Background

Recently, radial artery access has gained popularity for interventional neurovascular procedures due to patient comfort and fewer complications. However, there are instances where the radial artery approach is not feasible. In such cases, trans-ulnar artery access (TUA) can offer an alternate route. There is limited data regarding neuro-interventional procedures performed via this approach. This study aims to evaluate the feasibility and safety of trans-ulnar approach for a wide range of interventional neurovascular procedures.

Materials and methods

The data for all patients who underwent ulnar artery access for diagnostic or interventional neuroradiology procedures was retrospectively collected between September 2020 and March 2021. Patient demographics, procedural details, procedure success, and complications were recorded.

Results

During the study period, 23 patients underwent 24 trans-ulnar approach procedures. The mean age of patients was 50.1 ± 14.2 years. Fourteen diagnostic cerebral angiograms and ten interventional procedures were performed. All procedures were successfully completed via trans-ulnar approach without a switch to alternate access. No major access site complication was observed.

Conclusion

Ulnar artery access is a safe and feasible option for neurovascular procedures. It can be effectively utilized for diagnostic cerebral angiography and a wide range of interventional procedures.

中文翻译：

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共同点，不同路径：介入神经血管手术的尺动脉通路

背景

最近，由于患者舒适且并发症较少，桡动脉入路在神经血管介入手术中越来越受欢迎。然而，在某些情况下，桡动脉入路是不可行的。在这种情况下，经尺动脉通路（TUA）可以提供替代途径。关于通过这种方法进行的神经介入手术的数据有限。本研究旨在评估经尺入路用于各种神经血管介入手术的可行性和安全性。

材料和方法

回顾性收集 2020 年 9 月至 2021 年 3 月期间接受尺动脉通路进行诊断或介入神经放射学手术的所有患者的数据。记录患者人口统计数据、手术细节、手术成功和并发症。

结果

在研究期间，23 名患者接受了 24 次经尺骨入路手术。患者的平均年龄为 50.1 ± 14.2 岁。进行了十四次诊断性脑血管造影和十次介入手术。所有手术均通过经尺骨入路成功完成，无需切换至备用入路。没有观察到主要的进入部位并发症。

结论

尺动脉通路是神经血管手术安全可行的选择。它可以有效地用于诊断性脑血管造影和各种介入手术。