{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T03:14:05Z","timestamp":1788146045730,"version":"build-2803163510"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":73,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Peripheral vascular interventions (PVIs) are less invasive alternatives to surgical bypass. However, the impact of PVIs on the post-procedural quality of life of patients and workload of nurses remains unclear. Therefore, we conducted a questionnaire-based survey including patients and nurses. The patient questionnaire consisted of eight items, including intra-procedure access site pain, post-procedure access site pain, discomfort during rest time, difficulty eating, bathroom difficulties, difficulty sleeping, difficulty walking the following day, and overall procedure satisfaction. The nurses\u2019 workload questionnaire comprised seven items, including bathroom care, eating care, pain care, access-site care, post-procedure nurse call support, handling postoperative complications, and overall workload. Patients who underwent PVIs using the transradial approach expressed significantly less discomfort during the post-procedure rest time, difficulty eating, bathroom difficulties, difficulty sleeping, and difficulty walking the following day than those who underwent the transfemoral approach. Nurses found the post-procedural management of the transradial approach easier than that of the transfemoral approach, with significant differences in bathroom care, eating care, access-site care, and handling postoperative complications. Notably, the overall workload was significantly lower for the transradial approach than that for the transfemoral approach. Thus, the transradial arterial approach for PVI had advantages over the transfemoral approach in this study, including improved patient comfort and decreased nursing workload.<\/jats:p>","DOI":"10.1186\/s13019-026-04450-w","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T16:26:19Z","timestamp":1781886379000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Radial access for peripheral intervention: differences in comfort and care"],"prefix":"10.1186","volume":"21","author":[{"given":"Takeshi","family":"Sugimoto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomonori","family":"Miki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naotoshi","family":"Wada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeki","family":"Takai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriyuki","family":"Wakana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kan","family":"Zen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoaki","family":"Matoba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"4450_CR1","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1093\/eurheartj\/ehx095","volume":"39","author":"V Aboyans","year":"2018","unstructured":"Aboyans V, Ricco JB, Bartelink MEL, et al. ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, in collaboration with the European Society for Vascular Surgery (ESVS). Eur Heart J. 2018;39:763\u2013816. https:\/\/doi.org\/10.1093\/eurheartj\/ehx095.","journal-title":"Eur Heart J"},{"key":"4450_CR2","doi-asserted-by":"publisher","first-page":"1338","DOI":"10.1016\/j.jacc.2015.12.049","volume":"67","author":"JW Olin","year":"2016","unstructured":"Olin JW, White CJ, Armstrong EJ, Kadian-Dodov D, Hiatt WR. Peripheral artery disease: evolving role of exercise, medical therapy, and endovascular options. J Am Coll Cardiol. 2016;67:1338\u201357. https:\/\/doi.org\/10.1016\/j.jacc.2015.12.049.","journal-title":"J Am Coll Cardiol"},{"key":"4450_CR3","doi-asserted-by":"publisher","first-page":"931","DOI":"10.1016\/j.jacc.2014.12.036","volume":"65","author":"MR Patel","year":"2015","unstructured":"Patel MR, Conte MS, Cutlip DE, et al. Evaluation and treatment of patients with lower extremity peripheral artery disease: consensus definitions from Peripheral Academic Research Consortium (PARC). J Am Coll Cardiol. 2015;65:931\u201341. https:\/\/doi.org\/10.1016\/j.jacc.2014.12.036.","journal-title":"J Am Coll Cardiol"},{"key":"4450_CR4","doi-asserted-by":"publisher","unstructured":"Aboyans V, Ricco JB, Bartelink MEL\u2019s Choice\u20142017 ESC guidelines on the diagnosis and treatment of peripheral arterial diseases, et al. editors. in collaboration with the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg. 2018, 55:305\u2009\u2013\u200968. https:\/\/doi.org\/10.1016\/j.ejvs.2017.07.018","DOI":"10.1016\/j.ejvs.2017.07.018"},{"key":"4450_CR5","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1583\/13-4242.1","volume":"20","author":"JE Indes","year":"2013","unstructured":"Indes JE, Pfaff MJ, Farrokhyar F, Brown H, Hashim P, Cheung K, Sosa JA. Clinical outcomes of 5358 patients undergoing direct open bypass or endovascular treatment for aortoiliac occlusive disease: a systematic review and meta-analysis. J Endovasc Ther. 2013;20:443\u201355. https:\/\/doi.org\/10.1583\/13-4242.1.","journal-title":"J Endovasc Ther"},{"key":"4450_CR6","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1007\/s12928-018-0523-z","volume":"33","author":"O Kawarada","year":"2018","unstructured":"Kawarada O, Zen K, Hozawa K, et al. Contemporary critical limb ischemia: Asian multidisciplinary consensus statement on the collaboration between endovascular therapy and wound care. Cardiovasc Interv Ther. 2018;33:297\u2013312. https:\/\/doi.org\/10.1007\/s12928-018-0523-z.","journal-title":"Cardiovasc Interv Ther"},{"key":"4450_CR7","doi-asserted-by":"publisher","first-page":"831","DOI":"10.1253\/circj.CJ-19-1109","volume":"84","author":"M Nakamura","year":"2020","unstructured":"Nakamura M, Kimura K, Kimura T, et al. JCS 2020 guideline focused update on antithrombotic therapy in patients with coronary artery disease. Circ J. 2020;84:831\u201365. https:\/\/doi.org\/10.1253\/circj.CJ-19-1109.","journal-title":"Circ J"},{"key":"4450_CR8","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1053\/j.tvir.2015.04.004","volume":"18","author":"H Rajebi","year":"2015","unstructured":"Rajebi H, Rajebi MR. Optimizing common femoral artery access. Tech Vasc Interv Radiol. 2015;18:76\u201381. https:\/\/doi.org\/10.1053\/j.tvir.2015.04.004.","journal-title":"Tech Vasc Interv Radiol"},{"key":"4450_CR9","doi-asserted-by":"publisher","first-page":"1293","DOI":"10.1016\/j.jcin.2021.03.041","volume":"14","author":"TA Meijers","year":"2021","unstructured":"Meijers TA, Aminian A, van Wely M, et al. Randomized comparison between radial and femoral large-bore access for complex percutaneous coronary intervention. JACC Cardiovasc Interv. 2021;14:1293\u2013303. https:\/\/doi.org\/10.1016\/j.jcin.2021.03.041.","journal-title":"JACC Cardiovasc Interv"},{"key":"4450_CR10","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1177\/15266028231187625","volume":"32","author":"K Horie","year":"2025","unstructured":"Horie K, Takahara M, Iida O, et al. Comparing the safety and feasibility of endovascular therapy via transradial and transfemoral approaches in patients with aortoiliac occlusive disease: a propensity score-matched analysis of the nationwide registry. J Endovasc Ther. 2025;32:756\u201365. https:\/\/doi.org\/10.1177\/15266028231187625.","journal-title":"J Endovasc Ther"},{"key":"4450_CR11","doi-asserted-by":"publisher","first-page":"2163","DOI":"10.3390\/jcm10102163","volume":"10","author":"G Bajraktari","year":"2021","unstructured":"Bajraktari G, Rexhaj Z, Elezi S, et al. Radial access for coronary angiography carries fewer complications compared with femoral access: a meta-analysis of randomized controlled trials. J Clin Med. 2021;10:2163. https:\/\/doi.org\/10.3390\/jcm10102163.","journal-title":"J Clin Med"},{"key":"4450_CR12","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.amjcard.2021.07.018","volume":"157","author":"A Latif","year":"2021","unstructured":"Latif A, Ahsan MJ, Mirza MM, et al. Meta-analysis of transradial versus transfemoral access for percutaneous coronary intervention in patients with chronic kidney disease. Am J Cardiol. 2021;157:8\u201314. https:\/\/doi.org\/10.1016\/j.amjcard.2021.07.018.","journal-title":"Am J Cardiol"},{"key":"4450_CR13","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1016\/j.jvs.2022.10.037","volume":"77","author":"S Maximus","year":"2023","unstructured":"Maximus S, Kwong M, Harding J, Mell M. Radial arterial access is a safe alternative to brachial artery and femoral artery access for endovascular lower extremity peripheral arterial disease. J Vasc Surg. 2023;77:870\u20136. https:\/\/doi.org\/10.1016\/j.jvs.2022.10.037.","journal-title":"J Vasc Surg"},{"key":"4450_CR14","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1007\/s12928-021-00801-7","volume":"37","author":"N Shinozaki","year":"2022","unstructured":"Shinozaki N, Ikari Y. Distal radial artery approach for endovascular therapy. Cardiovasc Interv Ther. 2022;37:533\u20137. https:\/\/doi.org\/10.1007\/s12928-021-00801-7.","journal-title":"Cardiovasc Interv Ther"},{"key":"4450_CR15","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1016\/s0002-8703(99)70143-2","volume":"138","author":"CJ Cooper","year":"1999","unstructured":"Cooper CJ, El-Shiekh RA, Cohen DJ, Blaesing L, Burket MW, Basu A, Moore JA. Effect of transradial access on quality of life and cost of cardiac catheterization: a randomized comparison. Am Heart J. 1999;138:430\u20136. https:\/\/doi.org\/10.1016\/s0002-8703(99)70143-2.","journal-title":"Am Heart J"},{"key":"4450_CR16","doi-asserted-by":"publisher","first-page":"1891","DOI":"10.1016\/j.jcin.2024.06.002","volume":"17","author":"O Iida","year":"2024","unstructured":"Iida O, Takahara M, Fujihara M, et al. Clinical outcomes of transradial vs nontransradial aortoiliac endovascular therapy. JACC Cardiovasc Interv. 2024;17:1891\u2013901. https:\/\/doi.org\/10.1016\/j.jcin.2024.06.002.","journal-title":"JACC Cardiovasc Interv"},{"key":"4450_CR17","unstructured":"Japanese Association of Cardiovascular Intervention and Therapeutics (CVIT). Japanese Registry of Endovascular Therapy (J-EVT) Annual Report 2024."},{"key":"4450_CR18","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1007\/s10554-025-03328-7","volume":"41","author":"A Sano","year":"2025","unstructured":"Sano A, Sugimoto T, Iwasaki T, et al. Pre-distance assessment from radial artery to lower extremity arterial lesion. Int J Cardiovasc Imaging. 2025;41:467\u201375. https:\/\/doi.org\/10.1007\/s10554-025-03328-7.","journal-title":"Int J Cardiovasc Imaging"},{"key":"4450_CR19","doi-asserted-by":"publisher","first-page":"1017","DOI":"10.1007\/s12928-025-01141-6","volume":"40","author":"A Sano","year":"2025","unstructured":"Sano A, Sugimoto T, Iwasaki T, Wakana N, Yamada H, Matoba S. Radial artery approach for treating right posterior tibial artery stenosis and bilateral SFA lesions in a single procedure. Cardiovasc Interv Ther. 2025;40:1017\u20138. https:\/\/doi.org\/10.1007\/s12928-025-01141-6.","journal-title":"Cardiovasc Interv Ther"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-026-04450-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-026-04450-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-026-04450-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T02:21:34Z","timestamp":1788142894000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s13019-026-04450-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4450"],"URL":"https:\/\/doi.org\/10.1186\/s13019-026-04450-w","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"assertion":[{"value":"8 April 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This was a prospective, non-interventional observational study. The Ethics Committee of Kyoto Tanabe Central Hospital determined that written informed consent was not required owing to the minimal-risk nature of the study. Informed consent was obtained through an opt-out process, in which the study information was publicly disclosed, and participants were given the opportunity to decline participation. The ethics committee reviewed the progress report of this study and confirmed that all methods were performed in accordance with the relevant guidelines and regulations.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"650"}}