C-25 | Radial and Ulnar Artery Access for Peripheral Vascular Intervention: A Single Center Experience

Abstract

Radial artery access has been increasingly utilized for coronary procedures due to lower rates of access complications, improved patient satisfaction, and shorter length of hospital stay. However, limited data are available for peripheral vascular intervention (PVI) with a reported percentage of 2% as per most report. A retrospective review of consecutive patients who underwent PVI via radial or ulnar artery access from February 2020 to September 2022 at a single institution was performed. Baseline patient, procedural, and follow-up data were ascertained from a prospectively maintained institutional database. Among 153 patients, 165 procedures were performed, 94.54% (156/165) for therapeutic purposes and 5.45% (9/165) for diagnostic purposes. Patient and procedural characteristics and outcomes are summarized in Table 1. Procedural access was obtained through the right radial artery (157/165; 95.15%), left radial artery (4/165; 2.42%), and right ulnar artery (4/165; 2.42%) using an R2P Destination Slender sheath. Conversion to femoral access occurred in 8 cases (4.84%) due to arterial spasm, arm pain, and non-crossable lesions. There were no perioperative deaths, post-operative bleeding events requiring transfusion, or pseudoaneurysms, but there were 7 access-site hematomas, which did not require blood transfusion, surgical intervention, and did not prolong hospital stay. Peripheral vascular intervention performed via radial artery access is safe and feasible and allows for simultaneous bilateral and multilevel intervention.