Oselkin M, Satti S R, Sundararajan S H, Kung D, Hurst R W, Pukenas B A
1 Department of Radiology, Hospital of the 14640 University of Pennsylvania, Perelman School of Medicine at the University of Pennsylvania , Philadelphia, PA, USA.
2 Department of Neurointerventional Surgery, Christiana Care Health System Newark, DE, USA.
Interv Neuroradiol. 2018 Feb;24(1):64-69. doi: 10.1177/1591019917733709. Epub 2017 Sep 28.
Acute basilar artery occlusion (BAO) secondary to emergent large vessel occlusion (ELVO) has an extremely poor natural history, with a reported mortality rate up to 95%. Mechanical thrombectomy in the setting of ELVO is generally performed via a transfemoral approach. However, radial access is increasingly being utilized as an alternative. We report our initial multi-institutional experience using primary radial access in the treatment of acute BAO in nine consecutive cases. Technical success defined as a TICI score of 2B or 3 was achieved in 89% of cases. Average puncture to revascularization time was 35.8 minutes. There were no complications related to radial artery catheterization. We contend radial access should potentially be considered as the first-line approach given inherent advantages over femoral access for mechanical thrombectomy for BAO.
继发于急性大血管闭塞（ELVO）的急性基底动脉闭塞（BAO）自然转归极差，报道的死亡率高达95%。ELVO情况下的机械取栓通常经股动脉途径进行。然而，桡动脉入路正越来越多地被用作替代方法。我们报告了我们最初在9例连续急性BAO治疗中使用初次桡动脉入路的多机构经验。89%的病例实现了定义为脑梗死溶栓分级（TICI）2B或3级的技术成功。平均穿刺到血管再通时间为35.8分钟。没有与桡动脉插管相关的并发症。鉴于桡动脉入路在BAO机械取栓方面相对于股动脉入路具有固有优势，我们认为桡动脉入路可能应被视为一线方法。
