Bendok Bernard R, Przybylo Jason H, Parkinson Richard, Hu Yin, Awad Issam A, Batjer H Hunt
Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois 60611, USA.
Neurosurgery. 2005 Mar;56(3):E626; discussion E626.
To describe our experience with the transradial approach for posterior circulation neurointerventional procedures. To the best of our knowledge, this approach has not been described previously for intracranial neuroendovascular procedures.
The clinical and imaging characteristics as well as periprocedural outcomes of patients treated for intracranial posterior circulation disease via the transradial approach were analyzed retrospectively.
Between January 1 and October 21, 2003, four patients with posterior circulation disease (aneurysm, n = 1, and atherosclerotic stenosis, n = 3) were treated via the transradial approach because of tortuous brachiocephalic anatomy. Procedural success was 100%, and there were no procedural complications. No technical difficulties were encountered.
The transradial approach is an alternative to the femoral approach for posterior circulation neuroendovascular intervention. This approach has several advantages over other approaches, and the vasculature can be less tortuous than that encountered during the femoral approach. These factors can result in increased device trackability and procedural ease.
描述我们经桡动脉途径进行后循环神经介入手术的经验。据我们所知，此前尚未有关于颅内神经血管介入手术采用该途径的描述。
回顾性分析经桡动脉途径治疗颅内后循环疾病患者的临床及影像学特征以及围手术期结果。
2003年1月1日至10月21日期间，4例后循环疾病患者（1例动脉瘤，3例动脉粥样硬化性狭窄）因头臂血管解剖迂曲而经桡动脉途径接受治疗。手术成功率为100%，且无手术并发症。未遇到技术困难。
经桡动脉途径是后循环神经血管介入治疗中替代股动脉途径的一种选择。该途径相对于其他途径具有多个优势，且血管迂曲程度可能低于股动脉途径。这些因素可提高器械的可操作性并使手术更简便。
