医学
桡动脉
导管
牵引(地质)
主动脉
放射科
外科
动脉
地质学
地貌学
作者
Evan Luther,Joshua D. Burks,David J. McCarthy,Vaidya Govindarajan,Ahmed Nada,Vasu Saini,Aria Jamshidi,Hunter King,Rainya Heath,Michael Silva,Isaac Josh Abecassis,Robert M. Starke
标识
DOI:10.1016/j.nec.2021.11.003
摘要
Transradial access (TRA) has gained traction in neurointerventions as studies continue to demonstrate improved access site safety and equivalent end artery effectiveness when compared with traditional transfemoral techniques. Herein, we describe the technical nuances of obtaining TRA with a focus on distal TRA, left TRA, and sheathless TRA using larger bore catheters. We also discuss various strategies to avoid access site conversion if radial artery spasm or radial anomalies are encountered and offer some solutions for forming the Simmons catheter especially when it cannot be performed in the descending aorta. Lastly, we provide some insights regarding contraindications to TRA.
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