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Transradial access for neurointerventional procedures: A practical approach
INTRODUCTION: Transradial approach (TRA) is a new technique proposed for performing cerebral angiography and neuro-interventional procedures. In this article, we sought to provide a step-by-step guide for carrying out a diagnostic cerebral angiography using this approach and summarize our center’s e...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419729/ https://www.ncbi.nlm.nih.gov/pubmed/37576579 http://dx.doi.org/10.4103/bc.bc_101_22 |
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author | Mirbolouk, Mohammad Hossein Ebrahimnia, Feizollah Gorji, Reza Sasannejad, Payam Zabihyan, Samira Hoveizavi, Mohammad Adeeb Garivani, Yousefali Mirzaasgari, Zahra Abdollahifard, Saeed Mowla, Ashkan Baharvahdat, Humain |
author_facet | Mirbolouk, Mohammad Hossein Ebrahimnia, Feizollah Gorji, Reza Sasannejad, Payam Zabihyan, Samira Hoveizavi, Mohammad Adeeb Garivani, Yousefali Mirzaasgari, Zahra Abdollahifard, Saeed Mowla, Ashkan Baharvahdat, Humain |
author_sort | Mirbolouk, Mohammad Hossein |
collection | PubMed |
description | INTRODUCTION: Transradial approach (TRA) is a new technique proposed for performing cerebral angiography and neuro-interventional procedures. In this article, we sought to provide a step-by-step guide for carrying out a diagnostic cerebral angiography using this approach and summarize our center’s experience. MATERIAL AND METHODS: Records of patients since January 2020 were investigated, and data on demographic indices, reports of the procedures, outcomes, and complications were extracted. Then, these data were used to develop a step-by-step instruction for TRA cerebral angiography. RESULTS: Two hundred eighty-nine patients matched our eligibility criteria with a mean age of 50 years and a female-to-male ratio of 1.18. Overall, TRA was carried out successfully for 97.2% (281 patients). In case TRA failed, transfemoral approach was considered for the procedure. Three minor complications (two vasospasm and one small hematoma) and two major complications (one pseudoaneurysm of the radial artery and one radial artery avulsion) were observed. CONCLUSION: This article covers challenges a neurointerventionalist may face during a diagnostic cerebral angiography using TRA. Furthermore, our findings indicated that cerebral angiography with TRA might be performed safely and with a great success rate. |
format | Online Article Text |
id | pubmed-10419729 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-104197292023-08-12 Transradial access for neurointerventional procedures: A practical approach Mirbolouk, Mohammad Hossein Ebrahimnia, Feizollah Gorji, Reza Sasannejad, Payam Zabihyan, Samira Hoveizavi, Mohammad Adeeb Garivani, Yousefali Mirzaasgari, Zahra Abdollahifard, Saeed Mowla, Ashkan Baharvahdat, Humain Brain Circ Original Article INTRODUCTION: Transradial approach (TRA) is a new technique proposed for performing cerebral angiography and neuro-interventional procedures. In this article, we sought to provide a step-by-step guide for carrying out a diagnostic cerebral angiography using this approach and summarize our center’s experience. MATERIAL AND METHODS: Records of patients since January 2020 were investigated, and data on demographic indices, reports of the procedures, outcomes, and complications were extracted. Then, these data were used to develop a step-by-step instruction for TRA cerebral angiography. RESULTS: Two hundred eighty-nine patients matched our eligibility criteria with a mean age of 50 years and a female-to-male ratio of 1.18. Overall, TRA was carried out successfully for 97.2% (281 patients). In case TRA failed, transfemoral approach was considered for the procedure. Three minor complications (two vasospasm and one small hematoma) and two major complications (one pseudoaneurysm of the radial artery and one radial artery avulsion) were observed. CONCLUSION: This article covers challenges a neurointerventionalist may face during a diagnostic cerebral angiography using TRA. Furthermore, our findings indicated that cerebral angiography with TRA might be performed safely and with a great success rate. Wolters Kluwer - Medknow 2023-06-30 /pmc/articles/PMC10419729/ /pubmed/37576579 http://dx.doi.org/10.4103/bc.bc_101_22 Text en Copyright: © 2023 Brain Circulation https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Mirbolouk, Mohammad Hossein Ebrahimnia, Feizollah Gorji, Reza Sasannejad, Payam Zabihyan, Samira Hoveizavi, Mohammad Adeeb Garivani, Yousefali Mirzaasgari, Zahra Abdollahifard, Saeed Mowla, Ashkan Baharvahdat, Humain Transradial access for neurointerventional procedures: A practical approach |
title | Transradial access for neurointerventional procedures: A practical approach |
title_full | Transradial access for neurointerventional procedures: A practical approach |
title_fullStr | Transradial access for neurointerventional procedures: A practical approach |
title_full_unstemmed | Transradial access for neurointerventional procedures: A practical approach |
title_short | Transradial access for neurointerventional procedures: A practical approach |
title_sort | transradial access for neurointerventional procedures: a practical approach |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10419729/ https://www.ncbi.nlm.nih.gov/pubmed/37576579 http://dx.doi.org/10.4103/bc.bc_101_22 |
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