经桡动脉途径用于胸腰椎脊髓血管造影和肿瘤栓塞：可行性及技术考量

Caton Michael Travis, Smith Eric Robert, Baker Amanda, Dowd Christopher Foley, Higashida Randall T

Department of Neurointerventional Radiology, University of California San Francisco, San Francisco, CA, USA.

Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA.

Neurointervention. 2022 Jul;17(2):100-105. doi: 10.5469/neuroint.2022.00010. Epub 2022 Mar 28.

The transradial approach (TRA) is an effective and safe alternative to transfemoral access for diagnostic neuroangiography and craniocervical interventions. While the technical aspects of supraclavicular intervention are well-described, there are little data on the TRA for thoracolumbar angiography and intervention. The authors describe the feasibility of the TRA for preoperative thoracic tumor embolization, emphasizing technique, device selection, navigation, and catheterization of thoracolumbar segmental arteries. This approach extends the benefits of TRA to spinal interventional neuroradiology.

经桡动脉途径（TRA）是诊断性神经血管造影和颅颈介入治疗中经股动脉途径的一种有效且安全的替代方法。虽然锁骨上介入治疗的技术方面已有详细描述，但关于经桡动脉途径用于胸腰椎血管造影和介入治疗的数据却很少。作者描述了经桡动脉途径用于术前胸部肿瘤栓塞的可行性，重点介绍了胸腰椎节段动脉的技术、设备选择、导航和插管。这种方法将经桡动脉途径的优势扩展到了脊柱介入神经放射学领域。