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Transradial approach to treating endovascular cerebral aneurysms: Case series and technical note
Javier Goland1,2, Gustavo Fabián Doroszuk1, Silvia Lina Garbugino2
1Hospital El Cruce Néstor Kirchner, Florencio Varela, Buenos Aires, Argentina.
Insights
The transradial approach is effective for treating cerebral aneurysms using coils or flow diverters. This method offers satisfactory results without complications for various aneurysm types.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Cardiology
Background:
- The transradial approach is increasingly favored over the transfemoral route for cardiac interventions due to its benefits.
- This technique is now standard practice in many cardiac catheterization centers.
- This paper focuses on the right transradial approach for endovascular treatment of cerebral aneurysms.
Purpose of the Study:
- To detail the right transradial approach for endovascular treatment of cerebral aneurysms.
- To evaluate the efficacy and safety of this approach using coils or flow diverters.
Main Methods:
- A retrospective analysis of 40 endovascular procedures performed between 2014 and 2016.
- All procedures utilized the right transradial approach.
- Aneurysms were treated with either flow diverters (5 cases) or coils (35 cases).
- Patient cohorts included both asymptomatic (7) and ruptured (33) aneurysms.
Main Results:
- The right transradial approach was successfully employed in all 40 cases.
- No complications were reported during or after the procedures.
- Satisfactory treatment outcomes were achieved for all treated cerebral aneurysms.
Conclusions:
- The right transradial approach is a safe and effective method for endovascularly treating diverse cerebral aneurysms.
- This approach is suitable for aneurysms located in either cerebral hemisphere.
- This study represents the largest series to date of cerebral aneurysms treated via a transradial approach.
Background:
Several benefits have been described over the years of the transradial versus femoral endovascular approach to cardiac interventions. Consequently, its use has become habitual at most centers that perform cardiac catheterizations. This paper details a right transradial approach, incorporating a variety of coils or flow diverters, which can be utilized for the endovascular treatment of different cerebral aneurysms.
Methods:
From 2014 to 2016, we performed 40 endovascular procedures to treat cerebral aneurysms adopting the same right transradial approach. Five aneurysms were treated with flow diverters and 35 were treated with coils. Seven of these aneurisms were asymptomatic, whereas 33 had already ruptured.
Results:
Satisfactory treatment was achieved in all cases through the same approach in the absence of any complications.
Conclusions:
A right transradial approach may be satisfactory for the endovascular treatment of different cerebral aneurysms, including aneurysms in either hemisphere. This is the largest series of cerebral aneurysms treated through a transradial approach.
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