Transradial cerebral angiography

Techniques and outcomes

Brian M. Snelling, Samir Sur, Sumedh S. Shah, Priyank Khandelwal, Justin Caplan, Rianna Haniff, Robert M. Starke, Dileep R. Yavagal, Eric C. Peterson

Research output: Contribution to journalArticle

Abstract

Background: Despite several retrospective studies analyzing the safety and efficacy of transradial access (TRA) versus transfemoral access (TFA) for cerebral angiography, this transition for neurointerventional procedures has been gradual. Nonetheless, based on our positive initial institutional experience with TRA for mechanical thrombectomy in acute ischemic stroke patients, we have started transitioning more of our cerebral angiography cases to TRA. Here we present our single institution experience. Methods: We performed a retrospective review of patients receiving TRA cerebral angiography at our institution between January 2016 and February 2017. We present our experience transitioning from TFA to TRA, including our criteria for patient selection, technical nuances, patient experience, complications, and operator learning curve. Results: We included 148 angiograms performed in 141 people by one of four operators. No major complications were observed, and the technical success of the procedures was consistent with those of TFA. Marked improvement in operator efficiency was achieved in a short number of cases during this transition when looking at operator proficiency as a function of angiograms performed and days of exposure to TRA (4.3 vs 3.6 min/vessel, P<0.05). Conclusions: Safety and efficiency can be preserved while transitioning to TRA. While further investigation is necessary to support transition to TRA, these findings should call for a re-evaluation of the role of TRA in catheter cerebral angiography.

Original languageEnglish (US)
JournalJournal of NeuroInterventional Surgery
DOIs
StateAccepted/In press - Jan 8 2018
Externally publishedYes

Fingerprint

Cerebral Angiography
Angiography
Efficiency
Safety
Thrombectomy
Learning Curve
Patient Selection
Catheters
Retrospective Studies
Stroke

Keywords

  • angiography
  • endovascular
  • radial
  • stroke
  • thrombectomy
  • transradial

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Snelling, B. M., Sur, S., Shah, S. S., Khandelwal, P., Caplan, J., Haniff, R., ... Peterson, E. C. (Accepted/In press). Transradial cerebral angiography: Techniques and outcomes. Journal of NeuroInterventional Surgery. https://doi.org/10.1136/neurintsurg-2017-013584

Transradial cerebral angiography : Techniques and outcomes. / Snelling, Brian M.; Sur, Samir; Shah, Sumedh S.; Khandelwal, Priyank; Caplan, Justin; Haniff, Rianna; Starke, Robert M.; Yavagal, Dileep R.; Peterson, Eric C.

In: Journal of NeuroInterventional Surgery, 08.01.2018.

Research output: Contribution to journalArticle

Snelling, BM, Sur, S, Shah, SS, Khandelwal, P, Caplan, J, Haniff, R, Starke, RM, Yavagal, DR & Peterson, EC 2018, 'Transradial cerebral angiography: Techniques and outcomes', Journal of NeuroInterventional Surgery. https://doi.org/10.1136/neurintsurg-2017-013584
Snelling, Brian M. ; Sur, Samir ; Shah, Sumedh S. ; Khandelwal, Priyank ; Caplan, Justin ; Haniff, Rianna ; Starke, Robert M. ; Yavagal, Dileep R. ; Peterson, Eric C. / Transradial cerebral angiography : Techniques and outcomes. In: Journal of NeuroInterventional Surgery. 2018.
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