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Fast-track incorporation of the transradial approach in endovascular neurointervention
- Source :
- Journal of neurointerventional surgery. 12(2)
- Publication Year :
- 2019
-
Abstract
- BackgroundThe transradial approach as a frontline approach is a novel technique in neuroendovascular procedures. In this study we aim to present our early experience with full transition to transradial access as the first-line approach for neuroendovascular procedures.MethodsWe prospectively collected data on the first 100 consecutive patients who underwent a diagnostic or interventional neuroendovascular procedure using the transradial approach at our institution between March 22 and April 30, 2019. Baseline characteristics were collected in addition to the type of procedure, access site, catheters and wires used, complications, and whether there was crossover to transfemoral access.ResultsTransradial access was attempted in 121 cases and 91 cases were completed successfully (72 diagnostic procedures and 19 interventional procedures). Mean (SD) age was 56.8 (14.7) years, 54.9% (50/91) underwent the procedure in the outpatient setting, and 60.4% (55/91) were women. Seven patients had minor immediate complications related to the radial access. Interventional procedures successfully performed included aneurysm embolization (ruptured (n=3) and unruptured (n=8)), tumor embolization (n=2), cervical internal carotid artery stenting (n=2), balloon occlusion test (n=1), vertebral artery sacrifice (n=1), and arteriovenous malformation embolization (n=2).ConclusionIn this early experience, full transition to the transradial approach as the frontline approach is feasible with a low complication rate for both diagnostic and interventional neuroendovascular procedures.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Vertebral artery
medicine.medical_treatment
030204 cardiovascular system & hematology
Catheterization
03 medical and health sciences
0302 clinical medicine
medicine.artery
medicine
Humans
Embolization
Prospective Studies
Aged
medicine.diagnostic_test
business.industry
Endovascular Procedures
Arteriovenous malformation
General Medicine
Cerebral Arteries
Middle Aged
medicine.disease
Embolization, Therapeutic
Surgery
Catheter
Balloon occlusion
Angiography
Radial Artery
Female
Stents
Neurology (clinical)
Internal carotid artery
Fast track
business
030217 neurology & neurosurgery
Carotid Artery, Internal
Subjects
Details
- ISSN :
- 17598486
- Volume :
- 12
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of neurointerventional surgery
- Accession number :
- edsair.doi.dedup.....183e416f0e528376e923f25a708a4b4e