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Carotid and Vertebral Intervention

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Transradial Access in Interventional Radiology
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Abstract

Over the past decade, evidence has grown to support the use of the transradial (TR) approach in carotid and vertebral artery stenting. Benefits of this approach include fewer access site complications and, in select cases, avoidance of tortuous anatomy when navigating to the target lesion. This chapter aims to guide the reader through the utilization of TR access in carotid and vertebral artery interventions. It begins with an explanation of the basic technique and equipment necessary for supra-aortic vessel selection via the TR approach, followed by four real-world examples of how these techniques can be used in practice.

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Abbreviations

CAS:

Carotid artery stenting

CEA:

Carotid endarterectomy

CT:

Computed tomography

CTA:

Computed tomography angiogram

DSA:

Digital subtraction angiography

DWI:

Diffusion weighted imaging

FMD:

Fibromuscular dysplasia

ICA:

Internal carotid artery

MRI:

Magnetic resonance imaging

PA:

Posteroanterior

PTA:

Percutaneous transluminal angioplasty

TF:

Transfemoral

TR:

Transradial

VA:

Vertebral artery

VAS:

Vertebral artery stenting

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Correspondence to Reade De Leacy .

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De Leacy, R., Bageac, D.V., Marinelli, B., Manna, S., Mocco, J. (2022). Carotid and Vertebral Intervention. In: Fischman, A.M., Patel, R.S., Lookstein, R.A. (eds) Transradial Access in Interventional Radiology. Springer, Cham. https://doi.org/10.1007/978-3-030-81678-0_16

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  • DOI: https://doi.org/10.1007/978-3-030-81678-0_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81677-3

  • Online ISBN: 978-3-030-81678-0

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