Distal transradial access in the anatomical snuffbox for diagnostic cerebral angiography

Journal of Neurointerventional Surgery
Marie-Christine BrunetEric C Peterson

Abstract

The transradial approach for endovascular angiography and interventional procedures is superior to the traditional transfemoral approach in several metrics, including lower access-site complication rates, higher patient satisfaction, and lower hospital costs. Interventional cardiologists have begun to adopt the distal transradial approach (dTRA) for coronary interventions as it has an improved safety profile and improved procedural ergonomics. Adaptation of dTRA for neuroendovascular procedures promises similar benefit, but requires a learning curve. To report the first use of dTRA for diagnostic cerebral angiography and demonstrate the feasibility and safety of a dTRA. A retrospective review of our prospective institutional database of consecutive cases of cerebral DSA performed via dTRA between August 2018 and December 2018 was performed. Patient demographics, procedural and radiographic metrics, and clinical data were recorded. 85 patients were identified with an average age of 53.8 years (range 18-82); 67 (78.8%) patients were female. 78 patients underwent successful dTRA diagnostic cerebral angiography, with a mean of five vessels catheterized and average fluoroscopy time of 12.0 min, or 2.6 min for each vessel. Seven pati...Continue Reading

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Citations

Jun 16, 2019·Journal of Neurointerventional Surgery·Tanaporn JaroenngarmsamerTimo Krings
Sep 6, 2019·Journal of Neurointerventional Surgery·Joshua W OsbunGregory J Zipfel
Jul 28, 2019·Journal of Neurointerventional Surgery·Marie-Christine BrunetEric C Peterson
Oct 7, 2019·Journal of Neurointerventional Surgery·Stephanie H ChenEric C Peterson
Oct 28, 2019·Journal of Neurointerventional Surgery·Guilherme BarrosMichael R Levitt
Jun 19, 2019·Journal of Neurointerventional Surgery·Felipe C Albuquerque
Dec 18, 2019·Journal of Neurointerventional Surgery·Joshua S CatapanoFelipe C Albuquerque
Jan 10, 2020·Journal of Neurointerventional Surgery·Anna Luisa KühnAjit S Puri
Apr 4, 2020·Journal of Neurointerventional Surgery·Visish M SrinivasanPeter Kan
Mar 11, 2020·Journal of Neurointerventional Surgery·Krishna C JoshiStephan A Munich
Sep 15, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Anna Luisa KühnAjit S Puri
Nov 27, 2019·Surgical Neurology International·Javier GolandPaula Ypa
May 26, 2020·Operative Neurosurgery·Joshua H WeinbergPascal Jabbour
Oct 5, 2019·AJNR. American Journal of Neuroradiology·C ChivotT Yzet
May 15, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Shoji SaitoYukihiko Fujii
Aug 1, 2020·Journal of Neurointerventional Surgery·Stephanie H Chen, Eric C Peterson
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Jul 22, 2020·Journal of Neurointerventional Surgery·Rimal H DossaniJason M Davies
Sep 10, 2020·Surgical Neurology International·Luis Alberto Domitrovic ZalocarJavier Goland
Jul 16, 2020·Journal of Neurointerventional Surgery·Felipe C Albuquerque
Dec 11, 2019·Journal of Neurointerventional Surgery·Robert M StarkeUNKNOWN Society of NeuroInterventional Surgery
Jan 12, 2021·Journal of Neuroradiology. Journal De Neuroradiologie·Cyril ChivotThierry Yzet
Jan 16, 2021·Journal of Neuroradiology. Journal De Neuroradiologie·Cyril ChivotThierry Yzet
Apr 20, 2020·World Neurosurgery·Evan LutherRobert M Starke
Nov 17, 2020·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Ahmed E KenawyAmeer E Hassan
Jan 24, 2021·World Neurosurgery·Visish M SrinivasanPeter Kan
Nov 18, 2020·Stroke and Vascular Neurology·Timothy John PhillipsWilliam McAuliffe
Feb 18, 2021·Journal of Neurointerventional Surgery·Isaac Josh AbecassisRobert M Starke
Jan 15, 2021·Journal of Neurointerventional Surgery·Evan LutherRobert M Starke
Nov 24, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Anna Luisa KühnAjit S Puri
Apr 17, 2021·Operative Neurosurgery·Stephanie H ChenEric C Peterson
May 3, 2021·Journal of Vascular and Interventional Radiology : JVIR·Antony GayedMarcelo Guimaraes
Jun 4, 2021·Journal of Neurointerventional Surgery·Michael K TsoJason M Davies
Aug 5, 2021·Journal of Neurointerventional Surgery·Isaac Josh AbecassisEric C Peterson
Aug 20, 2021·Cardiovascular Intervention and Therapeutics·Norihiko Shinozaki, Yuji Ikari
Sep 24, 2021·Journal of Neurointerventional Surgery·Kazim H NarsinhChristopher F Dowd

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