Document Detail


Brachial artery approach for endovascular treatment of posterior circulation intracranial vascular disease: technique and application in 5 cases.
MedLine Citation:
PMID:  20851626     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Although the transbrachial artery approach has been well described as an alternative for percutaneous coronary interventions and diagnostic cerebral arteriography, little has been reported regarding the use of this technique for therapeutic neuroendovascular procedures. We highlight the technical applications of this technique during 5 procedures. Three women (age 68, 69, and 83 years) and 1 man (age 79 years) were treated using brachial artery access. Two of the women with complex posterior circulation aneurysms were treated with stent-assisted coil embolization. The third woman presented with a symptomatic occlusion of the basilar artery and underwent intra-arterial thrombolysis and angioplasty, followed at a later date by a second intra-arterial thrombolysis procedure. The male patient presented with recurrent, intractable posterior circulation ischemic events and underwent balloon angioplasty and stenting of a high-grade stenosis of the right vertebral artery. All patients had failed treatment via a transfemoral route and demonstrated significant thoracoaortic and/or iliofemoral tortuosity. Appropriate intracranial vascular access was achieved in all patients, and there were no intraprocedural complications. We conclude that a transbrachial approach may be successfully used for a variety of therapeutic neuroendovascular interventions when a transfemoral route is not available.
Authors:
Tristram G Horton; Paul Kalapos; Kevin M Cockroft
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Publication Detail:
Type:  Journal Article     Date:  2010-09-19
Journal Detail:
Title:  Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association     Volume:  21     ISSN:  1532-8511     ISO Abbreviation:  J Stroke Cerebrovasc Dis     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9111633     Medline TA:  J Stroke Cerebrovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  68-74     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 National Stroke Association. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Neurosurgery, Pennsylvania State University College of Medicine-Penn State M.S. Hershey Medical Center, Hershey, Pennsylvania.
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