Aims and objectives
There is extensive experience in the use of transfemoral access (TFA) in interventional neuroradiology,
being the most frequent vascular access used for catheterization of supra-aortic trunks and intracranial vessels. Transradial access (TRA ),
is used systematically in cardiology procedures were randomized studies support its safetyand low rate of local complications in the puncture site,
as well of reduction of the of hospital stay with greater tolerability for the patients. For these...
Methods and materials
All patients had a previous positive Barbeau test We used ultrasound guidance with Hockey stick transducer A 2mm minimum arterial diameter was required Materials: The sheath and catheter combinations that were used : -7F sheath and Cello 6F Mechanical trombectomy using balloon occlusion aspiration. -6F Sheath with ACE68 Mechanical thrombectomy using distal aspiration. -Cook 6F shuttle with a 6F intermediate catheter Mechanical thrombectomy using distal aspiration and in Flow diverter stent...
Table 1 We performed a total of 35 neurointerventional procedures(table 1) in 18 female and 13 men with ages ranging from 42 to 89 y.o (mean 64 y.o) Right radial vascular access was used in all of them and in 2 cases both radial arteries Procedures include 12 strokes using mechanical thrombectomy,
16 aneurysm embolization and other procedures such as AVMs,
carotid-cavernous fistulas and carotid stenosis. No vascular access-related complications occurred in any case. Only in 1 case,
Feasible (requires learning curve) No major bleeding,
less morbidity Early discharge Cost-effective Preferred by patients Diagnostic and therapeutic procedures A new and useful tool for the neuro interventionists
email@example.com firstname.lastname@example.org Hospital Universitari de Bellvitge Barcelona
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