Distal radial artery (Snuffbox) access for intracranial aneurysm treatment using the Woven EndoBridge (WEB) device
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Authors
Kuhn, Anna L.Singh, Jasmeet
de Macedo Rodrigues, Katyucia
Massari, Francesco
Moholkar, Viraj M.
Marwah, Suroop K.
Unar, Danyal
Gounis, Matthew J.
Puri, Ajit S.
UMass Chan Affiliations
Division of Neurointerventional Radiology, Department of RadiologyDocument Type
Journal ArticlePublication Date
2020-11-01Keywords
AneurysmDistal radial artery
Radial artery
Snuffbox
Stenting
Transradial
WEB device
Analytical, Diagnostic and Therapeutic Techniques and Equipment
Cardiovascular Diseases
Nervous System Diseases
Neurology
Neurosurgery
Radiology
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Show full item recordAbstract
Preliminary experience with distal radial artery (dRA) access for diagnostic cerebral angiography and some neurointerventional procedures has proved to be promising with good technical results and a reliable safety profile. Vascular access via the dRA may further improve minimally invasive treatment of intracranial aneurysms. Between July 2019 and June 2020 we identified 11 patients (9 females) with a mean age of 63.5 years who underwent WEB device placement for treatment of their intracranial aneurysm via the dRA approach. The mean aneurysm size (largest diameter) was 6.7 mm. One patient required conversion to femoral access due to severe brachial artery fibromuscular dysplasia. Placement of the WEB device was successful in all other cases via dRA approach. In all but one case, a low profile triaxial catheter system with the 6F Benchmark guide catheter (Penumbra) and 5F Sofia distal access catheter (Microvention) were used. No access related complications were observed. The combination of the intrasaccular WEB device and dRA access represents an ideal approach which offers operators a low risk vascular access and high procedural success by maintaining the ability to precisely place and manipulate the device using low-profile catheter systems. At the same time, this approach offers patients the most minimally invasive experience currently available for treatment of intracranial aneurysms with quick postprocedural recovery, minimal restrictions and low risk for access site complications.Source
Kühn AL, Singh J, de Macedo Rodrigues K, Massari F, Moholkar VM, Marwah SK, Unar D, Gounis MJ, Puri AS. Distal radial artery (Snuffbox) access for intracranial aneurysm treatment using the Woven EndoBridge (WEB) device. J Clin Neurosci. 2020 Nov;81:310-315. doi: 10.1016/j.jocn.2020.10.006. Epub 2020 Oct 20. PMID: 33222936. Link to article on publisher's site
DOI
10.1016/j.jocn.2020.10.006Permanent Link to this Item
http://hdl.handle.net/20.500.14038/48474PubMed ID
33222936Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.jocn.2020.10.006