Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?

Transfemoral access for neurointerventions has been a time-tested technique of entering the vascular network of the body and reaching the intended targets. However, it has its own share of shortcomings in the form of long admission times leading to increased costs, patient inconvenience and local (t...

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Autores principales:	Chirag Kamal Ahuja, Vivek Agarwal, Sameer Vyas, Vivek Gupta
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical Publishers, Inc. 2021
Materias:	transradial endovascular neurointervention access route Medical physics. Medical radiology. Nuclear medicine R895-920
Acceso en línea:	https://doaj.org/article/200eb9c833b249bdbfbe6ae73f3afbd3
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spelling	oai:doaj.org-article:200eb9c833b249bdbfbe6ae73f3afbd32021-11-11T23:57:37ZAccess Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?2456-486910.1055/s-0041-1737026https://doaj.org/article/200eb9c833b249bdbfbe6ae73f3afbd32021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1737026https://doaj.org/toc/2456-4869Transfemoral access for neurointerventions has been a time-tested technique of entering the vascular network of the body and reaching the intended targets. However, it has its own share of shortcomings in the form of long admission times leading to increased costs, patient inconvenience and local (though infrequent) adverse affects. Transradial route has taken the interventional cardiology domain by storm and is staring now at other vascular domains especially neurointervention. It has shown better outcomes than the transfemoral route in many aspects. The current article discusses the vascular access perspectives with an exhaustive overview of the transradial route concerning its historical perspectives, its requirement in the current clinical scenario, the procedure per se including the adverse effects and whether it has the real world charm to displace the transfemoral route into the backseat. Transradial access in neurointervention is here to stay, however it would require training, certain modifications in the standard catheters that one currently uses for cerebral procedures and constant practice by the operator to cross the learning curve and attain a certain level of competence before he becomes comfortable with the technique.Chirag Kamal AhujaVivek AgarwalSameer VyasVivek GuptaThieme Medical Publishers, Inc.articletransradialendovascularneurointerventionaccess routeMedical physics. Medical radiology. Nuclear medicineR895-920ENJournal of Clinical Interventional Radiology ISVIR (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	transradial endovascular neurointervention access route Medical physics. Medical radiology. Nuclear medicine R895-920
spellingShingle	transradial endovascular neurointervention access route Medical physics. Medical radiology. Nuclear medicine R895-920 Chirag Kamal Ahuja Vivek Agarwal Sameer Vyas Vivek Gupta Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?
description	Transfemoral access for neurointerventions has been a time-tested technique of entering the vascular network of the body and reaching the intended targets. However, it has its own share of shortcomings in the form of long admission times leading to increased costs, patient inconvenience and local (though infrequent) adverse affects. Transradial route has taken the interventional cardiology domain by storm and is staring now at other vascular domains especially neurointervention. It has shown better outcomes than the transfemoral route in many aspects. The current article discusses the vascular access perspectives with an exhaustive overview of the transradial route concerning its historical perspectives, its requirement in the current clinical scenario, the procedure per se including the adverse effects and whether it has the real world charm to displace the transfemoral route into the backseat. Transradial access in neurointervention is here to stay, however it would require training, certain modifications in the standard catheters that one currently uses for cerebral procedures and constant practice by the operator to cross the learning curve and attain a certain level of competence before he becomes comfortable with the technique.
format	article
author	Chirag Kamal Ahuja Vivek Agarwal Sameer Vyas Vivek Gupta
author_facet	Chirag Kamal Ahuja Vivek Agarwal Sameer Vyas Vivek Gupta
author_sort	Chirag Kamal Ahuja
title	Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?
title_short	Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?
title_full	Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?
title_fullStr	Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?
title_full_unstemmed	Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?
title_sort	access route for endovascular neurointervention - transfemoral to transradial: is it worth the effort and are we ready for the change?
publisher	Thieme Medical Publishers, Inc.
publishDate	2021
url	https://doaj.org/article/200eb9c833b249bdbfbe6ae73f3afbd3
work_keys_str_mv	AT chiragkamalahuja accessrouteforendovascularneurointerventiontransfemoraltotransradialisitworththeeffortandarewereadyforthechange AT vivekagarwal accessrouteforendovascularneurointerventiontransfemoraltotransradialisitworththeeffortandarewereadyforthechange AT sameervyas accessrouteforendovascularneurointerventiontransfemoraltotransradialisitworththeeffortandarewereadyforthechange AT vivekgupta accessrouteforendovascularneurointerventiontransfemoraltotransradialisitworththeeffortandarewereadyforthechange
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Access Route for Endovascular Neurointervention - Transfemoral to Transradial: Is it Worth the Effort and are we Ready for the Change?

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