Renal Intervention by the Radial Approach

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Renal Interventionby the Radial Approach
Angiosoft.NET

• Josef Ludwig, Erlangen

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Standard Technique Femoral Approach
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Femoral Approach Anatomical Limitations
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Brachial Artery Access

• Potential Complications
• Hematoma
• Acute upper limb
• ischemia due to dissection

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Radial Artery Approach

• Potential Advantages
• Easy antegrade access to the target lesion
• Improved patient comfort - no compression
  bandage
• - early ambulation
• Reduction of puncture-site related complications

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Radial Artery Approach- Coronary Technique -

• 6F Multipurpose guiding catheter (125 cm)
• 0.014 extra support guide-wire
• Predilatation (Coronary Balloon) or direct
  stenting
• Stenting Multilink RX Ultra (CABG Stent)

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Peripheral Stent System
Tsunami Peripheral
April 2003 Terumo Corporation
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Stent Range (renal application)
? Stent diameter 5, 6 7 mm ? Stent lenght
12 18 mm ? Shaft lenght 90 150 cm
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Conclusions

• Transradial renal artery stenting is technically
  feasible and safe
• Easy access to the renal artery even in case of
  difficult anatomy
• Significantly improves patient comfort and
  reduces access site related complications
• New equipment by Terumo and Cordis has reduced
  the major limitation for the procedure