Author:
Cai Ranze,Jiang Yingchuang,Wu Jian,Li Qiuping,Qi Biao
Abstract
Abstract
Background
Radial artery occlusion (RAO) remains a significant limitation of neuroendovascular procedures peformed through transradial access (TRA) when radial artery needs to be reused. Instances of early RAO recanalization to successfully complete neuroendovascular procedures have been rarely documented.
Materials and methods
Documents and imaging data were extracted retrospectively for all patients who underwent TRA diagnostic angiography and neuroendovascular procedures in our center from June 2022 to February 2023. The patients with early RAO who required repeat TRA were included.
Results
A total of 46 patients underwent repeat TRA, and 13 consecutive patients who experienced early RAO after angiography as confirmed by ultrasonography were enrolled in this study. The occluded radial arteries were successfully recanalized, and subsequent neuroendovascular procedures were carried out successful. During an average follow-up time of 7.1 months, no patients exhibited symptomatic RAO, dissection, hematoma or pseudoaneurysm.
Conclusions
Early RAO recanalization and reused for neuroendovascular procedures through TRA is feasible. A visually guided and stable puncture process plays a crucial role in successfully recanalizing early RAO.
Funder
the Natural Science Foundation of Fujian Province
the Natural Science Foundation of Xiamen City
Publisher
Springer Science and Business Media LLC
Subject
Neurology (clinical),General Medicine
Reference17 articles.
1. Wilkinson DA, Majmundar N, Catapano JS, et al. Transradial cerebral angiography becomes more efficient than transfemoral angiography: lessons from 500 consecutive angiograms. J Neurointerv Surg. 2022;14(4):397–402.
2. Chen W, Song XF, Wan M, Liu L, Jia WH. The effects of diagnosis-related group payment on diagnostic cerebral angiograms through a transradial and transfemoral approach: a comparative observational study. J Healthc Eng. 2022;2022:9670757.
3. Rentiya ZS, Kuhn AL, Hutnik R et al. Transradial access for cerebral angiography and neurointerventional procedures: a meta-analysis and systematic review [published online ahead of print, 2022 Jul 15]. Interv Neuroradiol. 2022;15910199221112200.
4. Chen SH, Snelling BM, Sur S, et al. Transradial versus transfemoral access for anterior circulation mechanical thrombectomy: comparison of technical and clinical outcomes. J Neurointerv Surg. 2019;11(9):874–8.
5. Chen SH, Brunet MC, Sur S, Yavagal DR, Starke RM, Peterson EC. Feasibility of repeat transradial access for neuroendovascular procedures. J Neurointerv Surg. 2020;12(4):431–4.