Preliminary discussion on carotid artery stenting via distal radial artery access
10.3969/j.issn.1008-794X.2025.07.014
- VernacularTitle:远端桡动脉入路行颈动脉支架植入术初步探讨
- Author:
Maogang LI
1
;
Gang CAO
;
Huan ZENG
;
Lin MA
Author Information
1. 341000 江西赣州 广东省人民医院赣州医院(赣州市立医院)神经外科
- Keywords:
snuff box;
distal radial artery access;
carotid artery stenting
- From:
Journal of Interventional Radiology
2025;34(7):761-765
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the safety and effectiveness of carotid artery stenting(CAS)via distal radial access(DRA).Methods According to the inclusion and exclusion criteria,the patients with carotid artery stenosis,who were treated at the Ganzhou Municipal Hospital of China from July 2023 to June 2024,were collected for this study.CAS via DRA was performed by an experienced neurointerventional physician.Clinical baseline data,surgery-related materials and complications were recorded.Results Fourteen patients with a mean age of(65.4±7.8)years were enrolled in this study.Successful CAS via right DRA was accomplished in 13 patients(92.9％),and only in one patient(7.1％)the right femoral artery access was adopted instead of DRA with successful completion of CAS.After treatment,2 patients(14.3％)developed DRA-related minor hematoma,which disappeared spontaneously without any treatment.One patient(7.1％)developed transient cerebral ischemia and hypoxia during the operation,and the patient fully returned to normal after a brief time period.Neither DRA-related complications(such as postoperative numbness,pain,severe hematoma,and radial artery occlusion within 48 hours),nor a stroke or death occurred.Conclusion CAS via DRA is clinically safe and effective.DRA is an alternative approach for CAS.
