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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleInterventional

Transradial Approach for Neuroendovascular Procedures: A Single-Center Review of Safety and Feasibility

D.T. Goldman, D. Bageac, A. Mills, B. Yim, K. Yaeger, S. Majidi, C.P. Kellner and R.A. De Leacy
American Journal of Neuroradiology February 2021, 42 (2) 313-318; DOI: https://doi.org/10.3174/ajnr.A6971
D.T. Goldman
aFrom the Departments of Radiology (D.T.G., R.A.D.L.)
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D. Bageac
bNeurosurgery (D.B., B.Y., K.Y., S.M., C.P.K., R.A.D.L.), Icahn School of Medicine at Mount Sinai (A.M.), New York, New York.
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A. Mills
bNeurosurgery (D.B., B.Y., K.Y., S.M., C.P.K., R.A.D.L.), Icahn School of Medicine at Mount Sinai (A.M.), New York, New York.
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B. Yim
bNeurosurgery (D.B., B.Y., K.Y., S.M., C.P.K., R.A.D.L.), Icahn School of Medicine at Mount Sinai (A.M.), New York, New York.
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K. Yaeger
bNeurosurgery (D.B., B.Y., K.Y., S.M., C.P.K., R.A.D.L.), Icahn School of Medicine at Mount Sinai (A.M.), New York, New York.
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S. Majidi
bNeurosurgery (D.B., B.Y., K.Y., S.M., C.P.K., R.A.D.L.), Icahn School of Medicine at Mount Sinai (A.M.), New York, New York.
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C.P. Kellner
bNeurosurgery (D.B., B.Y., K.Y., S.M., C.P.K., R.A.D.L.), Icahn School of Medicine at Mount Sinai (A.M.), New York, New York.
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R.A. De Leacy
aFrom the Departments of Radiology (D.T.G., R.A.D.L.)
bNeurosurgery (D.B., B.Y., K.Y., S.M., C.P.K., R.A.D.L.), Icahn School of Medicine at Mount Sinai (A.M.), New York, New York.
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Loading

Article Figures & Data

Tables

    • View popup
    Table 1:

    Procedure characteristic (n = 328)

    CharacteristicValue
    Age (yr)57.7 [SD, 15.9] (48–68)
    Sex
     Male41.9 (137/327)
     Female58.1 (190/327)
     Height (cm)165.2 [SD, 10.1] (157.5–172.7)
     Weight (kg)77.3 [SD, 21.7] (63.0–88.5)
     BMI (kg/m2)28.3 [SD, 7.4] (23.4–31.7)
    Procedure
     Cerebral angiography64.9 (213/328)
     Head and neck9.1 (30/328)
     Intracranial intervention19.5 (64/328)
     Acute stroke intervention/mechanical thrombectomy6.4 (21/328)
    dTRA access14.9 (49/328)
    Prior TRA15.5 (51/328)
    Technique failure7.9 (26/328)
    Sheath size (Fr)
     450.6 (166/328)
     535.7 (117/328)
     612.5 (41/328)
    Arm accessed
     Left4.3 (14/328)
     Right94.5 (310/328)
    Coagulopathy10.7 (35/328)
    Crossover7.9 (26/328)
    Vessel accessed
     Right common carotid artery64.9 (213/328)
     Right internal carotid artery50.3 (165/328)
     Right external carotid artery19.8 (65/328)
     Left common carotid artery62.8 (206/328)
     Left internal carotid artery47.6 (156/328)
     Left external carotid artery19.2 (63/328)
     Right vertebral artery55.8 (183/328)
     Left vertebral artery35.7 (117/328)
    • Note:—BMI indicates body mass index.

    • View popup
    Table 2:

    Adverse events

    Adverse EventNo. (%)
    Early complications
     Hematoma1.5 (5/328)
     Radial artery spasm0.3 (1/328)
     Radial artery occlusion0.3 (1/328)
    30 -Day complications
     Radial artery pseudoaneurysm0.3 (1/328)
    • View popup
    Table 3:

    Analysis of total adverse events

    Predictor/CategoryOR (95% CI)P
    Age (yr)
     60 or older1.00
     Younger than 600. 53 (0.12–2.25).39
    Sex
     Male1.00
     Female2.20 (0.44–11.1).34
    Height (cm)
     ≥165.11.00
     <165.10.36 (0.07–1.80).21
    Weight (kg)
     ≥74.31.00
     <74.31.70 (0.40–7.23).47
    BMI (kg/m2)
     ≥27.41.00
     <27.47.37 (0.90–60.6).06
    Procedure
     Cerebral angiogram1.00
     Head and neck intervention11.7 (1.87–73.3).05
     Intracranial intervention3.40 (0.47–24.7).86
     Acute stroke intervention/mechanical thrombectomy5.28 (0.46–60.8).69
    Prior TRA
     No1.00
     Yes1.84 (0.36–9.4).46
    Sheath size (Fr)
     41.00
     50.71 (0.06–7.89).19
     68.87 (1.57–50.2).004
    Coagulopathy
     No1.00
     Yes0.76 (0.09–6.52).80
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American Journal of Neuroradiology: 42 (2)
American Journal of Neuroradiology
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Cite this article
D.T. Goldman, D. Bageac, A. Mills, B. Yim, K. Yaeger, S. Majidi, C.P. Kellner, R.A. De Leacy
Transradial Approach for Neuroendovascular Procedures: A Single-Center Review of Safety and Feasibility
American Journal of Neuroradiology Feb 2021, 42 (2) 313-318; DOI: 10.3174/ajnr.A6971

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Transradial Approach for Neuroendovascular Procedures: A Single-Center Review of Safety and Feasibility
D.T. Goldman, D. Bageac, A. Mills, B. Yim, K. Yaeger, S. Majidi, C.P. Kellner, R.A. De Leacy
American Journal of Neuroradiology Feb 2021, 42 (2) 313-318; DOI: 10.3174/ajnr.A6971
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