{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T17:29:09Z","timestamp":1787851749920,"version":"build-2784847793"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2016,3,26]],"date-time":"2016-03-26T00:00:00Z","timestamp":1458950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p> Transradial access (TRA) has been shown to lower morbidity and bleeding complications compared to transfemoral access in percutaneous coronary interventions. Morbid obesity, commonly defined as a body mass index (BMI) \u226540 kg\/m<jats:sup>2<\/jats:sup>, has been shown to be a risk factor for access site complications irrespective of access site. This study evaluates the safety and feasibility of performing visceral endovascular interventions in morbidly obese patients via TRA. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Procedural details, technical success, and 30-day major and minor access site, bleeding, and neurological adverse events were prospectively recorded in a database of 1057 procedures performed via the radial artery. From this database we identified 22 visceral interventions performed with TRA in 17 morbidly obese patients (age: 53 \u00b1 11 years, female: 71%) with a median BMI of 42.7 kg\/m<jats:sup>2<\/jats:sup>. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Interventions included radio-embolization (n = 7, 31.8%), chemo-embolization (n = 6, 27.3%), uterine fibroid embolization (n = 4, 18.2%), renal embolization (n = 2, 9.1%), hepatic embolization (n = 1, 4.5%), lumbar artery embolization (n = 1, 4.5%), and renal angioplasty (n = 1, 4.5%). The technical success was 100%. There were no major or minor adverse access site, bleeding, or neurological complications at 30 days. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> This study suggests visceral endovascular interventions performed in morbidly obese patients are safe and feasible. <\/jats:p><\/jats:sec>","DOI":"10.5301\/jva.5000530","type":"journal-article","created":{"date-parts":[[2016,3,29]],"date-time":"2016-03-29T09:11:18Z","timestamp":1459242678000},"page":"256-260","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":21,"title":["Transradial access for Visceral Endovascular Interventions in Morbidly Obese Patients: Safety and Feasibility"],"prefix":"10.1177","volume":"17","author":[{"given":"Derek M.","family":"Biederman","sequence":"first","affiliation":[{"name":"Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York - USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett","family":"Marinelli","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York - USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul J.","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York - USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph J.","family":"Titano","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York - USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul S.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York - USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York - USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nora E.","family":"Tabori","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York - USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis S.","family":"Nowakowski","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York - USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Lookstein","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York - USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron M.","family":"Fischman","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York - USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,3,26]]},"reference":[{"key":"bibr1-jva.5000530","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-200604000-00002"},{"key":"bibr2-jva.5000530","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-104-4-540"},{"key":"bibr3-jva.5000530","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.04.009"},{"key":"bibr4-jva.5000530","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.112.000536"},{"key":"bibr5-jva.5000530","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2008.08.023"},{"key":"bibr6-jva.5000530","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10708"},{"key":"bibr7-jva.5000530","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.26015"},{"key":"bibr8-jva.5000530","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000186953.44651.19"},{"key":"bibr9-jva.5000530","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000094584.83406.3e"},{"key":"bibr10-jva.5000530","unstructured":"US Department of Health and Human Services. 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