TY - JOUR
T1 - Radial Artery Catheterization for Neuroendovascular Procedures
T2 - Clinical Outcomes and Patient Satisfaction Measures
AU - Khanna, Omaditya
AU - Sweid, Ahmad
AU - Mouchtouris, Nikolaos
AU - Shivashankar, Kavya
AU - Xu, Vivan
AU - Velagapudi, Lohit
AU - Stricsek, Geoffrey
AU - Amllay, Abdelaziz
AU - Texakalidis, Pavlos
AU - Gooch, M. Reid
AU - Tjoumakaris, Stavropoula
AU - Rosenwasser, Robert H.
AU - Jabbour, Pascal M.
N1 - Publisher Copyright:
© 2019 American Heart Association, Inc.
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Background and Purpose - Radial artery catheterization is an alternate route of access that has started to gain more widespread use for neuroendovascular procedures, and there have been few studies that describe its safety and efficacy. We present our institution's experience in performing neuroendovascular interventions via a transradial approach, with excellent clinical outcomes and patient satisfaction measures. Methods - We conducted a retrospective analysis and identified 223 patients who underwent 233 consecutive neuroendovascular interventions via radial artery access at our institution. The incidence of perioperative and postprocedural complications was investigated. We identified a subset of 98 patients who have undergone both transradial and transfemoral cerebral angiograms and compared clinical outcomes and patient satisfaction measures between the 2 groups. Results - The overall incidence of complications was low across all procedures performed via transradial access. Peri-procedurally, only 2 patients had symptomatic radial artery spasm, and there were no instances of iatrogenic complications (vessel dissection, stroke, and hemorrhage). In 10 cases (4.3%), the intended procedure could not be completed via a transradial approach, and, thus, femoral artery access had to be pursued instead. Ten patients complained of minor postprocedural complications, although none required therapeutic intervention. The mean procedure time was shorter for diagnostic angiograms performed via transradial versus transfemoral access (18.8±15.8 versus 39.5±31.1 minutes; P=0.025). Patients overall reported shorter recovery times with transradial access, and the majority of patients (94%) would elect to have subsequent procedures performed via this route. Conclusions - Radial artery catheterization is a safe and durable alternative to perform a wide range of neuroendovascular procedures, with a low rate of complications. On the whole, patients prefer transradial compared with transfemoral access.
AB - Background and Purpose - Radial artery catheterization is an alternate route of access that has started to gain more widespread use for neuroendovascular procedures, and there have been few studies that describe its safety and efficacy. We present our institution's experience in performing neuroendovascular interventions via a transradial approach, with excellent clinical outcomes and patient satisfaction measures. Methods - We conducted a retrospective analysis and identified 223 patients who underwent 233 consecutive neuroendovascular interventions via radial artery access at our institution. The incidence of perioperative and postprocedural complications was investigated. We identified a subset of 98 patients who have undergone both transradial and transfemoral cerebral angiograms and compared clinical outcomes and patient satisfaction measures between the 2 groups. Results - The overall incidence of complications was low across all procedures performed via transradial access. Peri-procedurally, only 2 patients had symptomatic radial artery spasm, and there were no instances of iatrogenic complications (vessel dissection, stroke, and hemorrhage). In 10 cases (4.3%), the intended procedure could not be completed via a transradial approach, and, thus, femoral artery access had to be pursued instead. Ten patients complained of minor postprocedural complications, although none required therapeutic intervention. The mean procedure time was shorter for diagnostic angiograms performed via transradial versus transfemoral access (18.8±15.8 versus 39.5±31.1 minutes; P=0.025). Patients overall reported shorter recovery times with transradial access, and the majority of patients (94%) would elect to have subsequent procedures performed via this route. Conclusions - Radial artery catheterization is a safe and durable alternative to perform a wide range of neuroendovascular procedures, with a low rate of complications. On the whole, patients prefer transradial compared with transfemoral access.
KW - Catheterization
KW - Femoral artery
KW - Hematoma
KW - Radial artery
KW - Spasm
UR - http://www.scopus.com/inward/record.url?scp=85071708410&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85071708410&partnerID=8YFLogxK
U2 - 10.1161/STROKEAHA.119.025811
DO - 10.1161/STROKEAHA.119.025811
M3 - Article
C2 - 31311466
AN - SCOPUS:85071708410
SN - 0039-2499
VL - 50
SP - 2587
EP - 2590
JO - Stroke
JF - Stroke
IS - 9
ER -
