CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S8-S9
DOI: 10.1055/s-0041-1730669
Abstract

Radial Access Oncological Intervention: A Single-Center Experience

Pavan Najran
The Christie Hospital NHS Foundation Trust, Manchester, UK
,
Jon Bell
The Christie Hospital NHS Foundation Trust, Manchester, UK
› Author Affiliations

Background: Intra-arterial therapy is the foundation of interventional oncology encompassing a number of procedures including tumor embolization, liver-directed therapies (transarterial chemoembolization [TACE], selective internal radiotherapy [SIRT], and bland liver embolization), and oncological complication such as tumor hemorrhage. Traditional femoral access vascular intervention has been the foundation of these procedures; however, femoral punctures can result in a number of complications which limit patient mobility postprocedure. Radial access vascular intervention improves mobility postprocedure and reduces hospital stay. In addition, in the case of pelvic embolization, targets increase success rates and access to targets. We described our experience of radial access interventional oncology. Methods: We have performed over twenty cases of radial access vascular oncological procedures including Y90 treatment, bland liver embolization, TACE, drug-eluting bead (DEB)-TACE, and pelvic tumor embolization. Results: We have had no acute complications at the site of puncture or peripheral limb ischemia. We have had two procedure failures due to inability to cannulate the coeliac axis. However, in both of these cases, a second attempt via femoral approach was performed which also failed. One patient experienced radial artery spasm which we relived with local glyceryl trinitrate infiltration and intravenous sedation administration. Conclusion: Radial access vascular intervention is an innovative method of delivering intra-arterial therapy. In the oncology setting, it allows improved patient turnaround and reduced hospital stay. Successful hemostasis is also improved due to the relatively peripheral location of the target vessel and adjacent bone to allow adequate compression. We have experienced no significant complications and reduction in hospital stay. In addition, there has been excellent patient feedback focusing on the improved patient mobility postprocedure.



Publication History

Article published online:
11 May 2021

© 2018. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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