Initial Experience with Transradial Intraoperative Angiography in Aneurysm Clipping: Technique, Feasibility, and Case Series.
Publication/Presentation Date
2-1-2020
Abstract
BACKGROUND: The transradial approach has slowly been gaining momentum in neuroendovascular procedures. We sought to assess its feasibility and safety and present a case series of transradial intraoperative angiography (IOA) during microsurgical clip ligation of intracranial aneurysms.
METHODS: The setup and technique for transradial intraoperative angiography are described. Data on 10 consecutive patients undergoing IOA through the radial artery are presented.
RESULTS: All target vessels were successfully catheterized transradially, and conversion to the transfemoral access was not required in any of the cases. There was no access-site complication, such as hand ischemia, hematoma, or radial artery spasm. There were also no thromboembolic events causing a stroke. The average time for the IOA was 9.3 minutes.
CONCLUSIONS: Our initial experience shows the transradial approach for IOA in clip ligation of aneurysms to be feasible and safe, with potential advantages over transfemoral IOA.
Volume
134
First Page
554
Last Page
554
ISSN
1878-8769
Published In/Presented At
Chalouhi, N., Sweid, A., Al Saiegh, F., Mahtabfar, A., Ghosh, R., Mouchtouris, N., Khanna, O., Romo, V., Tjoumakaris, S., Gooch, R., Rosenwasser, R. H., & Jabbour, P. (2020). Initial Experience with Transradial Intraoperative Angiography in Aneurysm Clipping: Technique, Feasibility, and Case Series. World neurosurgery, 134, e554–e558. https://doi.org/10.1016/j.wneu.2019.10.130
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
31678443
Department(s)
Administration and Leadership
Document Type
Article