Abstract
After rising in popularity throughout the 1990s, transradial (TR) access for neuroangiography began to cross over into clinical practice during the early 2000s. Since that time, case series have been published supporting its safety, cost effectiveness, and shorter recovery times rendering it preferable to transfemoral (TF) access in certain anatomic contexts. Since that time, advancements in technology and technique have permitted TR access to be employed to a broad range of intracranial interventions. This chapter is designed to act as a guide through five illustrative cases utilizing TR access in endovascular neurosurgery and stroke intervention. These cases include basic neuroangiography, coiling and flow diversion to treat intracranial aneurysms, arteriovenous malformation (AVM) embolization, and mechanical thrombectomy.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- AVM:
-
Arteriovenous malformation
- CCA:
-
Common carotid artery
- CT:
-
Computed tomography
- CTA:
-
Computed tomography angiogram
- dAVF:
-
Dural arteriovenous fistula
- DMSO:
-
Dimethylsulfoxide
- DSA:
-
Digital subtraction angiography
- ECA:
-
External carotid artery
- ICA:
-
Internal carotid artery
- MCA:
-
Middle cerebral artery
- MRI:
-
Magnetic resonance imaging
- PA:
-
Postero-anterior
- PCA:
-
Posterior cerebral artery
- SAH:
-
Subarachnoid hemorrhage
- TFA:
-
Transfemoral
- TR:
-
Transradial
- VA:
-
Vertebral artery
References
Nohara AM, Kallmes DF. Transradial cerebral angiography: technique and outcomes. AJNR Am J Neuroradiol. 2003;24(6):1247–50.
Brunet MC, Chen SH, Sur S, McCarthy DJ, Snelling B, Yavagal DR, Starke RM, Peterson EC. Distal transradial access in the anatomical snuffbox for diagnostic cerebral angiography. J Neurointerv Surg. 2019;1(7):710–3.
Chen SH, Snelling BM, Shah SS, Sur S, Brunet MC, Starke RM, Yavagal DR, Osbun JW, Peterson EC. Transradial approach for flow diversion treatment of cerebral aneurysms: a multicenter study. J NeuroInterv Surg. 2019b;11:796–800.
Levy EI, Boulos AS, Fessler RD, Bendok BR, Ringer AJ, Kim SH, Qureshi AI, Guterman LR, Hopkins LN. Transradial cerebral angiography: an alternative route. Neurosurgery. 2002;51(2):335–40; discussion 340-2.
Matsumoto Y, Hongo K, Toriyama T, Nagashima H, Kobayashi S. Transradial approach for diagnostic selective cerebral angiography: results of a consecutive series of 166 cases. Am J Neuroradiol. 2001;22(4):704–8.
Snelling BM, Sur S, Shah SS, Marlow MM, Cohen MG, Peterson EC. Transradial access: lessons learned from cardiology. J NeuroInterv Surg. 2018;10(5):487–92.
Zussman BM, Tonetti DA, Stone J, Brown M, Desai SM, Gross BA, Jadhav A, Jovin TG, Jankowitz BT. Maturing institutional experience with the transradial approach for diagnostic cerebral arteriography: overcoming the learning curve. J NeuroInterv Surg. 2019;11(12):1235–8.
Chalouhi N, Sweid A, Saiegh F, Mahtabfar A, Ghosh R, Mouchtouris N, Khanna O, Romo V, Tjoumakaris S, Gooch R, Rosenwasser RH, Jabbour P. Initial experience with transradial intraoperative angiography in aneurysm clipping: technique, feasibility, and case series. Chalouhi et al: World Neurosurgery. 2020;134:e554–e58.
Osbun JW, Patel B, Levitt MR, Yahanda AT, Shah A, Dlouhy KM, Thatcher JP, Chicoine MR, Kim LJ, Zipfel GJ. Transradial intraoperative cerebral angiography: a multicenter case series and technical report. J NeuroInterv Surg. 2019;12(2):170–5.
Chen SH, Brunet M-C, Sur S, Yavagal DR, Starke RM, Peterson EC. Feasibility of repeat transradial access for neuroendovascular procedures. J Chen et al: Neurointerv Surg. 2020;12(4):431–34.
Goland J, Doroszuk G. Transradial approach for endovascular diagnosis and treatment of ruptured cerebral aneurysms: a descriptive study. Surg Neurol Int. 2019;10:87.
Goland J, Doroszuk G, Garbugino S, Ypa M. Transradial approach to treating endovascular cerebral aneurysms: case series and technical note. Surg Neurol Int. 2017;8:73.
Lawson MF, Velat GJ, Fargen KM, Hoh BL, Mocco J. Direct radial artery access with the 070 neuron guide catheter for aneurysm coiling: a novel application of the neuron catheter for cerebral interventions. Neurosurgery. 2012;71(2 Suppl Operative):onsE329–34.
Sajnani N, Bogart DB. Retroperitoneal hemorrhage as a complication of percutaneous intervention: report of 2 cases and review of the literature. Open Cardiovasc Med J. 2013;7:16–22. https://doi.org/10.2174/1874192401307010016.
Chen SH, Snelling BM, Sur S, Shah SS, McCarthy DJ, Luther E, Yavagal DR, Peterson EC, Starke RM. Transradial versus transfemoral access for anterior circulation mechanical thrombectomy: comparison of technical and clinical outcomes. J NeuroInterv Surg. 2019c;11(9):874–8.
Haussen DIC, Nogueira RG, DeSousa KG, Pafford RN, Janjua N, Ramdas KN, Peterson EC, Elhammady MS, Yavagal DIR. Transradial access in acute ischemic stroke intervention. J NeuroInterv Surg. 2016;8(3):247–50.
Khanna O, Sweid A, Mouchtouris N, Shivashankar K, Xu V, Velagapudi L, Stricsek G, Amllay A, Pavlos T, Reid Gooch M, Tjoumakaris S, Rosenwasser RH, Jabbour PM. Radial artery catheterization for neuroendovascular procedures. Stroke. 2019;50(9):2587–90.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this chapter
Cite this chapter
De Leacy, R., Bageac, D.V., Watchmaker, J.M., Manna, S., Mocco, J. (2022). Endovascular Neurosurgery and Stroke 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_17
Download citation
DOI: https://doi.org/10.1007/978-3-030-81678-0_17
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-81677-3
Online ISBN: 978-3-030-81678-0
eBook Packages: MedicineMedicine (R0)