2016;206:442–4.

    Article  PubMed  Google Scholar 

  43. Sher A, et al. Safety and feasibility of transradial infrainguinal peripheral arterial disease interventions. J Vasc Surg. 2020. https://doi.org/10.1016/j.jvs.2020.02.016.

  44. Posham R, et al. Transradial approach for noncoronary interventions: a single-center review of safety and feasibility in the first 1,500 cases. J Vasc Interv Radiol. 2016;27:159–66.

    Article  PubMed  Google Scholar 

  45. Thakor AS, et al. Transradial access for interventional radiology: single-centre procedural and clinical outcome analysis. Can Assoc Radiol J. 2017;68:318–27.

    Article  PubMed  Google Scholar 

  46. Styczen H, et al. Initial experience with transradial access for cerebrovascular procedures: is it feasible and safe? World Neurosurg. 2020;136:e593–600.

    Article  PubMed  Google Scholar 

  47. Liu LB, et al. Patient experience and preference in transradial versus transfemoral access during transarterial radioembolization: a randomized single-center trial. J Vasc Interv Radiol. 2019;30:414–20.

    Article  PubMed  Google Scholar 

  48. Yamada R, et al. Transradial versus transfemoral arterial access in liver cancer embolization: randomized trial to assess patient satisfaction. J Vasc Interv Radiol. 2018;29:38–43.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Diagnostic, Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Chidubem Ugwueze & Aaron M. Fischman

Authors
  1. Chidubem Ugwueze
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  2. Aaron M. Fischman
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Corresponding author

Correspondence to Chidubem Ugwueze .

Editor information

Editors and Affiliations

  1. Department of Diagnostic Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Aaron M. Fischman

  2. Department of Diagnostic Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Rahul S. Patel

  3. Department of Diagnostic Molecular and Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Robert A. Lookstein

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Ugwueze, C., Fischman, A.M. (2022). The Advent of Transradial Interventions: An Overview. In: Fischman, A.M., Patel, R.S., Lookstein, R.A. (eds) Transradial Access in Interventional Radiology. Springer, Cham. https://doi.org/10.1007/978-3-030-81678-0_1

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  • DOI: https://doi.org/10.1007/978-3-030-81678-0_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81677-3

  • Online ISBN: 978-3-030-81678-0

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