Background: Different vascular beds may be involved in same patient (pts) with diffuse atherosclerosis. Endovascular therapy of these pts using solely the transradial access (TRA) is quite rare.
Aim: Summarize our one year experience of endovascular therapy in pts with multi vascular bed involvement by the TRA.
Material & Methods: Eighteen pts ; 16 male, mean age 56± 7 year with diffuse atherosclerotic vascular disease were treated by TRA. All pts had 3 > major risk factors for atherosclerosis. All pts had symptoms related to at least 2 different vascular beds. We describe coronary, intra cranial posterior circulation, cervical, renal and /or aorto-iliac procedures undertaken at the same pts by TRA. Due to equipment limitation we excluded pts with SFA or below knee pathologies. Ten of 18 (55%) underwent 2 procedure and 8/18 (45%) underwent 3 procedures via TRA. Vascular bed involved, pts complaints, equipment used and early outcome are presented.
Results:
P- Pulmonary, SS-Shuttle sheath, BES-Balloon expandable stents, SES-SelfES
Technical failure via TRA was noticed only during carotid intervention due to inability to deliver distal protection device and inadequate support for the SS. No pts showed vascular bed related complication.
Conclusions: Patients with intracranial, cervical coronary renal and aorto- iliac atherosclerotic disease can be treated safely and efficiently by TRA.
