Procedural Utility, Reliability, and Success of Endovascular Intervention for Peripheral Arterial Disease Utilizing Transradial Access.

Background: Transradial access (TRA) in coronary interventions is widely recognized for its reduced complication rates and improved patient outcomes. Its application in peripheral vascular interventions (PVI) is limited. Methods: We retrospectively reviewed the electronic medical records of all patients who underwent PVI via TRA between November 2021 and November 2024 at a single center. The primary outcome was procedural success. Results: A total of 137 patients (median age, 70 years; 51% men) with 213 lesions were included; smoking (94.2%) and hypertension (93.4%) were the most common comorbidities. Chronic total occlusions were present in 36.4% of cases. Access was predominantly obtained via the left radial artery (83.9%); the right radial artery was used in 7.2% of cases. Bilateral interventions were performed in 21.8% of cases. The success rate was 98.5%, with a 2.1% rate of periprocedural complications. TRA facilitated early ambulation (30-120 minutes) and a 96.5% same-day discharge rate. Conclusions: TRA appears to be a viable alternative to femoral or brachial access for PVI, demonstrating reduced complication rates and enhanced patient outcomes and satisfaction in this series. A few tools are needed to perfect and facilitate this approach.