Pseudoaneurysms: Anyone had one with a radial (wrist) approach?

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Hi team -

Researching pseudoaneurysm complications.

Has anyone had one of these with a radial approach vs. femoral approach for endovascular embolization?

TY!
J

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Hi are you thinking about the benefits / risks of radial artery rather than femoral artery?

I’ve not looked for scholarly articles but I’m inclined to think that it is easier to isolate the radial artery while it heals post intrusion than it is to reduce the movement in the femoral artery.

I can say that I had what appeared to be a lump adjacent to my femoral artery after one of my procedures – I can’t remember whether it was simply a catheter angiogram or a catheter embolization – but it was assessed as liable to be reabsorbed rather than indicative of an ongoing rupture in my case. Fortunately, it did fade away as expected but there is always a risk with catheter procedures like this.

I do tend to think you could isolate your wrist for longer than your leg if you wanted to be more sure not to disturb things while everything recovers.

There’s another conversation about radial artery access here: Angiogram....groin entrance vs wrist

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Thanks Richard!

Yes, absolutely thinking about benefits/risks of radial artery approach vs. femoral artery approach.

I’ve seen posts of folks mentioning pseudo aneurysms as a complication after femoral approach but haven’t found any mentioning this as a complication after radial approach, so I’m wondering if a radial approach can help reduce that risk (as well as others).

I’m a mfg engineer/project manager who works remotely, so isolating wrist ain’t great as I type a lot, but it’s doable :). I’d much rather go that route if it reduces the psuedoaneurysm complication too, and know it’s based on viability assessment and surgeon’s experience as well, but if I have the option I’m looking for reasons to push for that.

Thanks for the link checking it out! Appreciate it (hat tip) -

J

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What I’d say is that my reading of our forums is that radial entry is relatively new, so that probably accounts for why you see mention of femoral artery pseudoaneurysms but no/less radial. I’m sure that will influence the apparent numbers.