REVIEW article
Front. Surg.
Sec. Vascular Surgery
This article is part of the Research TopicTelehealth Innovations in Vascular CareView all 4 articles
Clinical Comparison of Transfemoral Versus Distal Transradial Access for Lower Extremity Arteriography
Provisionally accepted
- Liyuan Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Objectives: This study aims to evaluate the feasibility and advantages of the distal transradial approach (dTRA) for assessing blood supply in patients with lower limb ulcers. Methods: This study analyzed 66 patients with chronic lower limb ulcers who underwent lower limb angiography between December 2023 and October 2024. Among them, 44 patients were in the transfemoral access (TFA) group, and 22 patients were in the dTRA group. The success rate of the procedure, contrast dosage, time consumed for contrast, postoperative complications, patient Satisfaction Score and objective analysis of image quality were recorded and statistically analysed using SPSS 22.0. Results: The analysis revealed that there was no statistically significant difference in the procedural success rates between the two groups, with the TFA group achieving a 95% success rate compared to 86% in the dTRA group (P=0.41). The amount of contrast agent used was significantly higher in the dTRA group than in the TFA group (70.79±13.25 mL vs. 60.10±16.98 mL, P=0.02). However, there was no statistically significant difference in the complication rate (2.3% in the TFA group vs 0% in the dTRA group, P=1.00). Slightly more time-consuming imaging in the dTRA group (30 minutes vs 25 minutes, P=0.06). Patient satisfaction score in the dTRA group (4.16±0.60) was better than the TFA group (3.12±0.63, p=0.00). The CNR (13.99±7.92) in the dTRA group was lower than that in the TFA group (21.31±10.57) (P=0.009). Conclusions: The dTRA demonstrates diagnostic efficacy comparable to the TFA in evaluating lower limb blood supply in chronic lower limb ulcers patients, and significantly improves patient comfort with its minimally invasive access, early mobility, and low complication risk.
Keywords: Anatomical snuffbox, Distal transradial access (dTRA), Lower extremity angiography, lower extremity ulcer, Transfemoral access(TFA)
Received: 01 Aug 2025; Accepted: 12 Dec 2025.
Copyright: © 2025 Feng, Zeng, Zhu and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Tingyu Wang
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