Initial Experience with Transradial Intraoperative Angiography in Aneurysm Clipping: Technique, Feasibility, and Case Series.

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.

• Authors: Nohra Chalouhi, Ahmad Sweid, Fadi Al Saiegh, Aria Mahtabfar, Ritam Ghosh, Nikolaos Mouchtouris, Omaditya Khanna, Victor Romo, Stavropoula Tjoumakaris, Reid Gooch, Robert H Rosenwasser, Pascal Jabbour
• Journal: World neurosurgery (World Neurosurg) Vol. 134 Pg. e554-e558 (Feb 2020) ISSN: 1878-8769 [Electronic] United States
• PMID: 31678443 (Publication Type: Journal Article)
• Copyright: Copyright © 2019 Elsevier Inc. All rights reserved.

Topics

• Adult
• Aged
• Cerebral Angiography (methods)
• Endovascular Procedures (methods)
• Feasibility Studies
• Female
• Humans
• Intracranial Aneurysm (diagnostic imaging, surgery)
• Ligation (methods)
• Male
• Microsurgery (methods)
• Middle Aged
• Operating Rooms
• Operative Time
• Patient Safety
• Radial Artery (diagnostic imaging, surgery)
• Retrospective Studies
• Surgery, Computer-Assisted
• Treatment Outcome