New breakthroughs in neurointerventions The femoral artery approach to cerebrovascular interventions is already very mature, so why do we need to develop a transradial artery approach?
The femoral artery approach has been used by most hospitals and physicians for decades for the diagnosis and treatment of cerebrovascular disease. However, the femoral artery is surrounded by important nerves and veins, and there is a high risk of serious complications from puncture and cannulation. The radial artery approach to cerebral angiography is less invasive, has fewer complications, is faster to recover, is less painful, and has a shorter hospital stay.
What are the advantages of the radial artery approach?
The transradial approach to cerebral angiography involves puncturing the strongest point of the radial artery near the radial styloid process, which is the wrist, and placing a catheter sheath. Compared with other routes, the radial artery has the following advantages: 1. The radial artery is superficial, easy to compress and stop bleeding, and there are no important nerves or blood vessels in the vicinity.
The patient does not need to stay in bed for a long time after the angiography, which avoids discomfort and pain (e.g., back pain, urinary retention), and avoids bed rest and prolonged compression of the arteries and veins of the lower extremities, which may be complicated by thrombosis and pulmonary infarction.
3.The postoperative care task is reduced, and local observation is convenient.
4.It does not affect the treatment plan, anticoagulation and antiplatelet drugs can be applied continuously, and thrombolytic therapy can be performed immediately after surgery.
5.For young women, it can avoid exposing the patient’s private parts and is more acceptable.
6. The cost is significantly lower than that of the transfemoral route due to lower complication and support costs and shorter hospital stay. This also reduces the financial burden for the patient. The patient can sit up after the imaging.