Book chapter
Arterial Access and Intermediate Catheters: Procedural and Technical Considerations
Acute Stroke Management in the Era of Thrombectomy, pp.47-60
Springer International Publishing
06/23/2019
DOI: 10.1007/978-3-030-17535-1_5
Abstract
Proper arterial access is a crucial first step to perform a prompt and safe mechanical thrombectomy (MT) in acute ischemic stroke (AIS). Every neurointerventionalist must be able to secure intraarterial access to perform MT. In some cases, when femoral access is not feasible, alternate arterial access such as radial or direct carotid puncture may be performed. Another key element of MT is to obtain adequate support through intermediate catheters. Complex aortic arches and difficult supra-aortic vasculature may complicate access to intracranial vessel. In these circumstances, triaxial systems may be needed. Finally, appropriate closure should be performed in order to avoid potential postoperative complications such as arterial dissection/thrombosis and local hematoma. In this chapter, we provide a procedural and technical review of arterial access, including alternative access routes, as well as a review of current intermediate catheters and closure devices.
Details
- Title: Subtitle
- Arterial Access and Intermediate Catheters: Procedural and Technical Considerations
- Creators
- Aldo Mendez Ruiz - University of Iowa Hospitals and ClinicsAli Sheharyar - University of Iowa Hospitals and ClinicsSantiago Ortega-Gutierrez - University of Iowa Hospitals and Clinics
- Resource Type
- Book chapter
- Publication Details
- Acute Stroke Management in the Era of Thrombectomy, pp.47-60
- DOI
- 10.1007/978-3-030-17535-1_5
- Publisher
- Springer International Publishing; Cham
- Language
- English
- Date published
- 06/23/2019
- Academic Unit
- Neurology; Radiology; Iowa Neuroscience Institute; Neurosurgery
- Record Identifier
- 9984303447702771
Metrics
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