Background

Transradial access (TRA) for neuroendovascular procedures has several clear benefits compared to transfemoral access. In this study, we report our initial experience with neuroendovascular procedures performed via transradial access using the novel Ballast 088 long sheath.

Methods

We conducted a retrospective analysis and identified 91 consecutive patients who underwent neuroendovascular procedures via TRA using the Ballast 088 long sheath. Data collection was performed on indication for procedure, number of vessels selectively catheterized, fluoroscopy time, procedure duration, radiation exposure, failure of radial access and conversion to transfemoral access, periprocedural complications, and procedural outcomes.

Results

Amongst 91 patients, the average age was 65.5 years ± 14.2 with 45 (49.5 %) female patients. 25 (27.5 %) patients underwent aneurysm treatment, 2 (2.2 %) AVM/AVF embolization, 28 (30.8 %) intracranial or extracranial stenting, 31 (34.1 %) stroke treatment, and 5 (5.5 %) underwent diagnostic angiogram. The mean number of target vessels catheterized was 1.07 ± 0.25, the mean procedure duration (minutes) was 96.5 ± 57.2, mean fluoroscopy time (minutes) was 21.9 ± 14.2, mean contrast dose (ml) was 112.7 ± 66.7, and mean radiation exposure (Gycm2) was 54.82 ± 41.37. The success rate of target vessel catheterization was 100 %. There were no complications resulting in long term sequelae. Access complications occurred in 1 (1.1 %) patients. Transfemoral conversion was required in 3 (3.3 %) patients.

Conclusions

The Ballast 088 long sheath is safe and effective for TRA in neuroendovascular procedures with a low rate of complications and conversion.

中文翻译：

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新型 088 长鞘在经桡神经介入治疗中的早期经验

背景

与经股动脉入路相比，用于神经血管内手术的经桡动脉入路 (TRA) 有几个明显的好处。在这项研究中，我们报告了我们使用新型 Ballast 088 长鞘通过经桡动脉通路进行神经血管内手术的初步经验。

方法

我们进行了一项回顾性分析，确定了 91 名使用 Ballast 088 长护套通过 TRA 接受神经血管内手术的连续患者。数据收集包括手术指征、选择性导管插入的血管数量、透视时间、手术持续时间、辐射暴露、径向通路失败和转为经股通路、围手术期并发症和手术结果。

结果

在 91 名患者中，平均年龄为 65.5 岁 ± 14.2 岁，其中 45 名 (49.5 %) 女性患者。25 名 (27.5 %) 患者接受了动脉瘤治疗，2 名 (2.2 %) AVM/AVF 栓塞术，28 名 (30.8 %) 颅内或颅外支架植入术，31 名 (34.1 %) 中风治疗，5 名 (5.5 %) 接受了诊断性血管造影。插入导管的靶血管平均数为 1.07 ± 0.25，平均手术时间（分钟）为 96.5 ± 57.2，平均透视时间（分钟）为 21.9 ± 14.2，平均造影剂剂量（ml）为 112.7 ± 66.7，平均辐射暴露(Gycm2) 为 54.82 ± 41.37。靶血管置管成功率为100%。没有并发症导致长期后遗症。1 名 (1.1 %) 患者发生通路并发症。3 (3.3 %) 名患者需要经股骨转换。

结论

Ballast 088 长护套对神经血管内手术中的 TRA 安全有效，并发症和转换率低。