BackTable Vascular & Interventional

Ep. 443 Innovative Approaches in Radial to Peripheral Interventions with Dr. Amit Srivastava

May 7, 2024
Dr. Amit Srivastava discusses innovative approaches in peripheral interventions and radial access techniques, highlighting lower complication rates, the variety of devices available, and same-day discharge options. The conversation covers the success of transradial approach, evolution of devices, and virtual reality training for practitioners to adopt radial access efficiently.
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INSIGHT

Radial vs. Brachial Access

  • Radial access offers similar outcomes to brachial access, but with lower risks.
  • It avoids complications like brachial artery pseudoaneurysm, thrombosis, or nerve entrapment.
ANECDOTE

Stroke Risk and Radial Access

  • Concerns about increased stroke risk from right radial access appear unfounded.
  • Data from coronary and peripheral studies show no increased risk compared to other access points.
ADVICE

Complementary Access

  • Prepare for potential complications by having complementary access prepped.
  • For complex cases like SFA CTOs or iliac interventions, anticipate challenges and have backup plans.
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