Distal Transradial Approach in Mechanical Thrombectomy: Technical Note
Objective: We report a case of mechanical thrombectomy (MT) via the distal transradial approach (dTRA) and technical tips.Case Presentation: An 89-year-old woman was transferred to our hospital due to back pain after a fall and sudden-onset left hemiparesis. We performed MT because three-dimensional...
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| Veröffentlicht in: | Journal of Neuroendovascular Therapy 2021, Vol.15(6), pp.408-414 |
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| container_title | Journal of Neuroendovascular Therapy |
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| creator | Tanoue, Shunsuke Ono, Kenichiro Yoshiura, Toru Miyama, Masataka Okawa, Hidenori Shirotani, Toshiki |
| description | Objective: We report a case of mechanical thrombectomy (MT) via the distal transradial approach (dTRA) and technical tips.Case Presentation: An 89-year-old woman was transferred to our hospital due to back pain after a fall and sudden-onset left hemiparesis. We performed MT because three-dimensional computed tomography angiography (3D-CTA) revealed right middle cerebral artery (MCA) occlusion. The access route was Type 3 aortic arch. The abdominal aorta and common iliac artery were tortuous and partially dissected, and she had a lumbar vertebra fracture. We selected dTRA in consideration of safety, ease of access, and less postoperative postural restriction. The first pass resulted in complete recanalization using an aspiration catheter and stent retriever. Her symptoms rapidly improved and she was discharged with a modified Rankin Scale score of 1.Conclusion: dTRA in MT may be a treatment option. |
| doi_str_mv | 10.5797/jnet.tn.2020-0060 |
| format | Article |
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We performed MT because three-dimensional computed tomography angiography (3D-CTA) revealed right middle cerebral artery (MCA) occlusion. The access route was Type 3 aortic arch. The abdominal aorta and common iliac artery were tortuous and partially dissected, and she had a lumbar vertebra fracture. We selected dTRA in consideration of safety, ease of access, and less postoperative postural restriction. The first pass resulted in complete recanalization using an aspiration catheter and stent retriever. Her symptoms rapidly improved and she was discharged with a modified Rankin Scale score of 1.Conclusion: dTRA in MT may be a treatment option.</description><identifier>ISSN: 1882-4072</identifier><identifier>EISSN: 2186-2494</identifier><identifier>DOI: 10.5797/jnet.tn.2020-0060</identifier><language>eng</language><publisher>The Japanese Society for Neuroendovascular Therapy</publisher><subject>anterior circulation ; mechanical thrombectomy ; middle cerebral artery ; radial artery ; snuff box ; Technical Note</subject><ispartof>Journal of Neuroendovascular Therapy, 2021, Vol.15(6), pp.408-414</ispartof><rights>2021 The Japanese Society for Neuroendovascular Therapy</rights><rights>2021 The Japanese Society for Neuroendovascular Therapy 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4760-fff640f5065aff472cce5af9eb0505ac0dab6cd35465b5d93ee01bcb64a5cad03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370955/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370955/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,865,886,1884,27929,27930,53796,53798</link.rule.ids></links><search><creatorcontrib>Tanoue, Shunsuke</creatorcontrib><creatorcontrib>Ono, Kenichiro</creatorcontrib><creatorcontrib>Yoshiura, Toru</creatorcontrib><creatorcontrib>Miyama, Masataka</creatorcontrib><creatorcontrib>Okawa, Hidenori</creatorcontrib><creatorcontrib>Shirotani, Toshiki</creatorcontrib><creatorcontrib>Department of Neurosurgery</creatorcontrib><creatorcontrib>Mishuku Hospital</creatorcontrib><title>Distal Transradial Approach in Mechanical Thrombectomy: Technical Note</title><title>Journal of Neuroendovascular Therapy</title><addtitle>JNET</addtitle><description>Objective: We report a case of mechanical thrombectomy (MT) via the distal transradial approach (dTRA) and technical tips.Case Presentation: An 89-year-old woman was transferred to our hospital due to back pain after a fall and sudden-onset left hemiparesis. We performed MT because three-dimensional computed tomography angiography (3D-CTA) revealed right middle cerebral artery (MCA) occlusion. The access route was Type 3 aortic arch. The abdominal aorta and common iliac artery were tortuous and partially dissected, and she had a lumbar vertebra fracture. We selected dTRA in consideration of safety, ease of access, and less postoperative postural restriction. The first pass resulted in complete recanalization using an aspiration catheter and stent retriever. Her symptoms rapidly improved and she was discharged with a modified Rankin Scale score of 1.Conclusion: dTRA in MT may be a treatment option.</description><subject>anterior circulation</subject><subject>mechanical thrombectomy</subject><subject>middle cerebral artery</subject><subject>radial artery</subject><subject>snuff box</subject><subject>Technical Note</subject><issn>1882-4072</issn><issn>2186-2494</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNpVUdFOwyAUJUYTl7kP8K0_0Hlpgba-mGW6aTL1ZT4TSmFl6WCh1WR_L6Rm6svlhnvOuZwDQrcY5rSoiru9VcN8sPMMMkgBGFygSYZLlmakIpdogssySwkU2TWa9f0eIGJwickErR5NP4gu2Xphey8aE_rF8eidkG1ibPKqZCuskRHSeneolRzc4XSfbMNgvH9zg7pBV1p0vZr9nFP0sXraLp_Tzfv6ZbnYpJIUDFKtNSOgKTAqtCZFJqUKXaVqoECFhEbUTDY5JYzWtKlypQDXsmZEUCkayKfoYdQ9ftYH1UhlBy86fvTmIPyJO2H4_4k1Ld-5L44hL6CiNCjgUUF61_de6TMZA49p8pgmHyyPafKYVOCsR04Qjpad7YxVfO8-vQ1uudQ0ktpIwYGCg0EOQQ8IlKFgkpcZy0v2q7QPqe_Uebfwg5GdGndjylksf99wRoTv8FzZ_BudlJvw</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Tanoue, Shunsuke</creator><creator>Ono, Kenichiro</creator><creator>Yoshiura, Toru</creator><creator>Miyama, Masataka</creator><creator>Okawa, Hidenori</creator><creator>Shirotani, Toshiki</creator><general>The Japanese Society for Neuroendovascular Therapy</general><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20210101</creationdate><title>Distal Transradial Approach in Mechanical Thrombectomy: Technical Note</title><author>Tanoue, Shunsuke ; Ono, Kenichiro ; Yoshiura, Toru ; Miyama, Masataka ; Okawa, Hidenori ; Shirotani, Toshiki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4760-fff640f5065aff472cce5af9eb0505ac0dab6cd35465b5d93ee01bcb64a5cad03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>anterior circulation</topic><topic>mechanical thrombectomy</topic><topic>middle cerebral artery</topic><topic>radial artery</topic><topic>snuff box</topic><topic>Technical Note</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanoue, Shunsuke</creatorcontrib><creatorcontrib>Ono, Kenichiro</creatorcontrib><creatorcontrib>Yoshiura, Toru</creatorcontrib><creatorcontrib>Miyama, Masataka</creatorcontrib><creatorcontrib>Okawa, Hidenori</creatorcontrib><creatorcontrib>Shirotani, Toshiki</creatorcontrib><creatorcontrib>Department of Neurosurgery</creatorcontrib><creatorcontrib>Mishuku Hospital</creatorcontrib><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of Neuroendovascular Therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanoue, Shunsuke</au><au>Ono, Kenichiro</au><au>Yoshiura, Toru</au><au>Miyama, Masataka</au><au>Okawa, Hidenori</au><au>Shirotani, Toshiki</au><aucorp>Department of Neurosurgery</aucorp><aucorp>Mishuku Hospital</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Distal Transradial Approach in Mechanical Thrombectomy: Technical Note</atitle><jtitle>Journal of Neuroendovascular Therapy</jtitle><addtitle>JNET</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>15</volume><issue>6</issue><spage>408</spage><epage>414</epage><pages>408-414</pages><issn>1882-4072</issn><eissn>2186-2494</eissn><abstract>Objective: We report a case of mechanical thrombectomy (MT) via the distal transradial approach (dTRA) and technical tips.Case Presentation: An 89-year-old woman was transferred to our hospital due to back pain after a fall and sudden-onset left hemiparesis. We performed MT because three-dimensional computed tomography angiography (3D-CTA) revealed right middle cerebral artery (MCA) occlusion. The access route was Type 3 aortic arch. The abdominal aorta and common iliac artery were tortuous and partially dissected, and she had a lumbar vertebra fracture. We selected dTRA in consideration of safety, ease of access, and less postoperative postural restriction. The first pass resulted in complete recanalization using an aspiration catheter and stent retriever. Her symptoms rapidly improved and she was discharged with a modified Rankin Scale score of 1.Conclusion: dTRA in MT may be a treatment option.</abstract><pub>The Japanese Society for Neuroendovascular Therapy</pub><doi>10.5797/jnet.tn.2020-0060</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | anterior circulation mechanical thrombectomy middle cerebral artery radial artery snuff box Technical Note |
| title | Distal Transradial Approach in Mechanical Thrombectomy: Technical Note |
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