Hoon Kim, Young Woo Kim, Hyeong Jin Lee, Seon Woong Choi, Sunghan Kim, Jae Sang Oh, Sang-Hyuk Im, Jai Ho Choi, Seong-Rim Kim
{"title":"Transradial Approach for Neurovascular Interventions : A Literature Review.","authors":"Hoon Kim, Young Woo Kim, Hyeong Jin Lee, Seon Woong Choi, Sunghan Kim, Jae Sang Oh, Sang-Hyuk Im, Jai Ho Choi, Seong-Rim Kim","doi":"10.3340/jkns.2024.0152","DOIUrl":null,"url":null,"abstract":"<p><p>The femoral artery is the preferred access route for neurointerventions. The transfemoral approach (TFA) offers advantages such as a large diameter and easy access. However, it also entails disadvantages such as patient discomfort and high risk of complications. Following the initial report of coronary angiography using the transradial approach (TRA) in 1989, cardiologists discovered the advantages of TRA over the TFA and gradually replaced it with the TRA. In 1997, Matsumoto et al. used the TRA for cerebral angiography and neurointervention. Thereafter, the adoption of TRA for neurointervention gradually increased and good outcomes were reported. However, despite these developments, the adoption rate of TRA is relatively low. We reviewed the relevant studies to increase the accessibility of TRA for neurointerventionists.</p>","PeriodicalId":16283,"journal":{"name":"Journal of Korean Neurosurgical Society","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Korean Neurosurgical Society","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3340/jkns.2024.0152","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
The femoral artery is the preferred access route for neurointerventions. The transfemoral approach (TFA) offers advantages such as a large diameter and easy access. However, it also entails disadvantages such as patient discomfort and high risk of complications. Following the initial report of coronary angiography using the transradial approach (TRA) in 1989, cardiologists discovered the advantages of TRA over the TFA and gradually replaced it with the TRA. In 1997, Matsumoto et al. used the TRA for cerebral angiography and neurointervention. Thereafter, the adoption of TRA for neurointervention gradually increased and good outcomes were reported. However, despite these developments, the adoption rate of TRA is relatively low. We reviewed the relevant studies to increase the accessibility of TRA for neurointerventionists.
股动脉是神经介入的首选入路。经股动脉入路(TFA)具有直径大、入路方便等优点。然而,它也有缺点,如患者不适和并发症风险高。继 1989 年首次报道使用经桡动脉入路(TRA)进行冠状动脉造影术后,心脏病专家发现了 TRA 相对于 TFA 的优势,并逐渐用 TRA 取而代之。1997 年,Matsumoto 等人将 TRA 用于脑血管造影和神经介入。此后,采用 TRA 进行神经介入的患者逐渐增多,并取得了良好的疗效。然而,尽管取得了这些进展,TRA 的采用率仍相对较低。我们回顾了相关研究,以提高神经介入医师对 TRA 的使用率。
期刊介绍:
The Journal of Korean Neurosurgical Society (J Korean Neurosurg Soc) is the official journal of the Korean Neurosurgical Society, and published bimonthly (1st day of January, March, May, July, September, and November). It launched in October 31, 1972 with Volume 1 and Number 1. J Korean Neurosurg Soc aims to allow neurosurgeons from around the world to enrich their knowledge of patient management, education, and clinical or experimental research, and hence their professionalism. This journal publishes Laboratory Investigations, Clinical Articles, Review Articles, Case Reports, Technical Notes, and Letters to the Editor. Our field of interest involves clinical neurosurgery (cerebrovascular disease, neuro-oncology, skull base neurosurgery, spine, pediatric neurosurgery, functional neurosurgery, epilepsy, neuro-trauma, and peripheral nerve disease) and laboratory work in neuroscience.