Bilateral Distal Transradial Approach for Coiling of Basilar Artery Aneurysm: A Technical Note

Autor: Takeshi KINKORI, Kenichi WATANABE, Kojiro ISHIKAWA, Takashi SAKUMA, Yusuke SATO, Keita SUZUKI, Naoto KAWAGUCHI
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Neurologia Medico-Chirurgica, Vol 62, Iss 8, Pp 384-389 (2022)
Druh dokumentu: article
ISSN: 1349-8029
DOI: 10.2176/jns-nmc.2022-0083
Popis: Distal transradial approach (dTRA) for neuroendovascular procedures has received much attention in recent years as a newer and less invasive alternative to the conventional transfemoral or transradial approaches. We present the case of an 89-year-old woman with a basilar artery aneurysm requiring simultaneous catheterization of the bilateral vertebral arteries who was successfully embolized using bilateral dTRA. The aneurysm was accessed from the right vertebral artery using the right dTRA. Control angiograms during the procedure were performed from the left vertebral artery via the left dTRA. The operator's posture was ergonomically comfortable, and the catheters were easy to handle during the procedure. To the best of our knowledge, this is the first case of a bilateral dTRA used for neuroendovascular procedures. Bilateral dTRA is a safe and minimally invasive method for patients and ergonomically comfortable for operators.
Databáze: Directory of Open Access Journals