Background: Radial artery size, distance from target vessel and lesion morphology raise some obstacle for routine use of Trans radial artery (TRA) as a first approach for treating Ilio-Femoral (IF) atherosclerotic disease.
Aim: Summarize 2 year experience of treating IF disease via TRA
Pts population: 16 pts (11M) mean age 64±10 year suffering from typical buttock claudication were included. All pts had >3 major risk factors for atherosclerosis All pts had Ankle Brachial Index of < 0.9.
Angiographic Technique: Peripheral diagnostic angiography was undertaken via left radial artery by using 5F long 125 cm, multipurpose catheter. After lesion crossing by long stiff wire a sheath less balloon angioplasty or stenting were undertaken. Lesion position and length were marked by external ruler. Balloon diameters were 6-8 mm, balloon length 40-80 mm. Balloon expandable stent were used for ostial Iliac disease and Self expandable stents for IF narrowing. Drug eluting balloon were used for ISR phenomena. Kissing balloon or stenting were undertaken by using both radial vessels. Post intervention result was assessed by using long multipurpose catheter.
Angiographic data: 9/ 16 (56%) had single IF disease and 7/16 (44%) had bilateral IF disease. 4/ 16 (25%) had ostial Iliac disease and 12/ 16 (75%) had mid to distal IF pathology. Three pts had a unilateral CTO. 5/16 (31%) showed ISR phenomena.
Results: Fifteen of 16 (94%) pts underwent successful technical procedures .One pts with CTO had a failed wire crossing .Mean lesion narrowing before and after procedure was 70+ 15% and 10+10% respectively. No flow limiting dissection or port of entry complications were noticed. All pts discharged a day after intervention
Conclusions: Pts with IF atherosclerotic disease can be treated safely and efficiently via TRA.
