Navigating a proximal loop in the radial artery and avoiding the recurrent radial artery.

Abstract:

:Several anatomical variations of the radial artery have been described in the literature. Common variations include radial artery loop, recurrent branch, and anastomotic channels connecting the radial and brachial arteries. These variations can pose significant technical challenges to safe radial artery catheterization. Because radial access for neurointervention is becoming popular, appreciation of these variations and mastery of techniques for safe radial artery catheterization are of paramount importance. In this operative video,(video 1) we present a case of a 75-year-old man who underwent middle meningeal artery embolization for treatment of chronic subdural hematoma using a transradial approach. The patient was found to have a radial artery loop and a recurrent branch off the radial artery. The loop could not be negotiated with the conventional technique. We therefore used a microcatheter system with a stiff microwire to navigate and straighten the radial loop under road map guidance. The remaining procedure was performed successfully.

journal_name

J Neurointerv Surg

authors

Dossani R,Waqas M,Tso MK,Rajah GB,Smolar DE,Davies JM

doi

10.1136/neurintsurg-2019-015712

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

724

issue

7

eissn

1759-8478

issn

1759-8486

pii

neurintsurg-2019-015712

journal_volume

12

pub_type

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