Initial experience with transradial access for carotid artery stenting

Vasc Endovascular Surg. 2011 Aug;45(6):499-503. doi: 10.1177/1538574411405547.

Abstract

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.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Angioplasty / adverse effects
  • Angioplasty / instrumentation
  • Angioplasty / methods*
  • Argentina
  • Asymptomatic Diseases
  • Carotid Stenosis / diagnostic imaging
  • Carotid Stenosis / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pilot Projects
  • Radial Artery* / diagnostic imaging
  • Radiography
  • Retrospective Studies
  • Severity of Illness Index
  • Stents
  • Time Factors
  • Treatment Outcome