A summary of the first 100 neurointerventional procedures performed with the Rist radial access device in a Finnish neurovascular center.


Journal

European journal of radiology
ISSN: 1872-7727
Titre abrégé: Eur J Radiol
Pays: Ireland
ID NLM: 8106411

Informations de publication

Date de publication:
Jan 2023
Historique:
received: 02 09 2022
revised: 24 10 2022
accepted: 08 11 2022
pubmed: 10 12 2022
medline: 29 12 2022
entrez: 9 12 2022
Statut: ppublish

Résumé

Transradial access (TRA) has increased popularity among neurointerventionalists during a short time period but until recently there have been no devices designed especially for radial use. Consecutive neurointerventional procedures with an intention to perform TRA with the Rist radial access guide catheter between April 2021 and May 2022 were retrospectively reviewed. Possible access site complications, other procedure-related complications and information on successful catherization of the target vessel as well as whether the procedure had been successful were collected. Information from 100 patients was included in the study. The most general procedure was flow diversion (29%) followed by WEB embolization (20 %). Four patients (4%) needed conversion to femoral access. The triaxial system was used in 76% of the procedures. Four patients (4%) experienced access site or device related complications, none of those were serious. Six patients had clinically relevant procedure related complications. It is concluded that the Rist device can be used safely for a large variety of neurointerventions with a short learning curve.

Sections du résumé

BACKGROUND AND PURPOSE OBJECTIVE
Transradial access (TRA) has increased popularity among neurointerventionalists during a short time period but until recently there have been no devices designed especially for radial use.
MATERIALS AND METHODS METHODS
Consecutive neurointerventional procedures with an intention to perform TRA with the Rist radial access guide catheter between April 2021 and May 2022 were retrospectively reviewed. Possible access site complications, other procedure-related complications and information on successful catherization of the target vessel as well as whether the procedure had been successful were collected.
RESULTS RESULTS
Information from 100 patients was included in the study. The most general procedure was flow diversion (29%) followed by WEB embolization (20 %). Four patients (4%) needed conversion to femoral access. The triaxial system was used in 76% of the procedures. Four patients (4%) experienced access site or device related complications, none of those were serious. Six patients had clinically relevant procedure related complications.
CONCLUSIONS CONCLUSIONS
It is concluded that the Rist device can be used safely for a large variety of neurointerventions with a short learning curve.

Identifiants

pubmed: 36493497
pii: S0720-048X(22)00454-5
doi: 10.1016/j.ejrad.2022.110604
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

110604

Informations de copyright

Copyright © 2022 The Author(s). Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Riitta Rautio (R)

Department of Radiology, Turku University Hospital, Finland. Electronic address: riitta.rautio@tyks.fi.

Kemal Alpay (K)

Department of Radiology, Turku University Hospital, Finland.

Melissa Rahi (M)

Department of Neurosurgery, Turku University Hospital, Finland.

Matias Sinisalo (M)

Department of Radiology, Turku University Hospital, Finland.

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Classifications MeSH