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Single arm access venous sinus stenting (SAVeS) technique: Technical note.

Alexander D Ramos¹, Sri Sundararajan¹, Alejandro Santillan¹

¹Division of Interventional Neuroradiology, Department of Neurological Surgery, New York Presbyterian Hospital/Weill Cornell Medical Center, New York, NY, USA.

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences

|April 29, 2020

Summary

This summary is machine-generated.

This study introduces a novel upper extremity approach for intracranial venous sinus stenting in idiopathic intracranial hypertension patients. This transradial technique avoids groin complications, offering safer and more convenient treatment.

Keywords:

Venous sinus stent cerebral venogram idiopathic intracranial hypertension

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Area of Science:

Neurology
Interventional Radiology
Vascular Surgery

Background:

Idiopathic intracranial hypertension (IIH) is increasingly treated with intracranial venous sinus stenting.
The standard femoral approach carries a high risk of groin complications, particularly in obese patients requiring anticoagulation.

Purpose of the Study:

To describe a novel, single upper extremity approach for cerebral venography, angiography, and venous sinus stenting.
To evaluate the safety and efficacy of this transradial technique in IIH patients.

Main Methods:

A transradial approach was used for angiography, with venous access via the brachial or basilic vein for stenting.
The technique was applied in 28 consecutive procedures for intracranial venous sinus stenting.

Main Results:

Successful access to intracranial venous sinuses was achieved via the upper extremity in all 28 procedures.
No access site complications were reported, demonstrating the safety of the technique.

Conclusions:

An upper extremity approach for intracranial venous sinus stenting is a safe and effective alternative to the traditional femoral approach.
This method reduces the risk of groin complications and allows for easier post-procedural care and patient mobilization.