Related Experiment Video
Updated: Jun 7, 2025
05:31
Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
5.5K
Transradial Approach for Neurovascular Interventions : A Literature Review.
Hoon Kim1, Young Woo Kim2, Hyeong Jin Lee1
1Department of Neurosurgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Journal of Korean Neurosurgical Society
|November 13, 2024
Summary
The transradial approach (TRA) offers benefits for neurointerventions but has low adoption. This review aims to improve TRA accessibility for neurointerventionists, enhancing patient outcomes.
Area of Science:
- Vascular Surgery
- Interventional Neurology
- Cardiology
Background:
- The transfemoral approach (TFA) is standard for neurointerventions, offering large vessel access but causing patient discomfort and complications.
- The transradial approach (TRA), widely adopted in cardiology since 1989, presents an alternative with potential benefits for neurointerventional procedures.
Purpose of the Study:
- To review existing literature on the transradial approach (TRA) for neurointervention.
- To identify factors influencing TRA adoption and propose strategies to increase its accessibility for neurointerventionists.
Main Methods:
- Systematic review of studies reporting the use of TRA in neurointervention.
- Analysis of reported outcomes, advantages, and disadvantages of TRA compared to TFA.
Main Results:
- TRA has been used for cerebral angiography and neurointervention since 1997 with reported good outcomes.
- Despite demonstrated benefits, the adoption rate of TRA in neurointervention remains relatively low.
Conclusions:
- The transradial approach (TRA) is a viable and potentially advantageous alternative to the transfemoral approach (TFA) for neurointerventions.
- Increasing the accessibility and adoption of TRA could improve patient comfort and procedural safety in neurointerventions.
