Jonathon J. Lebovitz, Christopher Storey, E. Peterson, P. Jabbour
{"title":"Diagnostic Angiography","authors":"Jonathon J. Lebovitz, Christopher Storey, E. Peterson, P. Jabbour","doi":"10.1093/med/9780197524176.003.0004","DOIUrl":"https://doi.org/10.1093/med/9780197524176.003.0004","url":null,"abstract":"Performing diagnostic cerebral angiograms via the transradial approach is a safe alternative to the transfemoral route. When transitioning one’s practice, the importance of a proper set-up that minimizes frustration is paramount. New catheters and sheaths have led to increased adoption of the transradial technique. From the cardiac literature we have learned that the transradial approach is safer, but more important it is preferred by patients because it requires shorter postoperative recovery and less pain with ambulation. Learning to utilize a Simmons catheter as in any type 3 arch will allow one to continue to improve efficiency and integrate the transradial approach into one’s practice.","PeriodicalId":203350,"journal":{"name":"Radial Access for Neurointervention","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134376594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie H. Chen, R. Starke, D. Yavagal, E. Peterson
{"title":"Transradial Approach for Stroke","authors":"Stephanie H. Chen, R. Starke, D. Yavagal, E. Peterson","doi":"10.1007/978-3-030-56857-3_10","DOIUrl":"https://doi.org/10.1007/978-3-030-56857-3_10","url":null,"abstract":"","PeriodicalId":203350,"journal":{"name":"Radial Access for Neurointervention","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130564084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Omaditya Khanna, Nikolaos Mouchtouris, Eric C. Peterson, Pascal M. Jabbour
{"title":"Carotid Stenting","authors":"Omaditya Khanna, Nikolaos Mouchtouris, Eric C. Peterson, Pascal M. Jabbour","doi":"10.1093/med/9780197524176.003.0008","DOIUrl":"https://doi.org/10.1093/med/9780197524176.003.0008","url":null,"abstract":"Several large-scale studies have corroborated the indications for carotid artery revascularization in patients who present with carotid artery stenosis. The two treatment options are carotid endarterectomy and carotid artery stent, both of which show equipoise in outcomes, and although the latter is associated with increased risk of periprocedural stroke, it confers the benefit of shorter procedural and recovery times. Currently, radial artery access is rarely used for placement of carotid artery stents, both among neurosurgeons and vascular surgeons. However, radial artery access for carotid stent placement has been shown to be safe and efficacious, and it confers the benefit of reduced access-site complications and improved patient satisfaction measures. In this chapter, aimed at practitioners who would like to incorporate radial artery access into their clinical practice, we review the evaluation and management of carotid artery stenosis and present an operative technique for carotid artery stent placement via radial artery access.","PeriodicalId":203350,"journal":{"name":"Radial Access for Neurointervention","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129828988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christopher Storey, Jonathon J. Lebovitz, E. Peterson, P. Jabbour
{"title":"Aneurysm Treatment","authors":"Christopher Storey, Jonathon J. Lebovitz, E. Peterson, P. Jabbour","doi":"10.1093/med/9780197524176.003.0006","DOIUrl":"https://doi.org/10.1093/med/9780197524176.003.0006","url":null,"abstract":"The transradial approach offers safer access than the transfemoral approach based on the cardiac literature. The dual-antiplatelet requirements of many interventions and the high prevalence of patients on anticoagulation have made the transradial approach the access of choice for elective interventions. For ruptured cases, the benefit provides quicker extubation to reduce risk of pneumonia. All treatment modalities up to 6F triaxial systems can be used for embolization as one would from the femoral approach. All current neurointerventional therapies can be performed from a transradial approach. One needs to realize that, with new technologies, transradial neurointervention will become simpler, more efficient, and reliable.","PeriodicalId":203350,"journal":{"name":"Radial Access for Neurointervention","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126804178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Future Directions","authors":"A. Sweid, E. Peterson, P. Jabbour","doi":"10.1093/med/9780197524176.003.0017","DOIUrl":"https://doi.org/10.1093/med/9780197524176.003.0017","url":null,"abstract":"The transradial approach (TRA) reduces mortality, morbidity, access-site complications, hospital cost, and length of stay while maximizing patient satisfaction. The overall lag between the introduction of the transradial approach and its widespread use within the neurointerventional niche is due to a variety of factors, including perceived difficulties in navigation, lack of exposure during training, and complexity of the neurointerventional procedures. With more training programs converting to TRA, a new generation of fellows will be trained in the technique; in addition to that, a lot of work is on the way to develop new catheters dedicated for TRA.","PeriodicalId":203350,"journal":{"name":"Radial Access for Neurointervention","volume":"296 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131520513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Closure Techniques","authors":"Kalyan Sajja, E. Peterson, P. Jabbour","doi":"10.1093/med/9780197524176.003.0012","DOIUrl":"https://doi.org/10.1093/med/9780197524176.003.0012","url":null,"abstract":"The superficial location of the radial artery access site eliminates the need for overly specialized closure devices. Manual compression is considered the gold standard technique. Closure devices in their many iterations are designed to work by applying continuous pressure using an adjustable balloon. They are arguably superior to manual compression as they exert a continuous and gentle pressure on the artery. The simplest, and cheapest devices might be the best ones. A good closure technique ensures compression with a “just needed” intensity to maintain anterograde flow. A good technique also incorporates the principle of patent hemostasis with or without prophylactic ulnar artery occlusion while keeping the whole process relatively simple. These techniques result in fewer radial artery occlusions and other complications. Lower complications ensure patency of the radial artery for future procedures.","PeriodicalId":203350,"journal":{"name":"Radial Access for Neurointervention","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121390980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
求助内容：
应助结果提醒方式：