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    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 Radiology
    Document Type
    Journal Article
    Publication Date
    2020-11-01
    Keywords
    Aneurysm
    Distal 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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    Link to Full Text
    https://doi.org/10.1016/j.jocn.2020.10.006
    Abstract
    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.2020.10.006
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/48474
    PubMed ID
    33222936
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.jocn.2020.10.006
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