Initial Experience With Transradial Access for Carotid Artery Stenting
Author(s) -
Oscar Mendiz,
Alberto Sampaolesi,
Hugo Londero,
Carlos Fava,
Gustavo Lev,
León Valdivieso
Publication year - 2011
Publication title -
vascular and endovascular surgery/vascular and endovascular surgery
Language(s) - English
Resource type - Journals
eISSN - 1938-9116
pISSN - 1538-5744
DOI - 10.1177/1538574411405547
Subject(s) - medicine , asymptomatic , radial artery , carotid arteries , stroke (engine) , carotid stenting , surgery , stent , artery , radiology , carotid endarterectomy , mechanical engineering , engineering
We report our experience using transradial access (TRA) for carotid artery stenting (CAS). Eighty-eight patients underwent CAS using a nonfemoral approach, 79 of them by TRA. Carotid artery stenting was performed using standard techniques with a long hydrophilic sheath. Mean age was 69.5 years. A total of 46 patients were symptomatic and 34 were asymptomatic. Transradial access and procedural success were achieved in 98.8% and 96.6% of the cases, respectively. There were no deaths, myocardial infarction, or radial access site complications. In all, 2 patients sustained a stroke, 1 hemorrhage, and 1 ischemia. Carotid artery stenting using TRA was safe and technically feasible.
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