Repeated recanalization of radial artery occlusion in neurointerventional therapy:analysis of its safety and feasibility
10.3969/j.issn.1008-794X.2024.10.003
- VernacularTitle:神经介入治疗中桡动脉闭塞重复再通安全性和可行性分析
- Author:
Ranze CAI
1
;
Jian WU
;
Biao QI
Author Information
1. 361015 福建厦门 复旦大学附属中山医院厦门医院神经外科
- Keywords:
transradial access;
radial artery occlusion;
neurointerventional treatment
- From:
Journal of Interventional Radiology
2024;33(10):1053-1056
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and feasibility of repeated recanalization of radial artery occlusion(RAO)in neurointerventional therapy.Methods The clinical data,including general information,surgery,ultrasonography,and surgery-related complications,of 18 patients with cerebrovascular diseases,who developed RAO after receiving transradial access(TRA)intervention at the Xiamen Branch of Affiliated Zhongshan Hospital of Fudan University of China between June 2022 and July 2023,were retrospectively analyzed.Results Of 18 patients,7 received two consecutive same-side TRA procedures and 11 received three consecutive same-side TRA procedures.RAO occurred in all patients after the initial cerebrovascular angiography,and subsequent neurointerventional treatment was successfully accomplished after RAO recanalization.The cerebrovascular diseases included arteriovenous malformations(n=3),arterial aneurysm(n=13),and arterial occlusion(n=2).A total of 29 times of puncturing at the site of RAO thrombus were carried out,including 23 times of successful recanalization(success rate being 79.3％).At(8.8±8.7)days after the first-time RAO recanalization,ultrasonography indicated that successful recanalization was obtained in 14 patients and persistent occlusion was seen in 4 patients.Thirteen patients were followed up for(7.8±2.7)months after the initial RAO recanalization,and the ultrasonography revealed that successful recanalization was obtained in 4 patients and persistent occlusion was seen in 9 patients.No severe complications occurred during the follow-up period.Conclusion In situ puncture of the RAO site after its recanalization to perform neurointerventional treatments is clinically safe and feasible.
