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Neuroradiology
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18-12-2024 | Thrombectomy | Technical Note

Radial artery mechanical thrombectomy for transradial approach in neurointerventions: a step-by-step technical report

Authors: Laura Stone McGuire, Peter Theiss, Mpuekela Tshibangu, Adrusht Madapoosi, Ali Alaraj

Published in: Neuroradiology | Issue 1/2025

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Abstract

Radial artery occlusion (RAO) is a relatively common but benign complication following transradial endovascular approaches. Radial artery thrombectomy offers a potential strategy for re-access. Transradial access in the occluded vessel has been described as safe and feasible in recent literature; however, the step-by-step technical details have not been defined. This illustrative case highlights the technique developed at this institution, which has been performed in 7 consecutive patients. A middle-aged woman underwent initial diagnostic cerebral angiogram and balloon-occlusion test for tumor resection planning. Subsequently, the patient returned to for tumor embolization and was found to have RAO. Radial artery mechanical thrombectomy was performed, and this access was safely used for the embolization procedure.
This report provides a technical description with illustrations for this approach in the setting of an acute occlusion following prior radial artery catheterizations. Recanalization of an acutely occluded radial artery is feasible and safe in our institutional experience.
Literature
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Metadata
Title
Radial artery mechanical thrombectomy for transradial approach in neurointerventions: a step-by-step technical report
Authors
Laura Stone McGuire
Peter Theiss
Mpuekela Tshibangu
Adrusht Madapoosi
Ali Alaraj
Publication date
18-12-2024
Publisher
Springer Berlin Heidelberg
Published in
Neuroradiology / Issue 1/2025
Print ISSN: 0028-3940
Electronic ISSN: 1432-1920
DOI
https://doi.org/10.1007/s00234-024-03528-3

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