1. Renal Intervention by the Radial Approach Josef Ludwig, Erlangen Angiosoft.NET

2. Standard Technique: Femoral Approach

3. Femoral Approach: Anatomical Limitations

4. Brachial Artery Access Potential Complications: - Hematoma - Acute upper limb ischemia due to dissection

5. Radial Artery Approach Potential Advantages: Easy antegrade access to the target lesion Improved patient comfort - no compression bandage - early ambulation Reduction of puncture-site related complications

6. Radial Artery Approach - „Coronary“ Technique - 6F Multipurpose guiding catheter (125 cm) 0.014“ extra support guide-wire Predilatation (Coronary Balloon) or direct stenting Stenting: Multilink RX Ultra (CABG Stent)

14. Peripheral Stent System Tsunami Peripheral April 2003 Terumo Corporation

15. ◆ Stent diameter 5, 6 & 7 mm ◆ Stent lenght 12 & 18 mm ◆ Shaft lenght 90 & 150 cm Stent Range (renal application)

19. Conclusions Transradial renal artery stenting is technically feasible and safe Easy access to the renal artery even in case of difficult anatomy Significantly improves patient comfort and reduces access site related complications New equipment by Terumo and Cordis has reduced the major limitation for the procedure