Transradial Neuroendovascular Treatment for Anterior Circulation Lesions: An Initial Experience with a 6 Fr Guiding Sheath

Yoshiki Hanaoka; Jun-ichi Koyama; Alhusain Nagm; Toshiya Uchiyama; Takafumi Kiuchi; Keisuke Kamiya; Takaaki Kamijo; Toshihiro Ogiwara; Tetsuyoshi Horiuchi; Kazuhiro Hongo

doi:10.5797/jnet.oa.2018-0055

Original Articles

Transradial Neuroendovascular Treatment for Anterior Circulation Lesions: An Initial Experience with a 6 Fr Guiding Sheath

Yoshiki Hanaoka, Jun-ichi Koyama, Alhusain Nagm, Toshiya Uchiyama, Takafumi Kiuchi, Keisuke Kamiya, Takaaki Kamijo, Toshihiro Ogiwara, Tetsuyoshi Horiuchi, Kazuhiro Hongo

Author information

Yoshiki Hanaoka
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Jun-ichi Koyama
Neurointervention Center, Shinshu University Hospital, Matsumoto, Nagano, Japan
Alhusain Nagm
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Department of Neurosurgery, Al-Azhar University Faculty of Medicine-Nasr, Cairo, Egypt
Toshiya Uchiyama
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Takafumi Kiuchi
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Keisuke Kamiya
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Takaaki Kamijo
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Toshihiro Ogiwara
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Tetsuyoshi Horiuchi
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan
Kazuhiro Hongo
Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan

Keywords: transradial approach, 6 Fr guiding sheath, push-in technique, pull-back technique, carotid-subclavian α

JOURNAL OPEN ACCESS

2018 Volume 12 Issue 11 Pages 532-541

DOI https://doi.org/10.5797/jnet.oa.2018-0055

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Details

Abstract

Objective: To clarify the usefulness and safety of neuroendovascular treatment with a 6 Fr guiding sheath via the right radial artery for anterior circulation lesions.

Methods: A total of 20 patients (carotid artery stenting: 11 patients, coil embolization of cerebral aneurysms: nine patients) who underwent neuroendovascular treatment via the right radial artery under general anesthesia, between September 2016 and June 2017, were included in this study. We retrospectively analyzed 1) the pertinent anatomy of the target-side common carotid artery and the aortic arch, 2) devices, 3) method to advance the guiding sheath into the common carotid artery, 4) hemostasis at the puncture site, and 5) outcome (success rate, perioperative complications, and complications at the site of puncture).

Results: In all patients, a 6 Fr guiding sheath could be guided into the common carotid artery, and treatment was accomplished. Furthermore, there was no perioperative or puncture-site complication.

Conclusion: Transradial neuroendovascular treatment is considered as a safe and successful choice for anterior circulation lesions.

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