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Cardiovasc Intervent Radiol. 2017 Jul;40(7):1026-1032. doi: 10.1007/s00270-016-1529-5. Epub 2016 Dec 5.

Prone Transradial Catheterization for Combined Single-Session Transarterial Embolization and Percutaneous Posterior Approach Cryoablation of Solid Neoplasms.

Author information

1
Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA. jeffreychick@gmail.com.
2
Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI, 48109, USA.

Abstract

Transradial access (TRA) has been associated with improved post-procedure hemostasis and patient satisfaction, and decreased hemorrhagic complications, sedation requirements, recovery times, and procedure-related costs when compared with traditional transfemoral catheterization. Supine TRA has been described for the treatment of myocardial infarctions, aortoiliac and femoropopliteal stenoses, and a variety of neoplasms. This original research describes prone transradial catheterization to facilitate combined single-session transarterial embolization and percutaneous cryoablation of solid neoplasms from a posterior approach without repositioning. Prone TRA access, transarterial embolization, and percutaneous cryoablation were successful in all cases described. Mean procedure time was 210 min (range: 140-250 min). One minor complication, transient bacteremia which responded to antibiotics, was reported. No major complications occurred.

KEYWORDS:

Combined transarterial embolization and percutaneous ablation; Cryoablation; Interventional oncology; Interventional radiology; Prone transradial access; Renal cell carcinoma; Sarcoma; Supine transradial access; Transradial access

PMID:
27921153
DOI:
10.1007/s00270-016-1529-5
[Indexed for MEDLINE]

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