Distal transradial access in the anatomical snuffbox for balloon guide-assisted stentriever mechanical thrombectomy: Technical note and case report
| Autor: | Ali Luqman, Ari D Kappel, Bryan A. Lieber, Gary B Rajah |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty lcsh:Medical technology business.industry Entire cerebrum Technical note Case Report General Medicine Distal transradial access Balloon Anatomical snuffbox radial stroke Surgery Mechanical thrombectomy medicine.anatomical_structure lcsh:R855-855.5 lcsh:RC666-701 Femoral access thrombectomy Neuroendovascular surgery medicine business |
| Zdroj: | Brain Circulation Brain Circulation, Vol 6, Iss 1, Pp 60-64 (2020) |
| ISSN: | 2455-4626 2394-8108 |
| Popis: | Recent trends in neuroendovascular surgery have seen a rise in alternative access utilization. Social media feeds such as #RadialFirst or #RadialForNeuro are the beacons of a growing movement among more and more endovascular neurosurgeons, as they venture away from the traditional femoral access gravitating toward radial access. We have previously shown our distal radial access technique utilizing the snuffbox to be a reliable means of endovascular access and in addition to traditional ventral radial access provides access to the entire cerebrum. Stroke thrombectomy often encounters reticence from those who prefer transfemoral access over the radial access. Thrombectomy has been performed radially in a few series and only once previously in a case report of distal radial access for thrombectomy. Hesitance to adopt radial access for mechanical thrombectomy is often related to perceived increased access times and a lack of suitable balloon guide catheters for radial techniques. Here, we present one of the first descriptions of a distal transradial access with balloon guide flow arrest for stentriever thrombectomy. |
| Databáze: | OpenAIRE |
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