{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T17:02:41Z","timestamp":1788973361579,"version":"build-2803163510"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,7,5]],"date-time":"2020-07-05T00:00:00Z","timestamp":1593907200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Interv Neuroradiol"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transradial access for neurointerventions offers advantages of fewer access-site complications, reduced procedure time, and greater patient comfort over transfemoral access. Data about transradial access for flow diversion are limited. We share our early experience with transradial access for flow diversion in a relatively large case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Consecutive patients who underwent Pipeline embolization device (Medtronic) deployment via transradial access were included in the study, irrespective of location and laterality of the intracranial aneurysm. The cases were performed between July 2016 and October 2019. Demographics, aneurysm characteristics, and procedure-related details (including catheter systems used) were recorded and statistically evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty-five transradial flow diversion procedures were attempted in 32 patients, of which 33 procedures were successful. In two cases involving left common carotid artery and internal carotid artery access, guide catheter herniation into the aortic arch led to abandonment of transradial access in favor of transfemoral access. The most common aneurysm locations in the transradial access procedures were the posterior communicating artery (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20097), ophthalmic artery (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20097), and superior hypophyseal artery (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20097). Most transradial access procedures (66.7%) were performed using a biaxial catheter system. 6-French Benchmark (Penumbra) and Phenom 27\n                      <jats:bold>(<\/jats:bold>\n                      Medtronic) were the most commonly utilized guide- and microcatheters, respectively. One patient had intraprocedural subarachnoid hemorrhage. No access-site complications occurred.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates safety and feasibility of transradial access for Pipeline embolization device deployment and shows the versatility of this approach for different catheter systems. Tortuosity and acute angulation of the left common carotid artery and internal carotid artery were associated with approach failure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1591019920938961","type":"journal-article","created":{"date-parts":[[2020,7,6]],"date-time":"2020-07-06T00:07:46Z","timestamp":1593994066000},"page":"68-74","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["Transradial access for flow diversion of intracranial aneurysms: Case series"],"prefix":"10.1177","volume":"27","author":[{"given":"Muhammad","family":"Waqas","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"},{"name":"Gates Vascular Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunal","family":"Vakharia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"},{"name":"Gates Vascular Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rimal H","family":"Dossani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"},{"name":"Gates Vascular Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary B","family":"Rajah","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"},{"name":"Gates Vascular Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9629-3092","authenticated-orcid":false,"given":"Michael K","family":"Tso","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"},{"name":"Gates Vascular Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew D","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"},{"name":"Gates Vascular Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyungduk","family":"Rho","sequence":"additional","affiliation":[{"name":"Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamid H","family":"Rai","sequence":"additional","affiliation":[{"name":"Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth V","family":"Snyder","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"},{"name":"Gates Vascular Institute"},{"name":"Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"},{"name":"Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, New York, USA"},{"name":"Jacobs Institute, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6208-3724","authenticated-orcid":false,"given":"Elad I","family":"Levy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"},{"name":"Gates Vascular Institute"},{"name":"Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, New York, USA"},{"name":"Jacobs Institute, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adnan H","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"},{"name":"Gates Vascular Institute"},{"name":"Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, New York, USA"},{"name":"Jacobs Institute, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5225-3072","authenticated-orcid":false,"given":"Jason M","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"},{"name":"Gates Vascular Institute"},{"name":"Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, New York, USA"},{"name":"Jacobs Institute, Buffalo, New York, USA"},{"name":"Department of Bioinformatics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,5]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2007.136390"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60404-2"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60292-6"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2009.07.016"},{"key":"e_1_3_5_6_2","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 YB","year":"2012","unstructured":"Wang YB, Fu XH, Wang XC, et\u00a0al. Randomized comparison of radial versus femoral approach for patients with STEMI undergoing early PCI following intravenous thrombolysis. 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J Neurointerv Surg. Epub ahead of print 9 March 2020. DOI: 10.1136\/neurintsurg-2019-015764.","DOI":"10.1136\/neurintsurg-2019-015764"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.carrev.2017.12.009"},{"key":"e_1_3_5_17_2","first-page":"42","article-title":"Transradial approach for deployment of a flow diverter for an intracranial aneurysm in a patient with a type-3 aortic arch","volume":"9","author":"Peitz GW","year":"2017","unstructured":"Peitz GW, Kura B, Johnson JN, et\u00a0al. Transradial approach for deployment of a flow diverter for an intracranial aneurysm in a patient with a type-3 aortic arch. J Vasc Interv Neurol 2017; 9: 42\u201344.","journal-title":"J Vasc Interv Neurol"},{"key":"e_1_3_5_18_2","first-page":"onsE111","article-title":"Transradial access or Simmons shaped 8F guide enables delivery of flow diverters in patients with large intracranial aneurysms and type III aortic arch: technical case report.","volume":"73","author":"Dietrich C","year":"2013","unstructured":"Dietrich C, Hauck GH, Valvassori L, et\u00a0al. Transradial access or Simmons shaped 8F guide enables delivery of flow diverters in patients with large intracranial aneurysms and type III aortic arch: technical case report. 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