Endovascular treatment for acute basilar thrombosis via a transradial approach: initial experience and future considerations
Acute basilar artery occlusion (BAO) secondary to emergent large vessel occlusion (ELVO) has an extremely poor natural history, with a reported mortality rate up to 95%. Mechanical thrombectomy in the setting of ELVO is generally performed via a transfemoral approach. However, radial access is increasingly being utilized as an alternative. We report our initial multi-institutional experience using primary radial access in the treatment of acute BAO in nine consecutive cases. Technical success defined as a TICI score of 2B or 3 was achieved in 89% of cases. Average puncture to revascularization time was 35.8 minutes. There were no complications related to radial artery catheterization. We contend radial access should potentially be considered as the first-line approach given inherent advantages over femoral access for mechanical thrombectomy for BAO.
Oselkin, Martin; Sathi, S R.; Sundararajan, S H.; Kung, D; Hurst, R W.; and Pukenas, B A., "Endovascular treatment for acute basilar thrombosis via a transradial approach: initial experience and future considerations" (2017). Center for Medical Imaging & Interventional Radiology @SLUHN Articles & Publications. 8.