Transradial approach in neuroendovascular procedures

Babichev K.N.; Kandyba D.V.; Svistov D.V.; Martynov R.S.; Savello A.V.; Platonov S.A.

doi:https://doi.org/10.17116/neiro20228601128

Babichev K.N.

Kirov Medical Military Academy

Kandyba D.V.

Dzhanelidze Saint-Petersburg Research Institute of Emergency Medicine

Svistov D.V.

Kirov Military Medical Academy

SPIN RSCI: 3184-5590
Scopus AuthorID: 6602724544
ORCID: 0000-0002-3922-9887

Martynov R.S.

Kirov Military Medical Academy

Savello A.V.

Kirov Medical Military Academy;
Almazov National Medical Resaerch Center

Platonov S.A.

Dzhanelidze St. Petersburg Research Institute for Emergency Care

Transradial approach in neuroendovascular procedures

Authors:

Babichev K.N., Kandyba D.V., Svistov D.V., Martynov R.S., Savello A.V., Platonov S.A.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2022;86(1): 28‑38

DOI: 10.17116/neiro20228601128

Read: 2663 times

To cite this article:

Babichev KN, Kandyba DV, Svistov DV, Martynov RS, Savello AV, Platonov SA. Transradial approach in neuroendovascular procedures. Burdenko's Journal of Neurosurgery. 2022;86(1):28‑38. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20228601128

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

Использование инфографики авторами научных работ

Close metadata

OBJECTIVE

To evaluate safety and feasibility of transradial approach for neuroendovascular procedures and to familiarize neurosurgeons and neuroradiologists with the capabilities and limitations of this approach, as well as technical features influencing its effectiveness.

MATERIAL AND METHODS

A retrospective analysis was performed in 270 patients who underwent transradial neuroendovascular procedures between January 2015 and December 2019. Diagnostic and surgical interventions were performed in 203 (75.2%) and 67 (24.8%) patients, respectively. The authors comprehensively describe catheterization technique and choosing the instrument for effective and safe transradial access.

RESULTS

The right vertebral and both common carotid arteries were the most accessible for selective catheterization (100% of cases). The left common carotid artery was catheterized in all cases, the left internal carotid artery — only in 92% of cases. If catheterization of the left vertebral artery was necessary, we used the left-sided radial approach. Conversion to femoral approach was required in 2.6% of cases for the left internal carotid artery disease (n=7). Radial artery occlusion occurred in 3.7% of cases (n=10) and was asymptomatic in all cases. We present a video clip (https://youtu.be/3wZ6O8u-lpk) devoted to various surgical interventions through radial approach.

CONCLUSION

Radial approach is safe and feasible and may be used for neuroendovascular procedures.

Keywords:

radial approach

embolization

thrombectomy

Authors:

Babichev K.N.

Kirov Medical Military Academy

Kandyba D.V.

Dzhanelidze Saint-Petersburg Research Institute of Emergency Medicine

Svistov D.V.

Kirov Military Medical Academy

SPIN RSCI: 3184-5590
Scopus AuthorID: 6602724544
ORCID: 0000-0002-3922-9887

Martynov R.S.

Kirov Military Medical Academy

Savello A.V.

Kirov Medical Military Academy;
Almazov National Medical Resaerch Center

Platonov S.A.

Dzhanelidze St. Petersburg Research Institute for Emergency Care

Received:

13.08.2021

Accepted:

29.11.2021

Close metadata

References:

Levy EI, Boulos AS, Fessler RD, Bendok BR, Ringer AJ, Kim SH, Qureish AI, Guterman LR, Hopkins LN. Transradial cerebral angiography; an alternative route. Neurosurgery. 2002;51(2):335-342. https://doi.org/10.1227/01.NEU.0000019768.50025.67
Kotowycz MA, Johnston KW, Ivanov J, Asif N, Almoghairi AM, Choudhury A, Nagy ChD, Sibbald M, Chan W, Seidelin PH, Barolet AW, Overgaard ChB, Dzavík V. Predictors of radial artery size in patients undergoing cardiac catheterization: insights from the Good Radial Artery Size Prediction (GRASP) study. The Canadian Journal of Cardiology. 2014;30(2): 211-216. https://doi.org/10.1016/j.cjca.2013.11.021
Saito S, Ikei H, Hosokawa G, Tanaka S. Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention. Catheterization and Cardiovascular Interventions. 1999;46(2):173-178. https://doi.org/10.1002/(SICI)1522-726X(199902)46:2<173::AID-CCD12>3.0.CO;2-4 "> 3.0.CO;2-4" target="_blank">https://doi.org/10.1002/(SICI)1522-726X(199902)46:2<173::AID-CCD12>3.0.CO;2-4
Khan NR, Peterson J, Dornbos Iii D, Nguyen V, Goyal N, Torabi R, Hoit D, Elijovich L, Inoa-Acosta V, Morris D, Jabbour P, Peterson E, Arthur A. Predicting the degree of difficulty of the transradial approach in cerebral angiography. Journal of Neurointerventional Surgery. 2021;13(6):552-558. https://doi.org/10.1136/neurintsurg-2020-016448
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. AJNR. American Journal of Neuroradiology. 2001;22(4):704-708.
Jo KW, Park SM, Kim SD, Kim SR, Baik MW, Kim YW. Is Transradial Cerebral Angiography Feasible and Safe? A Single Center’s Experience. Journal of Korean Neurosurgical Society. 2010;47(5):332-337. https://doi.org/10.3340/jkns.2010.47.5.332
Catapano JS, Fredrickson VL, Fujii T, Cole TS, Koester SW, Baranoski JF, Cavalcanti DD, Wilkinson DA, Majmundar N, Lang MJ, Lawton MT, Ducruet AF, Albuquerque FC. Complications of femoral versus radial access in neuroendovascular procedures with propensity adjustment. Journal of Neurointerventional Surgery. 2020;12(6):611-615. https://doi.org/10.1136/neurintsurg-2019-015569
Snelling BM, Sur S, Shah SS, Khandelwal P, Caplan J, Haniff R, Starke RM, Yavagal DR, Peterson E. Transradial cerebral angiography: Techniques and outcomes. Journal of Neurointerventional Surgery. 2018;10(9):874-881. https://doi.org/10.1136/neurintsurg-2017-013584
Zussman BM, Tonetti DA, Stone J, Brown M, Desai ShM, Gross Bradley A, Jadhav A, Jovin TG, Jankowitz BT. A prospective study of the transradial approach for diagnostic cerebral arteriography. Journal of Neurointerventional Surgery. 2019;11(10):1045-1049. https://doi.org/10.1136/neurintsurg-2018-014686
Chen SH, Peterson EC. Radial access for neurointervention: room set-up and technique for diagnostic angiography. Journal of Neurointerventional Surgery. 2021;13(1):96. https://doi.org/10.1136/neurintsurg-2019-015692
Catapano JS, Ducruet AF, Koester SW, Baranoski JF, Rutledge C, Majmundar N, Srinivasan VM, Wilkinson, DA, Lawton MT, Albuquerque FC. Propensity-adjusted cost analysis of radial versus femoral access for neuroendovascular procedures. Journal of Neurointerventional Surgery. 2021;13(8):752-754. https://doi.org/10.1136/neurintsurg-2020-016728