Adapting to transradial approach in cerebral angiography: Factors influencing successful cannulation.
Transradial approach
diagnostic cerebral angiography
fluoroscopy time
neurointervention
take-off angles
time to cannulate
transradial access
Journal
The neuroradiology journal
ISSN: 2385-1996
Titre abrégé: Neuroradiol J
Pays: United States
ID NLM: 101295103
Informations de publication
Date de publication:
Apr 2023
Apr 2023
Historique:
pmc-release:
01
04
2024
pubmed:
25
6
2022
medline:
22
3
2023
entrez:
24
6
2022
Statut:
ppublish
Résumé
To evaluate factors that influence the successful cannulation of intracranial vessels using a transradial approach. A total of 61 transradial diagnostic angiograms were evaluated in a tertiary care center from July 2020 to December 2021. We evaluated the learning curve and aortic arch vessel factors that may influence the cannulation of intracranial major vessels using a transradial approach. Learning curve for the procedure was established after 21 cases. We were successful in cannulating the supra-aortic arteries except in 4 cases where we were unable to cannulate the left VA (vertebral artery). Significant positive correlation was seen between time to Sim (Simmons curve) formation and aortic arch diameter ( Transradial approach is a feasible and safe approach for performing cerebral angiography. Multiple factors can influence the procedure time and successful cannulation of intracranial vessels. With the availability of radial specific hardware in the future, procedural success and time taken to complete the procedure may improve.
Sections du résumé
BACKGROUND
BACKGROUND
To evaluate factors that influence the successful cannulation of intracranial vessels using a transradial approach.
METHODS
METHODS
A total of 61 transradial diagnostic angiograms were evaluated in a tertiary care center from July 2020 to December 2021. We evaluated the learning curve and aortic arch vessel factors that may influence the cannulation of intracranial major vessels using a transradial approach.
RESULTS
RESULTS
Learning curve for the procedure was established after 21 cases. We were successful in cannulating the supra-aortic arteries except in 4 cases where we were unable to cannulate the left VA (vertebral artery). Significant positive correlation was seen between time to Sim (Simmons curve) formation and aortic arch diameter (
CONCLUSION
CONCLUSIONS
Transradial approach is a feasible and safe approach for performing cerebral angiography. Multiple factors can influence the procedure time and successful cannulation of intracranial vessels. With the availability of radial specific hardware in the future, procedural success and time taken to complete the procedure may improve.
Identifiants
pubmed: 35749090
doi: 10.1177/19714009221111090
pmc: PMC10034707
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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