Transradial approach for mechanical thrombectomy in anterior circulation large-vessel occlusion

Samir Sur, Brian Snelling, Priyank Khandelwal, Justin Caplan, Eric C. Peterson, Robert M. Starke, Dileep R. Yavagal

Research output: Contribution to journalArticle

Abstract

OBJECTIVE The goals of this study were to describe the authors' recent institutional experience with the transradial approach to anterior circulation large-vessel occlusions (LVOs) in acute ischemic stroke patients and to report its technical feasibility. METHODS The authors reviewed their institutional database to identify patients who underwent mechanical thrombectomy via a transradial approach over the 2 previous years, encompassing their experience using modern techniques including stent retrievers. RESULTS Eleven patients were identified. In 8 (72%) of these patients the right radial artery was chosen as the primary access site. In the remaining patients, transfemoral access was initially attempted. Revascularization (modified Treatment in Cerebral Ischemia [mTICI] score ≥ 2b) was achieved in 10 (91%) of 11 cases. The average time to first pass with the stent retriever was 64 minutes. No access-related complications occurred. CONCLUSIONS Transradial access for mechanical thrombectomy in anterior circulation LVOs is safe and feasible. Further comparative studies are needed to determine criteria for selecting the transradial approach in this setting.

Original languageEnglish (US)
Article numberE13
JournalNeurosurgical Focus
Volume42
Issue number4
DOIs
StatePublished - Apr 1 2017
Externally publishedYes

Keywords

  • Acute ischemic stroke
  • AIS
  • Endovascular therapy
  • EVT
  • Large-vessel occlusion
  • Thrombectomy
  • Transradial

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Sur, S., Snelling, B., Khandelwal, P., Caplan, J., Peterson, E. C., Starke, R. M., & Yavagal, D. R. (2017). Transradial approach for mechanical thrombectomy in anterior circulation large-vessel occlusion. Neurosurgical Focus, 42(4), [E13]. https://doi.org/10.3171/2017.1.FOCUS16525