Download PDF
CC BY 4.0 · Indian Journal of Neurosurgery
DOI: 10.1055/s-0044-1782204
Case Report

Mother and Daughter Technique Using a Low-Profile Microcatheter for Navigating a Complete Radial Artery Loop

Vikas Bhatia
1   Department of Radio-diagnosis and Imaging, PGIMER, Chandigarh, India
,
Kesha Meghashyam
1   Department of Radio-diagnosis and Imaging, PGIMER, Chandigarh, India
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

Radial loops are infrequent; however, they are a major cause for failure of radial access for procedure. Interventionists should be familiar with bail-out techniques when a radial loop is encountered to avoid spasm/injury. We describe our experience with two cases with 360 degrees radial loop in which we used low-profile microcatheter system to successfully complete the procedure

Keywords

angiography - image-guided neurosurgery - radial access - Neurointervention


Publication History

Article published online:
20 March 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Bhatia V, Kumar A, Chauhan R, Singla N. Transradial approach in neurointervention: Part-II: diagnostic and therapeutic intervention. J Neurosci Rural Pract 2023; 14 (01) 16-20
    CrossrefPubMedGoogle Scholar
  • 2 Luther E, Burks J, Abecassis IJ. et al. Navigating radial artery loops in neurointerventions. J Neurointerv Surg 2021; 13 (11) 1027-1031
    CrossrefPubMedGoogle Scholar
  • 3 Yaser Arafath M, Bhatia V, Kumar A. et al. Adapting to transradial approach in cerebral angiography: factors influencing successful cannulation. Neuroradiol J 2023; 36 (02) 163-168
    CrossrefPubMedGoogle Scholar
  • 4 Patel T, Shah S, Pancholy S. et al. Working through complexities of radial and brachial vasculature during transradial approach. Catheter Cardiovasc Interv 2014; 83 (07) 1074-1088
    CrossrefPubMedGoogle Scholar
  • 5 Luther E, Chen SH, McCarthy DJ. et al. Implementation of a radial long sheath protocol for radial artery spasm reduces access site conversions in neurointerventions. J Neurointerv Surg 2021; 13 (06) 547-551
    CrossrefPubMedGoogle Scholar
  • 6 Patel T, Shah S, Pancholy S, Rao S, Bertrand OF, Kwan T. Balloon-assisted tracking: a must-know technique to overcome difficult anatomy during transradial approach. Catheter Cardiovasc Interv 2014; 83 (02) 211-220
    CrossrefPubMedGoogle Scholar
  • 7 Dossani RH, Waqas M, Tso MK. et al. Endovascular management of radial artery loop for neuroangiography: case series. Interv Neuroradiol 2021; 27 (04) 566-570
    CrossrefPubMedGoogle Scholar