Axillary Artery Access for Neuroendovascular Procedures in Infants: Where to Go When Femoral Puncture Fails?

IF 1.2 Q4 CLINICAL NEUROLOGY
João Victor Sanders, Krishna Joshi, Marion Oliver, Demetrius Lopes
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引用次数: 0

Abstract

The femoral artery approach is the primary neuroendovascular access in pediatric patients. However, alternative access sites are sometimes essential. We present the first report of axillary arterial access for neuroendovascular intervention in an infant, and a literature review on pediatric access routes. We present a case of a neonate diagnosed with vein of Galen malformation, with failed canulation of the femoral artery. A right axillary artery access was successfully employed for the intervention. The patient showed improvement and no complications. We demonstrate the feasibility of axillary artery access for neuroendovascular intervention, which may be an alternative for similar challenging cases.

婴儿神经血管内手术的腋窝动脉通路:当股穿刺失败时该去哪里?
股动脉入路是儿科患者的主要神经血管内入路。然而,替代访问站点有时是必要的。我们首次报道腋窝动脉通路用于婴儿神经血管内介入治疗,并对儿科通路进行文献综述。我们提出一个病例的新生儿诊断为静脉盖伦畸形,与股动脉插管失败。右腋窝动脉通道成功介入。患者病情好转,无并发症。我们证明了腋窝动脉进入神经血管内介入的可行性,这可能是类似挑战性病例的替代方案。
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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
34
审稿时长
12 weeks
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