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Original research
Transradial approach for acute stroke intervention: technical procedure and clinical outcomes
  1. Omaditya Khanna1,
  2. Nikolaos Mouchtouris1,
  3. Ahmad Sweid1,
  4. Nohra Chalouhi1,
  5. Ritam Ghosh1,
  6. Fadi Al Saiegh1,
  7. Michael R Gooch1,
  8. Stavropoula Tjoumakaris1,
  9. Robert H Rosenwasser1,
  10. Victor Romo2,
  11. Pascal Jabbour1
  1. 1 Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA
  2. 2 Anesthesia, Thomas Jefferson University - Center City Campus, Philadelphia, Pennsylvania, USA
  1. Correspondence to Dr Pascal Jabbour; Pascal.jabbour{at}jefferson.edu

Abstract

Background and purpose Radial artery catheterisation is an alternate route of access that has recently started to gain more widespread use for neuroendovascular procedures, including acute stroke intervention. In this small case series, we present our institution’s outcomes in patients undergoing acute stroke interventions via transradial access.

Materials and methods We present a retrospective study of 15 patients who underwent acute stroke intervention via radial artery access. We analyse these patients’ periprocedural and clinical outcomes after undergoing mechanical thrombectomy.

Results A total of 15 consecutive patients were included in the study (9 males and 6 females), and all patients were able to successfully undergo mechanical thrombectomy via radial artery access. The mean time of arterial puncture to reperfusion was 50±28 min (range: 15–104). A TICI 2b/3 revascularisation was achieved in 13/15 patients (87%); a TICI 1 and TICI 2a outcome was achieved on the other two patients. One patient incurred an iatrogenic vessel dissection during the procedure. Eight of out 15 patients (53%) had favourable mRS (0–3) at the time of discharge from the hospital.

Conclusion Radial artery catheterisation is technically feasible for performing acute stroke interventions with favourable time to revascularisation and good overall clinical outcomes.

  • stroke
  • angiography
  • technique
  • thrombectomy
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/svn-2019-000263

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    Footnotes

    • Twitter @PascalJabbourMD

    • Contributors OK, AS, NM and PJ devised the study design. OK, NM and PJ performed statistical analysis. All authors contributed towards the production of manuscript.

    • Funding Only departmental funding was used to carry out this research study.

    • Competing interests PJ is a consultant for Medtronic and MicroVention. ST is a consultant for Stryker.

    • Patient consent for publication Not required.

    • Ethics approval The institutional ethics committee of the study.

    • Provenance and peer review Commissioned; externally peer reviewed.

    • Data availability statement All data relevant to the study are included in the article or uploaded as supplementary information.