Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?
Transfemoral access for neurointerventions has been a time-tested technique of entering the vascular network of the body and reaching the intended targets. However, it has its own share of shortcomings in the form of long admission times leading to increased costs, patient inconvenience and local (t...
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| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2022-12-01
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1737026 |
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| author | Chirag Kamal Ahuja Vivek Agarwal Sameer Vyas Vivek Gupta |
| author_facet | Chirag Kamal Ahuja Vivek Agarwal Sameer Vyas Vivek Gupta |
| author_sort | Chirag Kamal Ahuja |
| collection | DOAJ |
| description | Transfemoral access for neurointerventions has been a time-tested technique of entering the vascular network of the body and reaching the intended targets. However, it has its own share of shortcomings in the form of long admission times leading to increased costs, patient inconvenience and local (though infrequent) adverse affects. Transradial route has taken the interventional cardiology domain by storm and is staring now at other vascular domains especially neurointervention. It has shown better outcomes than the transfemoral route in many aspects. The current article discusses the vascular access perspectives with an exhaustive overview of the transradial route concerning its historical perspectives, its requirement in the current clinical scenario, the procedure per se including the adverse effects and whether it has the real world charm to displace the transfemoral route into the backseat. Transradial access in neurointervention is here to stay, however it would require training, certain modifications in the standard catheters that one currently uses for cerebral procedures and constant practice by the operator to cross the learning curve and attain a certain level of competence before he becomes comfortable with the technique. |
| format | Article |
| id | doaj-art-200eb9c833b249bdbfbe6ae73f3afbd3 |
| institution | DOAJ |
| issn | 2456-4869 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-200eb9c833b249bdbfbe6ae73f3afbd32025-08-20T03:17:44ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692022-12-01060318418910.1055/s-0041-1737026Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?Chirag Kamal Ahuja0Vivek Agarwal1Sameer Vyas2Vivek Gupta3Division of Neuroradiology, Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, IndiaDivision of Neuro and Vascular Intervention, Department of Neurology, Christian Medical College, Ludhiana, Punjab, IndiaDivision of Neuroradiology, Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, IndiaDepartment of Interventional Neuroradiology, Paras Hospital, Panchkula, Haryana, IndiaTransfemoral access for neurointerventions has been a time-tested technique of entering the vascular network of the body and reaching the intended targets. However, it has its own share of shortcomings in the form of long admission times leading to increased costs, patient inconvenience and local (though infrequent) adverse affects. Transradial route has taken the interventional cardiology domain by storm and is staring now at other vascular domains especially neurointervention. It has shown better outcomes than the transfemoral route in many aspects. The current article discusses the vascular access perspectives with an exhaustive overview of the transradial route concerning its historical perspectives, its requirement in the current clinical scenario, the procedure per se including the adverse effects and whether it has the real world charm to displace the transfemoral route into the backseat. Transradial access in neurointervention is here to stay, however it would require training, certain modifications in the standard catheters that one currently uses for cerebral procedures and constant practice by the operator to cross the learning curve and attain a certain level of competence before he becomes comfortable with the technique.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1737026transradialendovascularneurointerventionaccess route |
| spellingShingle | Chirag Kamal Ahuja Vivek Agarwal Sameer Vyas Vivek Gupta Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change? Journal of Clinical Interventional Radiology ISVIR transradial endovascular neurointervention access route |
| title | Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change? |
| title_full | Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change? |
| title_fullStr | Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change? |
| title_full_unstemmed | Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change? |
| title_short | Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change? |
| title_sort | access route for endovascular neurointervention transfemoral to transradial is it worth the effort and are we ready for the change |
| topic | transradial endovascular neurointervention access route |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1737026 |
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