Feasibility of early radial artery occlusion recanalization and reuse through transradial access for neuroendovascular procedures

© 2024. The Author(s)..

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

BMC neurology - 24(2024), 1 vom: 31. Jan., Seite 50

Sprache:

Englisch

Beteiligte Personen:

Cai, Ranze [VerfasserIn]
Jiang, Yingchuang [VerfasserIn]
Wu, Jian [VerfasserIn]
Li, Qiuping [VerfasserIn]
Qi, Biao [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Neuroendovascular procedures
Radial artery occlusion RAO
Transradial access TRA

Anmerkungen:

Date Completed 02.02.2024

Date Revised 03.02.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12883-024-03549-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36786536X