First case series of the transradial approach for neurointerventional procedures in pediatric patients
| العنوان: | First case series of the transradial approach for neurointerventional procedures in pediatric patients |
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| المؤلفون: | Ivo Bach, Luke Tomycz, Vincent Dodson, James K. Liu, Pratit Patel, Priyank Khandelwal, Neil Majmundar |
| المصدر: | Journal of Neurosurgery: Pediatrics. 25:492-496 |
| بيانات النشر: | Journal of Neurosurgery Publishing Group (JNSPG), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.diagnostic_test, business.industry, Clinical events, General surgery, General Medicine, 03 medical and health sciences, Ultrasound guidance, 0302 clinical medicine, Procedure Indication, 030220 oncology & carcinogenesis, medicine.artery, Patient information, medicine, Fluoroscopy, Radial artery, business, 030217 neurology & neurosurgery, Interventional neuroradiology, Pediatric population |
| الوصف: | OBJECTIVEThe transradial approach (TRA) has been widely adopted by interventional cardiologists but is only now being accepted by neurointerventionalists. The benefits of the TRA over the traditional transfemoral approach (TFA) include reduced risk of adverse clinical events and faster recovery. The authors assessed the safety and feasibility of the TRA for neurointerventional cases in the pediatric population.METHODSPediatric patients undergoing cerebrovascular interventions since implementation of the TRA at the authors’ institution were retrospectively reviewed. Pertinent patient information, procedure indications, vessels catheterized, fluoroscopy time, and complications were reviewed.RESULTSThere were 4 patients in this case series, and their ages ranged from 13 to 15 years. Each patient tolerated the procedure performed using the TRA without any postprocedural issues, and only 1 patient experienced radial artery spasm, which resolved with the administration of intraarterial verapamil. None of the patients required conversion to the TFA.CONCLUSIONSThe TRA can be considered a safe alternative to the TFA for neurointerventional procedures in the pediatric population and provides potential advantages. However, as pediatric patients require special consideration due to their smaller-caliber arteries, routine use of ultrasound guidance is advised when attempting the TRA. |
| تدمد: | 1933-0715 1933-0707 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fea5555d9f4ecd0a7aba366acdb93030 https://doi.org/10.3171/2019.12.peds19448 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....fea5555d9f4ecd0a7aba366acdb93030 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19330715 19330707 |
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