Department of Neurological Surgery, Spectrum Health, Michigan State University, 25 Michigan Street Northeast, Suite 6100, Grand Rapids, MI 49503, USA; Department of Clinical Neurosciences, College of Human Medicine, Michigan State University, Grand Rapids, MI, USA; Department of Neurological Surgery, Spectrum Health, Grand Rapids, MI, USA.
Department of Clinical Neurosciences, College of Human Medicine, Michigan State University, Grand Rapids, MI, USA; Department of Neurological Surgery, Spectrum Health, Grand Rapids, MI, USA.
Neurosurg Clin N Am. 2022 Apr;33(2):161-167. doi: 10.1016/j.nec.2021.11.006. Epub 2022 Mar 2.
Leveraging from the interventional cardiology experience, the transradial access (TRA) for neurointervention has also started to become more used for both diagnostic and therapeutic procedures. A growing body of evidence is showing a superiority of the TRA compared with the conventional transfemoral access (TFA) in terms of access site complications (ACSs), patient satisfaction and preference, hospital length of stay, and cost. Outcomes via the transradial are noninferior, and at times superior, in select neuroendovascular procedures. Future advancements in technology with radial-specific catheters and further operator experience will aid in the full adoption of the TRA for endovascular procedures.
借鉴介入心脏病学的经验,神经介入的经桡动脉入路(TRA)也开始更多地用于诊断和治疗操作。越来越多的证据表明,TRA 在血管入路并发症(ACS)、患者满意度和偏好、住院时间和成本方面优于传统的经股动脉入路(TFA)。在某些神经血管介入手术中,经桡动脉的结果非劣效,有时甚至更优。随着桡动脉专用导管和操作人员经验的进一步发展,技术的未来进步将有助于 TRA 在血管内手术中的全面应用。