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Upper extremity transvenous access for neuroendovascular procedures: an international multicenter case series.
Abecassis, Isaac Josh; Saini, Vasu; Phillips, Timothy John; Osbun, Joshua W; Martínez-Galdámez, Mario; Nada, Ahmed; Levitt, Michael R; Crowley, R Webster; Sattur, Mithun G; Spiotta, Alejandro M; Luther, Evan; Chen, Stephanie H; Burks, Joshua; Jabbour, Pascal; Sweid, Ahmad; Psychogios, Marios N; Park, Min S; Yavagal, Dileep R; Peterson, Eric C; Waqas, Muhammad; Dossani, Rimal Hanif; Davies, Jason M; Brehm, Alex; Selkirk, Gregory D; Fox, W Christopher; Abud, Daniel Giansante; Galvan Fernandez, Jorge; Schüller Arteaga, Miguel; Starke, Robert M.
Afiliação
  • Abecassis IJ; Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA jabecassis@mac.com.
  • Saini V; Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
  • Phillips TJ; Neurology, University of Miami, Miami, Florida, USA.
  • Osbun JW; Neurological Intervention and Imaging Service of Western Australia, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
  • Martínez-Galdámez M; Neurosurgery, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri, USA.
  • Nada A; Interventional Neuroradiology/Endovascular Neurosurgery, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
  • Levitt MR; Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
  • Crowley RW; Neurological Surgery, Port Said University, Port Said, Egypt.
  • Sattur MG; Neurological Surgery, University of Washington School of Medicine, Seattle, Washington, USA.
  • Spiotta AM; Department of Neurosurgery, Rush University Medical Center, Chicago, Illinois, USA.
  • Luther E; Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Chen SH; Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA.
  • Burks J; Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
  • Jabbour P; Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
  • Sweid A; Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
  • Psychogios MN; Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Park MS; Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
  • Yavagal DR; Department of Neuroradiology, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland.
  • Peterson EC; Neurosurgery, University of Virginia, Charlottesville, Virginia, USA.
  • Waqas M; Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
  • Dossani RH; Neurology, University of Miami, Miami, Florida, USA.
  • Davies JM; Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
  • Brehm A; Neurosurgery, University at Buffalo, Buffalo, New York, USA.
  • Selkirk GD; Neurosurgery, University at Buffalo, Buffalo, New York, USA.
  • Fox WC; Neurosurgery, University at Buffalo, Buffalo, New York, USA.
  • Abud DG; Department of Neuroradiology, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland.
  • Galvan Fernandez J; Neurological Intervention and Imaging Service of Western Australia, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
  • Schüller Arteaga M; Neurosurgery, Mayo Clinic Hospital Jacksonville, Jacksonville, Florida, USA.
  • Starke RM; Interventional Neuroradiology, Medical School of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil.
J Neurointerv Surg ; 13(4): 357-362, 2021 Apr.
Article em En | MEDLINE | ID: mdl-33593801
BACKGROUND: Radial artery access for transarterial procedures has gained recent traction in neurointerventional due to decreased patient morbidity, technical feasibility, and improved patient satisfaction. Upper extremity transvenous access (UETV) has recently emerged as an alternative strategy for the neurointerventionalist, but data are limited. Our objective was to quantify the use of UETV access in neurointerventions and to measure failure and complication rates. METHODS: An international multicenter retrospective review of medical records for patients undergoing UETV neurointerventions or diagnostic procedures was performed. We also present our institutional protocol for obtaining UETV and review the existing literature. RESULTS: One hundred and thirteen patients underwent a total of 147 attempted UETV procedures at 13 centers. The most common site of entry was the right basilic vein. There were 21 repeat puncture events into the same vein following the primary diagnostic procedure for secondary interventional procedures without difficulty. There were two minor complications (1.4%) and five failures (ie, conversion to femoral vein access) (3.4%). CONCLUSIONS: UETV is safe and technically feasible for diagnostic and neurointerventional procedures. Further studies are needed to determine the benefit over alternative venous access sites and the effect on patient satisfaction.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artéria Radial / Extremidade Superior / Internacionalidade / Procedimentos Endovasculares Tipo de estudo: Guideline / Observational_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Neurointerv Surg Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artéria Radial / Extremidade Superior / Internacionalidade / Procedimentos Endovasculares Tipo de estudo: Guideline / Observational_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Neurointerv Surg Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido