Abstract No. 499 - Lymphatic malformation treatment in adult and pediatric populations using real-time MRI guided percutaneous sclerotherapy

Abstract

No. 500 Transfemoral vs. transradial access: patient preference assessment using iPad technology J. Horn, A. Fischman, R. Patel, N. Tabori, E. Kim, F. Nowakowski, R. Lookstein; Icahn School of Medicine at Mount Sinai, New York, NY; Mount Sinai Medical Center, New York, NY; N/A, New York, NY; Mount Sinai Hospital, New York, NY Purpose: Transradial access (TRA) has been shown to be less costly, safer, and preferred by patients for coronary interventions as compared to transfemoral access (TFA). The purpose of this study was to determine differences in patient preference for access site during non-coronary arterial interventions using survey based iPad technology. Materials: From 1/2014 to 9/2015, retrospective review of all patients undergoing arterial interventions at a high volume academic medical center was performed. These patients were given a post-procedure survey (Surveymonkey.com) via a bedside iPad in the IR PACU. Surveys were available in English, Spanish and Mandarin. Questions related to pain at access site, preference for access site, procedure type and demographics was recorded. TRA and TFA procedures were all performed from the left wrist and right groin, respectively. Results: Survey respondents (n1⁄4126) (82% male) included the following procedures: TACE (n1⁄422, 23%), Y90 delivery (n1⁄434, 35%), and planning (n1⁄428, 29%), UFE (n1⁄48, 8%) and renal intervention (n1⁄46, 6%). Access sites included: TFA (n1⁄431, 25%) and TRA (n1⁄495, 75%). 67 patients reported having had both TRA and TFA in the past. Of those patients, 53/67 (79%) preferred TRA, 4/67 (6%) preferred TFA and 10/ 67 (15%) had no preference. Conclusions: Post-procedure survey data acquired via iPad is feasible in a PACU setting. A strong patient preference for TRA over TFA was noted in patients who had undergone both types of access.