Safety and Feasibility of Transradial Access for Visceral Interventions in @entity1 with XXXX .

@entity1 @entity882 @entity548 @entity16 @entity1410 @entity2473
PURPOSE: Transradial access (TRA) has shown lower morbidity and decreased @entity548 complications compared to transfemoral access. This study evaluates the safety and feasibility of TRA in @entity882 @entity1 undergoing visceral interventions. METHODS AND MATERIALS: @entity1 who underwent visceral interventions via the radial artery with platelet count less than or equal to 50,000/  L were included in the study. Outcome variables included technical success, access site, @entity548 , transfusion, and @entity16 . RESULTS: From July 1, 2012, to May 31, 2015, a total of 1353 peripheral interventions via TRA were performed, of which 85 procedures were performed in 64 @entity1 (mean age 62.2  years) with a platelet count <50,000/  L (median 39,000/  L). Interventions included chemoembolization (n  =  46), selective internal radiation therapy (n  =  30), and visceral embolization (n  =  9). Technical success was 97.6  % with two cases of severe vessel @entity2473 requiring ipsilateral femoral crossover. There was no major access site, @entity548 , or neurological adverse events at 30  days. Minor access site @entity1410 occurred in five cases (5.9  %) and were treated conservatively in all cases. Pre-procedural platelet transfusions were administered in 23 (27.1  %) cases. There was no statistically significant difference in access site or @entity548 complications between the transfused and nontransfused groups. CONCLUSIONS: Transradial visceral interventions in @entity1 with @entity882 are both feasible and safe, possibly without the need for platelet transfusions.
