CTA-Based Patient-Tailored Femoral or Radial Frontline Access Reduces the Rate of Catheterization Failure in Chronic Subdural Hematoma Embolization
Chronic subdural hematoma embolization, an apparently simple procedure, can prove to be challenging because of the advanced age of the target population. The aim of this study was to compare 2 arterial-access strategies, femoral versus patient-tailored CTA-based frontline access selection, in chroni...
Gespeichert in:
Veröffentlicht in: | American journal of neuroradiology : AJNR 2021-03, Vol.42 (3), p.495-500 |
---|---|
Hauptverfasser: | , , , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 500 |
---|---|
container_issue | 3 |
container_start_page | 495 |
container_title | American journal of neuroradiology : AJNR |
container_volume | 42 |
creator | Shotar, E Pouliquen, G Premat, K Pouvelle, A Mouyal, S Meyblum, L Lenck, S Degos, V Abi Jaoude, S Sourour, N Mathon, B Clarençon, F |
description | Chronic subdural hematoma embolization, an apparently simple procedure, can prove to be challenging because of the advanced age of the target population. The aim of this study was to compare 2 arterial-access strategies, femoral versus patient-tailored CTA-based frontline access selection, in chronic subdural hematoma embolization procedures.
This was a monocentric retrospective study. From the March 15, 2018, to the February 14, 2019 (period 1), frontline femoral access was used. Between February 15, 2019, and March 30, 2020 (period 2), the choice of the frontline access, femoral or radial, was based on the CTA recommended as part of the preoperative work-up during both above-mentioned periods. The primary end point was the rate of catheterization failure. The secondary end points were the rate of access site conversion and fluoroscopy duration.
During the study period, 124 patients (with 143 chronic subdural hematomas) underwent an embolization procedure (mean age, 74 [SD, 13] years). Forty-eight chronic subdural hematomas (43 patients) were included during period 1 and were compared with 95 chronic subdural hematomas (81 patients) during period 2. During the first period, 5/48 (10%) chronic subdural hematoma embolizations were aborted due to failed catheterization, significantly more than during period 2 (1/95, 1%;
= .009). The rates of femoral-to-radial (
= .55) and total conversion (
= .86) did not differ between the 2 periods. No significant difference was found regarding the duration of fluoroscopy (
= .62).
A CTA-based patient-tailored choice of frontline arterial access reduces the rate of catheterization failure in chronic subdural hematoma embolization procedures. |
doi_str_mv | 10.3174/AJNR.A6951 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7959413</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2487158914</sourcerecordid><originalsourceid>FETCH-LOGICAL-c412t-774e2eb46f3a506e2cb238aa8302e57f04b76c4e58e54500788e58a6476d18703</originalsourceid><addsrcrecordid>eNpdkdFu0zAUhi0EYmVwwwMgXwJShh3bsXODFKJ1ZaoAlSJxZznJCfWUxJvtTILX4IVx1zINrvz7-D-fffwj9JKSM0Ylf1ddftqcVUUp6CO0oCUrslKU3x-jBaGlyApK1Al6FsIVIUSUMn-KThgTnJYkX6Df9bbKPpgAHf5iooUpZltjB-dTYQmj82bAzuON6WxSS--mONgJcNW2EALeQDcngeMOkicCdj2uTdpF8PZXAroJLxNv9oDthOtdAtgWf52bbt6jVzCa6EaDz8fGDceO5-hJb4YAL47rKfq2PN_Wq2z9-eJjXa2zltM8ZlJyyKHhRc-MIAXkbZMzZYxiJAche8IbWbQchALBBSFSJaFMwWXRUSUJO0XvD9zruRmha9Pw6U362tvR-J_aGav_PZnsTv9wt1qm_-WUJcCbA2D3X9uqWut9jXBRMCXoLU3e18fLvLuZIUQ92tDCMJgJ3Bx0zpWkQpWUJ-vbg7X1LgQP_T2bEr1PXJuryeu7xJP51cMh7q1_I2Z_ALHVqA0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2487158914</pqid></control><display><type>article</type><title>CTA-Based Patient-Tailored Femoral or Radial Frontline Access Reduces the Rate of Catheterization Failure in Chronic Subdural Hematoma Embolization</title><source>PubMed Central Free</source><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Shotar, E ; Pouliquen, G ; Premat, K ; Pouvelle, A ; Mouyal, S ; Meyblum, L ; Lenck, S ; Degos, V ; Abi Jaoude, S ; Sourour, N ; Mathon, B ; Clarençon, F</creator><creatorcontrib>Shotar, E ; Pouliquen, G ; Premat, K ; Pouvelle, A ; Mouyal, S ; Meyblum, L ; Lenck, S ; Degos, V ; Abi Jaoude, S ; Sourour, N ; Mathon, B ; Clarençon, F</creatorcontrib><description>Chronic subdural hematoma embolization, an apparently simple procedure, can prove to be challenging because of the advanced age of the target population. The aim of this study was to compare 2 arterial-access strategies, femoral versus patient-tailored CTA-based frontline access selection, in chronic subdural hematoma embolization procedures.
This was a monocentric retrospective study. From the March 15, 2018, to the February 14, 2019 (period 1), frontline femoral access was used. Between February 15, 2019, and March 30, 2020 (period 2), the choice of the frontline access, femoral or radial, was based on the CTA recommended as part of the preoperative work-up during both above-mentioned periods. The primary end point was the rate of catheterization failure. The secondary end points were the rate of access site conversion and fluoroscopy duration.
During the study period, 124 patients (with 143 chronic subdural hematomas) underwent an embolization procedure (mean age, 74 [SD, 13] years). Forty-eight chronic subdural hematomas (43 patients) were included during period 1 and were compared with 95 chronic subdural hematomas (81 patients) during period 2. During the first period, 5/48 (10%) chronic subdural hematoma embolizations were aborted due to failed catheterization, significantly more than during period 2 (1/95, 1%;
= .009). The rates of femoral-to-radial (
= .55) and total conversion (
= .86) did not differ between the 2 periods. No significant difference was found regarding the duration of fluoroscopy (
= .62).
A CTA-based patient-tailored choice of frontline arterial access reduces the rate of catheterization failure in chronic subdural hematoma embolization procedures.</description><identifier>ISSN: 0195-6108</identifier><identifier>EISSN: 1936-959X</identifier><identifier>DOI: 10.3174/AJNR.A6951</identifier><identifier>PMID: 33541902</identifier><language>eng</language><publisher>United States: American Society of Neuroradiology</publisher><subject>Aged ; Catheterization ; Computed Tomography Angiography - methods ; Embolization, Therapeutic - methods ; Female ; Femoral Artery - surgery ; Hematoma, Subdural, Chronic - surgery ; Human health and pathology ; Humans ; Interventional ; Life Sciences ; Male ; Middle Aged ; Radial Artery - surgery ; Retrospective Studies ; Surgery, Computer-Assisted - methods ; Treatment Failure</subject><ispartof>American journal of neuroradiology : AJNR, 2021-03, Vol.42 (3), p.495-500</ispartof><rights>2021 by American Journal of Neuroradiology.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>2021 by American Journal of Neuroradiology 2021 American Journal of Neuroradiology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-774e2eb46f3a506e2cb238aa8302e57f04b76c4e58e54500788e58a6476d18703</citedby><cites>FETCH-LOGICAL-c412t-774e2eb46f3a506e2cb238aa8302e57f04b76c4e58e54500788e58a6476d18703</cites><orcidid>0000-0002-6442-8239 ; 0000-0002-5921-5730 ; 0000-0001-7281-8037 ; 0000-0003-0705-176X ; 0000-0002-3191-6789 ; 0000-0002-5935-5100 ; 0000-0003-4952-8490 ; 0000-0002-8712-8431 ; 0000-0003-1238-9167 ; 0000-0003-2239-1017 ; 0000-0001-5493-4579 ; 0000-0002-9182-5846</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7959413/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7959413/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33541902$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.sorbonne-universite.fr/hal-04563851$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Shotar, E</creatorcontrib><creatorcontrib>Pouliquen, G</creatorcontrib><creatorcontrib>Premat, K</creatorcontrib><creatorcontrib>Pouvelle, A</creatorcontrib><creatorcontrib>Mouyal, S</creatorcontrib><creatorcontrib>Meyblum, L</creatorcontrib><creatorcontrib>Lenck, S</creatorcontrib><creatorcontrib>Degos, V</creatorcontrib><creatorcontrib>Abi Jaoude, S</creatorcontrib><creatorcontrib>Sourour, N</creatorcontrib><creatorcontrib>Mathon, B</creatorcontrib><creatorcontrib>Clarençon, F</creatorcontrib><title>CTA-Based Patient-Tailored Femoral or Radial Frontline Access Reduces the Rate of Catheterization Failure in Chronic Subdural Hematoma Embolization</title><title>American journal of neuroradiology : AJNR</title><addtitle>AJNR Am J Neuroradiol</addtitle><description>Chronic subdural hematoma embolization, an apparently simple procedure, can prove to be challenging because of the advanced age of the target population. The aim of this study was to compare 2 arterial-access strategies, femoral versus patient-tailored CTA-based frontline access selection, in chronic subdural hematoma embolization procedures.
This was a monocentric retrospective study. From the March 15, 2018, to the February 14, 2019 (period 1), frontline femoral access was used. Between February 15, 2019, and March 30, 2020 (period 2), the choice of the frontline access, femoral or radial, was based on the CTA recommended as part of the preoperative work-up during both above-mentioned periods. The primary end point was the rate of catheterization failure. The secondary end points were the rate of access site conversion and fluoroscopy duration.
During the study period, 124 patients (with 143 chronic subdural hematomas) underwent an embolization procedure (mean age, 74 [SD, 13] years). Forty-eight chronic subdural hematomas (43 patients) were included during period 1 and were compared with 95 chronic subdural hematomas (81 patients) during period 2. During the first period, 5/48 (10%) chronic subdural hematoma embolizations were aborted due to failed catheterization, significantly more than during period 2 (1/95, 1%;
= .009). The rates of femoral-to-radial (
= .55) and total conversion (
= .86) did not differ between the 2 periods. No significant difference was found regarding the duration of fluoroscopy (
= .62).
A CTA-based patient-tailored choice of frontline arterial access reduces the rate of catheterization failure in chronic subdural hematoma embolization procedures.</description><subject>Aged</subject><subject>Catheterization</subject><subject>Computed Tomography Angiography - methods</subject><subject>Embolization, Therapeutic - methods</subject><subject>Female</subject><subject>Femoral Artery - surgery</subject><subject>Hematoma, Subdural, Chronic - surgery</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Interventional</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radial Artery - surgery</subject><subject>Retrospective Studies</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Treatment Failure</subject><issn>0195-6108</issn><issn>1936-959X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkdFu0zAUhi0EYmVwwwMgXwJShh3bsXODFKJ1ZaoAlSJxZznJCfWUxJvtTILX4IVx1zINrvz7-D-fffwj9JKSM0Ylf1ddftqcVUUp6CO0oCUrslKU3x-jBaGlyApK1Al6FsIVIUSUMn-KThgTnJYkX6Df9bbKPpgAHf5iooUpZltjB-dTYQmj82bAzuON6WxSS--mONgJcNW2EALeQDcngeMOkicCdj2uTdpF8PZXAroJLxNv9oDthOtdAtgWf52bbt6jVzCa6EaDz8fGDceO5-hJb4YAL47rKfq2PN_Wq2z9-eJjXa2zltM8ZlJyyKHhRc-MIAXkbZMzZYxiJAche8IbWbQchALBBSFSJaFMwWXRUSUJO0XvD9zruRmha9Pw6U362tvR-J_aGav_PZnsTv9wt1qm_-WUJcCbA2D3X9uqWut9jXBRMCXoLU3e18fLvLuZIUQ92tDCMJgJ3Bx0zpWkQpWUJ-vbg7X1LgQP_T2bEr1PXJuryeu7xJP51cMh7q1_I2Z_ALHVqA0</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Shotar, E</creator><creator>Pouliquen, G</creator><creator>Premat, K</creator><creator>Pouvelle, A</creator><creator>Mouyal, S</creator><creator>Meyblum, L</creator><creator>Lenck, S</creator><creator>Degos, V</creator><creator>Abi Jaoude, S</creator><creator>Sourour, N</creator><creator>Mathon, B</creator><creator>Clarençon, F</creator><general>American Society of Neuroradiology</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6442-8239</orcidid><orcidid>https://orcid.org/0000-0002-5921-5730</orcidid><orcidid>https://orcid.org/0000-0001-7281-8037</orcidid><orcidid>https://orcid.org/0000-0003-0705-176X</orcidid><orcidid>https://orcid.org/0000-0002-3191-6789</orcidid><orcidid>https://orcid.org/0000-0002-5935-5100</orcidid><orcidid>https://orcid.org/0000-0003-4952-8490</orcidid><orcidid>https://orcid.org/0000-0002-8712-8431</orcidid><orcidid>https://orcid.org/0000-0003-1238-9167</orcidid><orcidid>https://orcid.org/0000-0003-2239-1017</orcidid><orcidid>https://orcid.org/0000-0001-5493-4579</orcidid><orcidid>https://orcid.org/0000-0002-9182-5846</orcidid></search><sort><creationdate>20210301</creationdate><title>CTA-Based Patient-Tailored Femoral or Radial Frontline Access Reduces the Rate of Catheterization Failure in Chronic Subdural Hematoma Embolization</title><author>Shotar, E ; Pouliquen, G ; Premat, K ; Pouvelle, A ; Mouyal, S ; Meyblum, L ; Lenck, S ; Degos, V ; Abi Jaoude, S ; Sourour, N ; Mathon, B ; Clarençon, F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-774e2eb46f3a506e2cb238aa8302e57f04b76c4e58e54500788e58a6476d18703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Catheterization</topic><topic>Computed Tomography Angiography - methods</topic><topic>Embolization, Therapeutic - methods</topic><topic>Female</topic><topic>Femoral Artery - surgery</topic><topic>Hematoma, Subdural, Chronic - surgery</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>Interventional</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radial Artery - surgery</topic><topic>Retrospective Studies</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Treatment Failure</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shotar, E</creatorcontrib><creatorcontrib>Pouliquen, G</creatorcontrib><creatorcontrib>Premat, K</creatorcontrib><creatorcontrib>Pouvelle, A</creatorcontrib><creatorcontrib>Mouyal, S</creatorcontrib><creatorcontrib>Meyblum, L</creatorcontrib><creatorcontrib>Lenck, S</creatorcontrib><creatorcontrib>Degos, V</creatorcontrib><creatorcontrib>Abi Jaoude, S</creatorcontrib><creatorcontrib>Sourour, N</creatorcontrib><creatorcontrib>Mathon, B</creatorcontrib><creatorcontrib>Clarençon, F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of neuroradiology : AJNR</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shotar, E</au><au>Pouliquen, G</au><au>Premat, K</au><au>Pouvelle, A</au><au>Mouyal, S</au><au>Meyblum, L</au><au>Lenck, S</au><au>Degos, V</au><au>Abi Jaoude, S</au><au>Sourour, N</au><au>Mathon, B</au><au>Clarençon, F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CTA-Based Patient-Tailored Femoral or Radial Frontline Access Reduces the Rate of Catheterization Failure in Chronic Subdural Hematoma Embolization</atitle><jtitle>American journal of neuroradiology : AJNR</jtitle><addtitle>AJNR Am J Neuroradiol</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>42</volume><issue>3</issue><spage>495</spage><epage>500</epage><pages>495-500</pages><issn>0195-6108</issn><eissn>1936-959X</eissn><abstract>Chronic subdural hematoma embolization, an apparently simple procedure, can prove to be challenging because of the advanced age of the target population. The aim of this study was to compare 2 arterial-access strategies, femoral versus patient-tailored CTA-based frontline access selection, in chronic subdural hematoma embolization procedures.
This was a monocentric retrospective study. From the March 15, 2018, to the February 14, 2019 (period 1), frontline femoral access was used. Between February 15, 2019, and March 30, 2020 (period 2), the choice of the frontline access, femoral or radial, was based on the CTA recommended as part of the preoperative work-up during both above-mentioned periods. The primary end point was the rate of catheterization failure. The secondary end points were the rate of access site conversion and fluoroscopy duration.
During the study period, 124 patients (with 143 chronic subdural hematomas) underwent an embolization procedure (mean age, 74 [SD, 13] years). Forty-eight chronic subdural hematomas (43 patients) were included during period 1 and were compared with 95 chronic subdural hematomas (81 patients) during period 2. During the first period, 5/48 (10%) chronic subdural hematoma embolizations were aborted due to failed catheterization, significantly more than during period 2 (1/95, 1%;
= .009). The rates of femoral-to-radial (
= .55) and total conversion (
= .86) did not differ between the 2 periods. No significant difference was found regarding the duration of fluoroscopy (
= .62).
A CTA-based patient-tailored choice of frontline arterial access reduces the rate of catheterization failure in chronic subdural hematoma embolization procedures.</abstract><cop>United States</cop><pub>American Society of Neuroradiology</pub><pmid>33541902</pmid><doi>10.3174/AJNR.A6951</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6442-8239</orcidid><orcidid>https://orcid.org/0000-0002-5921-5730</orcidid><orcidid>https://orcid.org/0000-0001-7281-8037</orcidid><orcidid>https://orcid.org/0000-0003-0705-176X</orcidid><orcidid>https://orcid.org/0000-0002-3191-6789</orcidid><orcidid>https://orcid.org/0000-0002-5935-5100</orcidid><orcidid>https://orcid.org/0000-0003-4952-8490</orcidid><orcidid>https://orcid.org/0000-0002-8712-8431</orcidid><orcidid>https://orcid.org/0000-0003-1238-9167</orcidid><orcidid>https://orcid.org/0000-0003-2239-1017</orcidid><orcidid>https://orcid.org/0000-0001-5493-4579</orcidid><orcidid>https://orcid.org/0000-0002-9182-5846</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0195-6108 |
ispartof | American journal of neuroradiology : AJNR, 2021-03, Vol.42 (3), p.495-500 |
issn | 0195-6108 1936-959X |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7959413 |
source | PubMed Central Free; MEDLINE; EZB-FREE-00999 freely available EZB journals |
subjects | Aged Catheterization Computed Tomography Angiography - methods Embolization, Therapeutic - methods Female Femoral Artery - surgery Hematoma, Subdural, Chronic - surgery Human health and pathology Humans Interventional Life Sciences Male Middle Aged Radial Artery - surgery Retrospective Studies Surgery, Computer-Assisted - methods Treatment Failure |
title | CTA-Based Patient-Tailored Femoral or Radial Frontline Access Reduces the Rate of Catheterization Failure in Chronic Subdural Hematoma Embolization |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T14%3A44%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=CTA-Based%20Patient-Tailored%20Femoral%20or%20Radial%20Frontline%20Access%20Reduces%20the%20Rate%20of%20Catheterization%20Failure%20in%20Chronic%20Subdural%20Hematoma%20Embolization&rft.jtitle=American%20journal%20of%20neuroradiology%20:%20AJNR&rft.au=Shotar,%20E&rft.date=2021-03-01&rft.volume=42&rft.issue=3&rft.spage=495&rft.epage=500&rft.pages=495-500&rft.issn=0195-6108&rft.eissn=1936-959X&rft_id=info:doi/10.3174/AJNR.A6951&rft_dat=%3Cproquest_pubme%3E2487158914%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2487158914&rft_id=info:pmid/33541902&rfr_iscdi=true |