Xu Gang-Qin, Ba Yue-Yang, Cai Dong-Yang, Yang Bo-Wen, Zhao Tong-Yuan, Xue Jiang-Yu, Li Tian-Xiao, Gao Bu-Lang
Endovascular Treatment Center, Henan Provincial People's Hospital, Zhengzhou University, Zhengzhou, China.
Front Neurol. 2023 Apr 27;14:1128960. doi: 10.3389/fneur.2023.1128960. eCollection 2023.
The study aimed to investigate the feasibility and effect of transradial access with intra-aortic catheter looping for the treatment of intracranial aneurysms.
This retrospective one-center study was performed on patients with intracranial aneurysms which were embolized through transradial access with intra-aortic catheter looping because of the difficulty of transfemoral access or transradial access without intra-aortic catheter looping. The imaging and clinical data were analyzed.
A total of 11 patients were enrolled, including seven (63.6%) male patients. Most patients were associated with one or two risk factors of atherosclerosis. There were nine aneurysms in the left internal carotid artery system and two aneurysms in the right internal carotid artery system. All 11 patients had complications with different anatomic variations or vascular diseases, which made endovascular operation via the transfemoral artery difficult or a failure. The right transradial artery approach was adopted in all patients, and the success rate of intra-aortic catheter looping was 100%. Embolization of intracranial aneurysms was successfully completed in all patients. No instability of the guide catheter was encountered. No puncture site complications or surgical-related neurological complications occurred.
Transradial access with intra-aortic catheter looping for embolization of intracranial aneurysms is technically feasible, safe, and efficient as an important supplementary approach to the routine transfemoral access or transradial access without intra-aortic catheter looping.
本研究旨在探讨经桡动脉穿刺并在主动脉内导管成袢用于治疗颅内动脉瘤的可行性及效果。
本回顾性单中心研究针对因经股动脉穿刺困难或经桡动脉穿刺但未行主动脉内导管成袢而采用经桡动脉穿刺并在主动脉内导管成袢进行栓塞治疗的颅内动脉瘤患者。对影像学及临床资料进行分析。
共纳入11例患者，其中男性7例（63.6%）。多数患者合并一或两个动脉粥样硬化危险因素。左侧颈内动脉系统有9个动脉瘤，右侧颈内动脉系统有2个动脉瘤。所有11例患者均存在不同的解剖变异或血管疾病并发症，致使经股动脉行血管内手术困难或失败。所有患者均采用右侧桡动脉入路，主动脉内导管成袢成功率为100%。所有患者均成功完成颅内动脉瘤栓塞。未出现导引导管不稳定情况。未发生穿刺部位并发症或手术相关神经并发症。
经桡动脉穿刺并在主动脉内导管成袢用于颅内动脉瘤栓塞在技术上是可行的、安全且有效的，可作为常规经股动脉穿刺或经桡动脉穿刺但未行主动脉内导管成袢的重要补充方法。
