Transradial Approach for Endovascular Neurosurgery

Abstract

Neurointervention treatment has become more popular due to technological advancements in tools and materials. This provides good treatment results and fewer complications compared to surgical treatment. The treatment of neurovascular disease by neurointerventional technique has increased due to technological improvements (microcatheter, embolic material, stent, balloon) that lower the complication rate and improve the success rate.
The femoral artery is commonly used for diagnosis and treatment through the catheter, nevertheless, complications occur frequently. Therefore, there is an idea to reduce the problem by using the radial artery instead.
The femoral artery is the most accessible site for neurointervention but complications for the access site are significant, so an idea to use a radial artery for the access site was made. In Thailand radial access for neurointervention is not well established, A meta-analysis found that neurological and access point complications were lower in the radial group but found a higher infection rate and vasospasm.
This article provides information on the benefits of radial arteries in treating neurosurgical diseases. In Thailand, the radial approach has not been popular which found complications from the blood vessels used and less neurological complications, but more infections and spasms were found.