Open AccessTransradial intracranial aneurysm treatment via an aberrant right subclavian artery
Author(s) -
Nihar Jha,
Gregory D Selkirk,
Matthew Thomas Crockett,
Timothy J Phillips
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-234078
Subject(s) - medicine , subclavian artery , aortic arch , aneurysm , radial artery , radiology , surgery , anatomy , artery , aorta
We report two cases of successfully treated intracranial saccular aneurysms via transradial access with aberrant right subclavian artery anatomy. Two patients aged 74 and 82 years with anterior communicating artery aneurysms deemed suitable for endovascular treatment and anomalous aortic arch anatomy (aberrant right subclavian artery) underwent successful treatment with transradial access. Transradial access was obtained in both patients, in the first patient, without prior knowledge of the aortic arch anatomy. Aberrant right subclavian artery anatomy was negotiated, and the aneurysms were successfully treated in both cases with intrasaccular flow disrupting devices (WEB-SL).