Transradial approach for neuroendovascular surgery of intracranial vascular lesions

J Neurosurg. 2004 Nov;101(5):767-9. doi: 10.3171/jns.2004.101.5.0767.


Object: The authors present their experience in performing a transradial approach for neuroendovascular surgery of intracranial vascular lesions when a transfemoral approach was unfavorable.

Methods: Eight patients ranging in age from 52 to 88 years underwent a total of nine neuroendovascular procedures for intracranial vascular lesions. A transradial approach was used in all patients. The patients had previously undergone a transfemoral approach for the endovascular intervention, but that procedure was unsuccessful. Five patients had intracranial basilar artery (BA) aneurysms, one patient had symptomatic BA stenosis, one patient had a dural arteriovenous fistula in the posterior fossa, and one patient had a high-flow arteriovenous malformation in the frontal lobe. In each case, a transradial approach achieved a stable platform that allowed intracranial microcatheterization for neuroendovascular intervention. None of the patients experienced complications attributed to the transradial artery approach.

Conclusions: During neuroendovascular surgery for the treatment of intracranial lesions, the transradial approach is a viable alternative if the transfemoral approach is unfavorable. This series represents the first known description of neuroendovascular surgery for intracranial lesions via a transradial approach.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Catheterization / methods
  • Central Nervous System Vascular Malformations / surgery*
  • Female
  • Humans
  • Intracranial Aneurysm / surgery*
  • Intracranial Arteriovenous Malformations / surgery*
  • Male
  • Middle Aged
  • Neuroendoscopy / methods*
  • Radial Artery / surgery*
  • Retrospective Studies
  • Vertebrobasilar Insufficiency / surgery*