Volume 3, Issue 3 (12-2017)                   IrJNS 2017, 3(3): 0-0 | Back to browse issues page

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Ghorbani M, Hejazian E. Transradial Neurointerventional Approach to Basilar Tip Aneurysm: Case Report and Technical Note. IrJNS. 2017; 3 (3)
URL: http://irjns.org/article-1-95-en.html
1- Assistant Professor of Neurosurgery, Neurointerventionist Fellowship, Division of Vascular and Endovascular Neurosurgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran
2- Assistant Professor of Neurosurgery, Babol University of Medical Sciences, Iran University of Medical Sciences, Tehran, Iran , sehbums@yahoo.com
Abstract:   (76 Views)
Background & Importance: Although transradial angiography is the gold standard for cardiovascular procedures, cerebral angiography has been performed through transfemoral approach in most institutions. The purpose of this study is to present our early experience with transradial approach to cerebral angiography and intervention of a patient with basilar tip aneurysm that had inappropriate vasculature to perform routine transfemoral approach.
Case Presentation: The patient was a 65 year-old man with a large basilar tip aneurysm that was candidate for endosacular coiling through transfemoral route. But due to very tortuous iliac artery, aortic arch and its branches, navigation transfemorraly via both vertebral arteries was impossible. Therefore we decided to do the procedure through right transarterial route. The procedure was started by doing Allen`s test to confirm good perfusion of right hand by collateral arteries. After that cerebral angiography and neurointervention was done transradially without any complication.
Conclusion: Although the transradial approach is not a routine way for cerebral angiography and intervention, it can be used safely as an alternative way in specific cases.
Type of Study: Case report | Subject: Endovascular Neurosurgery

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