{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T18:04:01Z","timestamp":1786125841742,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T00:00:00Z","timestamp":1618531200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    A number of studies have demonstrated that the radial artery is a safer access site than the femoral artery for endovascular procedures.\n                    <jats:sup>1-4<\/jats:sup>\n                    In the prospective randomized studies comparing transradial and transfemoral approaches for cardiac procedures, there was a 60% reduction in access site complications as well as significant decreases in all-cause mortality with the transradial approach as compared to transfemoral, which has led to the adoption of a radial first strategy.\n                    <jats:sup>5-7<\/jats:sup>\n                    Neurointerventional studies have demonstrated similar safety benefits as well as improved patient preference.\n                    <jats:sup>8-14<\/jats:sup>\n                  <\/jats:p>\n                  <jats:p>\n                    In this video, a patient presented with an unruptured anterior communicating artery aneurysm and consented to a transradial artery diagnostic cerebral angiogram. This technical video demonstrates the key preprocedural preparation, room setup, patient positioning, steps for radial artery, and distal radial artery puncture and sheath placement. Distal transradial artery access is our preferred approach for diagnostic cerebral angiography because of an improved safety profile and procedural ergonomics. In cases in which a larger radial artery is advantageous such as for neurointerventions requiring larger systems, a standard transradial approach may be performed.\n                    <jats:sup>9<\/jats:sup>\n                    In this video, a full 6-vessel cerebral angiogram is performed, followed by our arteriotomy closure technique using our standard equipment including a 10-cm 5 French Glidesheath Slender (Terumo, Japan), 100-cm hydrophilic coated 5 French Simmons 1 catheter (Merit OEM), 0.035 hydrophilic coated guidewire, and SafeGuard closure device (Merit, Salt Lake City, Utah).\n                  <\/jats:p>","DOI":"10.1093\/ons\/opab071","type":"journal-article","created":{"date-parts":[[2021,4,17]],"date-time":"2021-04-17T05:39:09Z","timestamp":1618637949000},"page":"E431-E432","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Radial Artery Access for Cerebral Angiography: 2-Dimensional Operative Video"],"prefix":"10.1227","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5396-5813","authenticated-orcid":false,"given":"Stephanie H","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Suazo","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasu","family":"Saini","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac Josh","family":"Abecassis","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dileep","family":"Yavagal","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M","family":"Starke","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1420-2346","authenticated-orcid":false,"given":"Eric C","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,6]]},"reference":[{"issue":"11","key":"bib1-20251027","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1016\/j.jcin.2009.07.016","article-title":"A randomized comparison of transradial versus transfemoral approach for coronary angiography and angioplasty","volume":"2","author":"Brueck","year":"2009","journal-title":"JACC Cardiovasc Interv"},{"issue":"5","key":"bib2-20251027","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1016\/j.ahj.2015.08.011","article-title":"Radial versus femoral access for elderly patients with acute coronary syndrome undergoing coronary angiography and intervention: insights from the RIVAL trial","volume":"170","author":"Cantor","year":"2015","journal-title":"Am Heart J"},{"issue":"9986","key":"bib3-20251027","doi-asserted-by":"crossref","first-page":"2465","DOI":"10.1016\/S0140-6736(15)60292-6","article-title":"Radial versus femoral access in patients with acute coronary syndromes undergoing invasive management: a randomised multicentre trial","volume":"385","author":"Valgimigli","year":"2015","journal-title":"Lancet North Am Ed"},{"issue":"8","key":"bib4-20251027","first-page":"412","article-title":"Randomized comparison of radial versus femoral approach for patients with STEMI undergoing early PCI following intravenous thrombolysis","volume":"24","author":"Wang","year":"2012","journal-title":"J Invasive Cardiol"},{"issue":"9775","key":"bib5-20251027","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1016\/S0140-6736(11)60404-2","article-title":"Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial","volume":"377","author":"Jolly","year":"2011","journal-title":"Lancet North Am Ed"},{"issue":"4","key":"bib6-20251027","first-page":"CD012318","article-title":"Transradial versus transfemoral approach for diagnostic coronary angiography and percutaneous coronary intervention in people with coronary artery disease","volume":"4","author":"Kolkailah","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"issue":"9","key":"bib7-20251027","doi-asserted-by":"crossref","first-page":"e000035","DOI":"10.1161\/HCV.0000000000000035","article-title":"An update on radial artery access and best practices for transradial coronary angiography and intervention in acute coronary syndrome: a scientific statement from the American Heart Association","volume":"11","author":"Mason","year":"2018","journal-title":"Circ Cardiovasc Interv"},{"issue":"1","key":"bib8-20251027","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1136\/neurintsurg-2019-015145","article-title":"Transradial access for neurointerventions: management of access challenges and complications","volume":"12","author":"Brunet","year":"2020","journal-title":"J Neurointerv Surg"},{"issue":"7","key":"bib9-20251027","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1136\/neurintsurg-2019-014718","article-title":"Distal transradial access in the anatomical snuffbox for diagnostic cerebral angiography","volume":"11","author":"Brunet","year":"2019","journal-title":"J Neurointerv Surg"},{"issue":"4","key":"bib10-20251027","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1136\/neurintsurg-2019-015438","article-title":"Feasibility of repeat transradial access for neuroendovascular procedures","volume":"12","author":"Chen","year":"2020","journal-title":"J Neurointerv Surg"},{"issue":"8","key":"bib11-20251027","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1136\/neurintsurg-2018-014620","article-title":"Transradial approach for flow diversion treatment of cerebral aneurysms: a multicenter study","volume":"11","author":"Chen","year":"2019","journal-title":"J Neurointerv Surg"},{"issue":"9","key":"bib12-20251027","doi-asserted-by":"crossref","first-page":"2587","DOI":"10.1161\/STROKEAHA.119.025811","article-title":"Radial artery catheterization for neuroendovascular procedures","volume":"50","author":"Khanna","year":"2019","journal-title":"Stroke"},{"issue":"10","key":"bib13-20251027","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1136\/neurintsurg-2018-014686","article-title":"A prospective study of the transradial approach for diagnostic cerebral arteriography","volume":"11","author":"Zussman","year":"2019","journal-title":"J Neurointerv Surg"},{"issue":"12","key":"bib14-20251027","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1136\/neurintsurg-2019-014920","article-title":"Maturing institutional experience with the transradial approach for diagnostic cerebral arteriography: overcoming the learning curve","volume":"11","author":"Zussman","year":"2019","journal-title":"J Neurointerv Surg"}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ons\/article-pdf\/20\/6\/E431\/37908085\/opab071.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opab071","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:02:52Z","timestamp":1786122172000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1093\/ons\/opab071"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,16]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1093\/ons\/opab071","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,16]]},"assertion":[{"value":"2020-10-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-24","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}