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BMC Neurology
Published in: BMC Neurology 1/2024

Open Access 01-12-2024 | Angiography | Research

Feasibility of early radial artery occlusion recanalization and reuse through transradial access for neuroendovascular procedures

Authors: Ranze Cai, Yingchuang Jiang, Jian Wu, Qiuping Li, Biao Qi

Published in: BMC Neurology | Issue 1/2024

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Abstract

Background

Radial artery occlusion (RAO) remains a significant limitation of neuroendovascular procedures peformed through transradial access (TRA) when radial artery needs to be reused. Instances of early RAO recanalization to successfully complete neuroendovascular procedures have been rarely documented.

Materials and methods

Documents and imaging data were extracted retrospectively for all patients who underwent TRA diagnostic angiography and neuroendovascular procedures in our center from June 2022 to February 2023. The patients with early RAO who required repeat TRA were included.

Results

A total of 46 patients underwent repeat TRA, and 13 consecutive patients who experienced early RAO after angiography as confirmed by ultrasonography were enrolled in this study. The occluded radial arteries were successfully recanalized, and subsequent neuroendovascular procedures were carried out successful. During an average follow-up time of 7.1 months, no patients exhibited symptomatic RAO, dissection, hematoma or pseudoaneurysm.

Conclusions

Early RAO recanalization and reused for neuroendovascular procedures through TRA is feasible. A visually guided and stable puncture process plays a crucial role in successfully recanalizing early RAO.
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Metadata
Title
Feasibility of early radial artery occlusion recanalization and reuse through transradial access for neuroendovascular procedures
Authors
Ranze Cai
Yingchuang Jiang
Jian Wu
Qiuping Li
Biao Qi
Publication date
01-12-2024
Publisher
BioMed Central
Keyword
Angiography
Published in
BMC Neurology / Issue 1/2024
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-024-03549-8

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