PhD Defence Max M. Meertens

Keywords: Endovascular procedures, arterial access, safety, access complications
 

"Arterial access in endovascular procedures for vascular pathologies"

This thesis focuses on improving the safety and success of endovascular procedures, which are increasingly favoured by the patients. A critical step in these procedures is accessing the arteries, particularly the femoral artery or an upper extremity artery (e.g., radial or brachial arteries). The conducted research compares the outcomes and complications of various access strategies, including upper extremity and femoral artery approaches. The findings show that radial artery access is safe and effective for certain lower extremity treatments, with fewer complications than femoral access. However, caution is advised with brachial artery access due to high complication rates. Additionally, left-sided upper extremity access is linked to a lower risk of stroke during complex procedures. Overall, the research guides on choosing the best access strategy to improve patient outcomes in endovascular procedures.

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