Neuro-Interventional Diagnosis and Treatment Using the Right Transradial Approach in Patients with Aberrant Right Subclavian Artery

World Neurosurg. 2024 May:185:e1330-e1337. doi: 10.1016/j.wneu.2024.03.083. Epub 2024 Mar 21.

Abstract

Objective: To assess the effectiveness and safety of neurological interventions using the right transradial approach (R-TRA) in patients with aberrant right subclavian artery (ARSA).

Methods: We retrospectively analyzed cases that underwent cerebral angiography and interventions at Huangpi District People's Hospital from January 2023 to July 2023. Out of 335 cases, 5 patients with ARSA were identified.

Results: All 5 cases underwent diagnostic cerebral angiography via R-TRA. Two of the patients received interventions via R-TRA: 1 underwent right internal carotid artery balloon dilation angioplasty, while another underwent left vertebral artery stenting. No surgery-related complications were observed during these procedures.

Conclusions: R-TRA proves to be a safe and effective option for neuro-interventional surgery in patients with ARSA.

Keywords: ARSA; Cerebral angiography; Right radial artery; Right transradial approach; Simmons catheter.

MeSH terms

  • Adult
  • Aged
  • Aneurysm / diagnostic imaging
  • Aneurysm / surgery
  • Angioplasty, Balloon / methods
  • Cardiovascular Abnormalities* / diagnostic imaging
  • Cardiovascular Abnormalities* / surgery
  • Cerebral Angiography* / methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Radial Artery / diagnostic imaging
  • Radial Artery / surgery
  • Retrospective Studies
  • Stents
  • Subclavian Artery* / abnormalities
  • Subclavian Artery* / diagnostic imaging
  • Subclavian Artery* / surgery
  • Treatment Outcome

Supplementary concepts

  • Aberrant subclavian artery