O-042 Incidence of periprocedural stroke with radial access for diagnostic cerebral angiograms

ConclusionIn our experience, transradial access for diagnostic cerebral angiograms was associated with a low but not neglectable incidence of periprocedural strokes when compared to the traditional femoral approach. Patient vascular anatomy should be evaluated prior to selection of vascular access and patients should be made aware of the possibility of a slightly higher possibility of periprocedural stroke with transradial access.Abstract O-042 Table 1 Patient Age Access Vessels catheterized Catheter used Radial Medication Contrast Fluoro Time Platelet Count INR GFR COVID Status Stroke Symptoms NIHSS Imaging performed 1 56 Right dRA R VA, R CCA/ICA and 3D-RA, L CCA/ICA, and 3D 5F Sim 2 Glide 5 mg verapamil, 200 mcg nitro, 5000 IU heparin Visipaque 320 – 120 mL 6 min 213 0.9 77 n/a Word finding difficulty 1 No 2 61 Right dRA RVA, L VA, L CCA/ICA and 3D, R CCA/ICA, and 3D 5F Sim 2 Glide 5 mg verapamil, 200 mcg nitro, 5000 IU heparin Omnipaque 240 – 230 mL 14.1 min 237 1 83 n/a Arm numbness 1 No 3 53 Right dRA R VA, L VA, R CCA/ICA, L CCA/ICA 5F Sim 2 Glide 5 mg verapamil, 200 mcg nitro, 5000 IU heparin Omnipaque 240 – 150 mL 7.2 min 256 n/a 94 Negative Hand weakness 1 CT head, CTA head/neck, MRI brain 4 73 Right dRA R CCA 5F Sim 2 Glide 300 mcg nitro, 5000 IU heparin Omnipaque 240 – 80 mL 5.9 min 223 0.9 60 Negative Paresthesia 1 CT head, CT head/neck 5 50 Right dRA R VA, L CCA/ICA, R CCA/ICA 5F Sim 2 Glide 300 mcg nitro, 5000 IU heparin ...
Source: Journal of NeuroInterventional Surgery - Category: Neurosurgery Authors: Tags: SNIS 19th annual meeting oral abstracts Source Type: research