Advances in Interventional Cardiology
eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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3/2025
vol. 21
 
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abstract:
Original paper

Safety and effectiveness of iliac artery stenosis treatment using percutaneous radial or brachial access: 30-day and 12-month outcomes from the IRBIS registry

Przemysław Nowakowski
1, 2
,
Wojciech Uchto
1, 2
,
Zofia Nowakowska
3
,
Aleksandra Suchanek
2
,
Michał Nowakowski
3
,
Jacek Bil
4
,
Piotr Wolak
2

  1. Academy of Silesia, Katowice, Poland
  2. American Heart of Poland, Chrzanow, Poland
  3. University of Silesia, Katowice, Poland
  4. National Medical Institute of the Ministry of the Interior and Administration, Warsaw, Poland
Adv Interv Cardiol 2025; 21, 3 (81): 409–415
DOI: https://doi.org/10.5114/aic.2025.154167
Online publish date: 2025/09/09
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Introduction:
Radial or brachial access for endovascular treatment of peripheral arterial disease may reduce access site complications and avoid the need for post-procedure immobilization.

Aim:
This study evaluated in-hospital, 30-day, and 12-month outcomes for iliac artery lesion treatment with these access types.

Material and methods:
The study retrospectively included 109 patients, 67% males, aged 38-88 years, with chronic lower limb ischemia and atherosclerotic lesions in the iliac arteries. Endovascular treatment was performed via radial or brachial access in 22% and 78% of cases. Iliac artery occlusions, subocclusions, and significant stenoses were present in 11%, 24%, and 65% of patients. We collected data on demographics, comorbidities, procedural details, adverse events, and outcomes.

Results:
During the hospital stay and 30-day follow-up, there were no deaths, amputations, or reinterventions. Technical success was achieved in 100% of cases, with no conversions to femoral access required. The overall complication rate related to the access site was 4.6%, with 3.6% of complications necessitating local surgical intervention. Notably, there was one minor ischemic stroke and one distal embolization during using right brachial access. All reported access site complications were associated with brachial access. The average time to discharge after the procedure was 1.2 days. At 12 months, the target lesion revascularization rate was 3.7%.

Conclusions:
Radial or brachial access was a safe alternative to femoral access for endovascular procedures in the iliac arteries. Using left-side radial or brachial access enabled 100% technical success.

keywords:

peripheral arterial intervention, access site safety, endovascular procedure complications, angioplasty techniques, arterial access comparison
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