Brachial Artery Approach for Endovascular Treatment of Posterior Circulation Intracranial Vascular Disease: Technique and Application in 5 Cases

Horton, Tristram G.; Kalapos, Paul; Cockroft, Kevin M.

doi:10.1016/j.jstrokecerebrovasdis.2010.05.004

Cited by 12 publications

(11 citation statements)

References 18 publications

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“…99 There is little in the literature specifically for brachial access in the setting of pc-ELVO. 100 Disadvantages of transbrachial or transradial access include the theoretical possibility of having to use smaller catheters as well as less operator familiarity with the technique in an acute setting.…”

Section: Intra-arterial Fibrinolysismentioning

confidence: 99%

Current endovascular strategies for posterior circulation large vessel occlusion stroke: report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee

Kayan

Meyers

Prestigiacomo

et al. 2019

J NeuroIntervent Surg

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BackgroundThe aim of this publication is to provide a detailed update on the diagnosis, treatment, and endovascular techniques for posterior circulation emergent large vessel occlusion (pc-ELVO).MethodsWe performed a review of the literature to specifically evaluate this disease and its treatments.ResultsData were analyzed, and recommendations were reported based on the strength of the published evidence and expert consensus.ConclusionWhile many questions about pc-ELVO remain to be studied, there is evidence to support particular practices in its evaluation and treatment.

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Section: Intra-arterial Fibrinolysismentioning

confidence: 99%

Current endovascular strategies for posterior circulation large vessel occlusion stroke: report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee

Kayan

Meyers

Prestigiacomo

et al. 2019

J NeuroIntervent Surg

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“…7,8) In the field of cerebral endovascular treatment for cerebral aneurysms or VA stenosis, the success rates of transradial or -brachial approaches are high, suggesting their efficacy. [14][15][16][17] These approaches have the following merits: direct cannulation from the subclavian artery to the VA is possible regardless of the aortic tortuosity, and a guiding catheter stays stable after insertion.…”

Section: Discussionmentioning

confidence: 99%

Transradial Approach for Mechanical Thrombectomy of Posterior Circulation Stroke

Mizokami

Uwatoko

Furukawa

et al. 2018

NOUSHINKEI KEKKANNAI TIRYOU

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Objective: We report the mechanical thrombectomy (MT) of posterior circulation large vessel occlusion (pc-LVO) in which the transradial approach (TRA) was selected as an initial approach route to reduce the duration of treatment.Case Presentation: We performed MT using the TRA for four patients with pc-LVO between November 2015 and March 2017. The TRA was used as an initial approach route in patients in whom preoperative MRI showed that the right vertebral artery (VA) was predominant. In all patients, the procedure could be accomplished without changing the approach route. Thrombolysis in Cerebral Infarction (TICI) 2b or better recanalization was achieved in all patients (100%), and TICI 3 recanalization in three patients (75%). Mean time from radial artery puncture to initial intracranial angiography and to the effective recanalization was 7.3 ± 1.5 and 28.8 ± 6.2 minutes, respectively. There was no complication at the site of puncture. Conclusion:Recanalization was promptly and effectively achieved by the MT of pc-LVO using the TRA. The results suggest that TRA can be utilized as an initial access route in patients in whom an approach to the right VA is possible.

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“…Transbrachial arterial access (TBA) for both angiography and interventions has been described in the neurointerventional literature when TFA cannot be performed safely for reasons such as small radial artery/sheath size ratio or due to aortic arch or supra-aortic vessel tortuosity 61–65. The larger diameter compared with the radial artery offers the advantage of placement of larger guiding catheters and devices at a cost of an increased chance of limb ischemia due to less robust collateral circulation and increased access site complications due to its deeper location within the tissues of the brachium.…”

Section: Transbrachial Arterial Accessmentioning

confidence: 99%

Transarterial and transvenous access for neurointerventional surgery: report of the SNIS Standards and Guidelines Committee

Starke

Snelling

Al‐Mufti

et al. 2019

J NeuroIntervent Surg

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The purpose of this publication is to provide a comprehensive review on the techniques and tools used for vascular access in neurointerventional procedures. Using published literature, we reviewed data on access methods, sites, tools, and techniques for neurointerventions. Recommendations are provided based on quality of data/levels of evidence and, where appropriate, expert consensus. While tools and techniques continue to be developed, current literature and experience supports certain principles regarding vascular access for neurointerventional procedures.

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Brachial Artery Approach for Endovascular Treatment of Posterior Circulation Intracranial Vascular Disease: Technique and Application in 5 Cases

Cited by 12 publications

References 18 publications

Current endovascular strategies for posterior circulation large vessel occlusion stroke: report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee

Current endovascular strategies for posterior circulation large vessel occlusion stroke: report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee

Transradial Approach for Mechanical Thrombectomy of Posterior Circulation Stroke

Transarterial and transvenous access for neurointerventional surgery: report of the SNIS Standards and Guidelines Committee

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