Trans-radial and "Snuffbox" Access Versus Trans-femoral Access in Emergency Embolization: A Retrospective Comparative Analysis of 421 Procedures

Ascenti V, Ierardi AM, Alfa-Wali M, Lanza C, Kashef E. Damage control interventional radiology: the bridge between non-operative management and damage control surgery. CVIR Endovasc. 2024;7(1):71. https://doi.org/10.1186/s42155-024-00485-z.

Article  PubMed  PubMed Central  Google Scholar 

Ini’ C, Distefano G, Sanfilippo F, Castiglione DG, Falsaperla D, Giurazza F, et al. Embolization for acute nonvariceal bleeding of upper and lower gastrointestinal tract: a systematic review. CVIR Endovasc. 2023;6(1):18. https://doi.org/10.1186/s42155-023-00360-3.

Article  PubMed  PubMed Central  Google Scholar 

Ramaswamy RS, Choi HW, Mouser HC, Narsinh KH, McCammack KC, Treesit T, et al. Role of interventional radiology in the management of acute gastrointestinal bleeding. World J Radiol. 2014;6(4):82–92. https://doi.org/10.4329/wjr.v6.i4.82.

Article  PubMed  PubMed Central  Google Scholar 

Pillai AS, Srinivas S, Kumar G, Pillai AK. Where does interventional radiology fit in with trauma management algorithm? Semin Intervent Radiol. 2021;38(1):3–8. https://doi.org/10.1055/s-0041-1725114.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Hörer TM, Ierardi AM, Carriero S, Lanza C, Carrafiello G, McGreevy DT. Emergent vessel embolization for major traumatic and non-traumatic hemorrhage: indications, tools and outcomes. Semin Vasc Surg. 2023;36(2):283–99. https://doi.org/10.1053/j.semvascsurg.2023.04.011.

Article  PubMed  Google Scholar 

Padia SA, Ingraham CR, Moriarty JM, Wilkins LR, Bream PR, Tam AL, et al. Society of Interventional Radiology position statement on endovascular intervention for trauma. J Vasc Interv Radiol. 2020;31(3):363-9.e2. https://doi.org/10.1016/j.jvir.2019.11.012.

Article  PubMed  Google Scholar 

Aoki M, Abe T, Hagiwara S, Saitoh D, Oshima K. Embolization versus surgery for stabilized patients with solid organ injury. J Vasc Interv Radiol. 2021;32(8):1150-5.e5. https://doi.org/10.1016/j.jvir.2021.02.028.

Article  PubMed  Google Scholar 

Lopera JE. Embolization in trauma: review of basic principles and techniques. Semin Intervent Radiol. 2021;38(1):18–33. https://doi.org/10.1055/s-0041-1724015.

Article  PubMed  PubMed Central  Google Scholar 

Zakeri SA, Mohammad F, Nowakowska M, Kakani Ebir N, Ananthakrishnan G. A single-centre retrospective analysis of radial versus femoral prostate artery embolization. Vasc Endovascular Surg. 2023;57(2):123–8. https://doi.org/10.1177/15385744221131175.

Article  PubMed  Google Scholar 

Grégory J, Ronot M, Laurent V, Chabrot P, de Baere T, Chevallier P, et al. French interventional radiology centers’ uptake of transradial approach and outpatient hepatocellular carcinoma intra-arterial treatments. Cardiovasc Intervent Radiol. 2024;47(4):432–40. https://doi.org/10.1007/s00270-023-03578-9.

Article  PubMed  Google Scholar 

Chu HH, Kim JW, Shin JH, Cho SB. Update on transradial access for percutaneous transcatheter visceral artery embolization. Korean J Radiol. 2021;22(1):72–85. https://doi.org/10.3348/kjr.2020.0209.

Article  PubMed  Google Scholar 

van Dam L, Geeraedts T, Bijdevaate D, van Doormaal PJ, The A, Moelker A. Distal radial artery access for noncoronary endovascular treatment is a safe and feasible technique. J Vasc Interv Radiol. 2019;30(8):1281–5. https://doi.org/10.1016/j.jvir.2019.01.011.

Article  PubMed  Google Scholar 

Park SE, Cho SB, Baek HJ, Moon JI, Ryu KH, Ha JY, et al. Clinical experience with distal transradial access for endovascular treatment of various noncoronary interventions in a multicenter study. PLoS ONE. 2020;15(8):e0237798. https://doi.org/10.1371/journal.pone.0237798.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Ahsan MJ, Ahmad S, Latif A, Lateef N, Ahsan MZ, Abusnina W, et al. Transradial versus transfemoral approach for percutaneous coronary intervention in patients with ST-elevation myocardial infarction complicated by cardiogenic shock: a systematic review and meta-analysis. Eur Heart J Qual Care Clin Outcomes. 2022;8(6):640–50. https://doi.org/10.1093/ehjqcco/qcac018.

Article  PubMed  PubMed Central  Google Scholar 

Larik MO, Shaukat A, Khan M, Husseiny YM, Haider MU, Changez MIK, et al. Impact of access site in percutaneous coronary intervention for patients complicated with cardiogenic shock: a systematic review and meta-analysis of 33,311 individuals. Catheter Cardiovasc Interv. 2025;106(4):2607–17. https://doi.org/10.1002/ccd.70103.

Article  PubMed  Google Scholar 

Tehrani BN, Damluji AA, Sherwood MW, Rosner C, Truesdell AG, Epps KC, et al. Transradial access in acute myocardial infarction complicated by cardiogenic shock: stratified analysis by shock severity. Catheter Cardiovasc Interv. 2021;97(7):1354–66. https://doi.org/10.1002/ccd.29098.

Article  PubMed  Google Scholar 

Adnan SM, Romagnoli AN, Martinson JR, Madurska MJ, Dubose JJ, Scalea TM, et al. A comparison of transradial and transfemoral access for splenic angio-embolisation in trauma: a single centre experience. Eur J Vasc Endovasc Surg. 2020;59(3):472–9. https://doi.org/10.1016/j.ejvs.2019.11.028.

Article  PubMed  Google Scholar 

Adnan SM, Romagnoli AN, Madurska MJ, Dubose JJ, Scalea TM, Morrison JJ. Safety and efficacy of radial access in trauma in 65 trauma endovascular cases. J Vasc Surg. 2020;71(5):1564–71. https://doi.org/10.1016/j.jvs.2019.08.227.

Article  PubMed  Google Scholar 

Patel A, Sare A, Shahid MU, Kumar A, Shukla PA. Safety and feasibility of transradial access in patients presenting with traumatic injuries: a single urban center experience. Vasc Endovascular Surg. 2020;54(8):665–9. https://doi.org/10.1177/1538574420940088.

Article  PubMed  Google Scholar 

Filippiadis D, Pereira PL, Hausegger KA, Ryan AG, Binkert CA. CIRSE standards of practice for the classification of complications: the modified CIRSE classification system. Cardiovasc Intervent Radiol. 2026;49(1):2–6. https://doi.org/10.1007/s00270-025-04200-w.

Article  CAS  PubMed  Google Scholar 

Adnan SM, Romagnonli AN, Elansary NN, Martinson JR, Madurska MJ, Dubose JJ, et al. Radial versus femoral arterial access for trauma endovascular interventions: a noninferiority study. J Trauma Acute Care Surg. 2020;89(3):458–63. https://doi.org/10.1097/TA.0000000000002740.

Article  PubMed  Google Scholar 

Li Z, Wang Y, Song J, Wang S, Wu Y, Wang H, et al. Distal radial access to prevent radial artery occlusion for STEMI patients (RAPID III): a randomized controlled trial. BMC Med. 2025;23(1):173. https://doi.org/10.1186/s12916-025-04005-1.

Article  PubMed  PubMed Central  Google Scholar 

Aminian A, Sgueglia GA, Wiemer M, Kefer J, Gasparini GL, Ruzsa Z, et al. Distal versus conventional radial access for coronary angiography and intervention: the DISCO RADIAL trial. JACC Cardiovasc Interv. 2022;15(12):1191–201. https://doi.org/10.1016/j.jcin.2022.04.032.

Article  PubMed  Google Scholar 

Lee Y, Lee M, Hur S, Kim HC, Jae HJ, Chung JW, et al. Bronchial and non-bronchial systemic artery embolization with transradial access in patients with hemoptysis. Diagn Interv Radiol. 2022;28(4):359–63. https://doi.org/10.5152/dir.2022.201100.

Article  PubMed  PubMed Central  Google Scholar 

Comments (0)

No login
gif