Illustrated Guide to the Transradial Approach for Neuroendovascular Surgery: A Step-by-Step Description Gleaned From Over 500 Cases at an Early Adopter Single Center.

Operative Neurosurgery
Mithun G SatturAlejandro M Spiotta

Abstract

Traditionally, neuroangiography for diagnosis and therapy has been achieved via the transfemoral route. Femoral access, however, has been associated with catastrophic complications. Although transradial access (TRA) has been adopted late by the field of neuroendovascular surgery, several groups have recently demonstrated a dramatically safe and rapid learning curve with a radial-first approach. However, there is a need for a detailed illustrative approach on the transradial technique. To provide a detailed description of the operative technique with step-by-step illustrations derived from our single center series of 506 cases, as an early adopter. A step-by-step illustrated approach to our technique of transradial angiography is provided, based on our clinical experience of an early radial-first approach. Prospective review of patients undergoing transradial angiography and interventions from April 1 to November 30, 2019, at our institution was performed. We included all cases that received radial-first arterial access for diagnostic and interventional neuroangiography. Efficacy, complications, catheter use, and radiation metrics of TRA for the entire cohort were noted. The radial approach was described in 4 stages beginning fr...Continue Reading

References

Oct 1, 2017·Journal of Neurointerventional Surgery·Brian M SnellingEric C Peterson
Jan 10, 2018·Journal of Neurointerventional Surgery·Brian M SnellingEric C Peterson
Oct 26, 2018·Circulation. Cardiovascular Interventions·Peter J MasonUNKNOWN American Heart Association Interventional Cardiovascular Care Committee of the Council on Clinical Cardiology; Council on Ca
Jan 24, 2019·Journal of Neurointerventional Surgery·Stephanie H ChenEric C Peterson
Mar 8, 2019·Journal of Neurointerventional Surgery·Benjamin M ZussmanBrian Thomas Jankowitz
Jul 14, 2019·Journal of Neurointerventional Surgery·Eyad AlmallouhiAlejandro M Spiotta

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Citations

Jan 9, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Somnath DasPascal Jabbour
Sep 24, 2021·Journal of Neurointerventional Surgery·Kazim H NarsinhChristopher F Dowd

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