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Journal article
Manual reduction of a radial artery loop under direct fluoroscopic visualization
BMJ case reports, v 14(9), pp 1-4
28 Sep 2021
PMID: 34583934
Abstract
Transradial access (TRA) has become increasingly utilized in neurointerventions because it reduces access site complications. However, radial artery anomalies can be difficult to navigate, often necessitating conversion to femoral access. We describe the case of a female patient in her early 70s who underwent preoperative embolization of a carotid body tumor via right TRA. Her radial angiogram demonstrated the presence of a radial artery loop which was successfully navigated with a triaxial system but would not spontaneously reduce, even after the guide catheter was advanced into the subclavian artery. However, manual manipulation of the catheters in the antecubital fossa under direct fluoroscopic visualization reduced the loop, allowing the procedure to continue transradially. Although most radial loops can be traversed and reduced using standard techniques, this case demonstrates that manual reduction can be successful when other measures fail. We recommend attempting this method prior to converting the access site.
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Details
- Title
- Manual reduction of a radial artery loop under direct fluoroscopic visualization
- Creators
- Evan Luther - University of MiamiEric Huang - University of MiamiHunter King - , , , , , , , , , , , ,Michael Silva - University of MiamiJoshua Burks - University of MiamiAria Jamshidi - University of MiamiEric C Peterson - University of Miami
- Publication Details
- BMJ case reports, v 14(9), pp 1-4
- Publisher
- BMJ Publishing Group
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurosurgery
- Web of Science ID
- WOS:000701942300001
- Scopus ID
- 2-s2.0-85117355012
- Other Identifier
- 991021860764504721
InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Surgery