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Journal of Korean Neurosurgical Society > Accepted Articles

doi: https://doi.org/10.3340/jkns.2024.0152    [Accepted]
Transradial Approach for Neurovascular Interventions : A Literature Review
Hoon Kim1 , Young Woo Kim2 , Hyeong Jin Lee1 , Seon Woong Choi1, Sunghan Kim1 , Jae Sang Oh2 , Sang-Hyuk Im4 , Jai Ho Choi3 , Seong-Rim Kim1
1Department of Neurosurgery, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
2Department of Neurosurgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
3Department of Neurosurgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
4Department of Neurosurgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence  Young Woo Kim ,Email: youngwookim1732@gmail.com
Received: August 12, 2024; Revised: October 21, 2024   Accepted: November 12, 2024.  Published online: November 14, 2024.
ABSTRACT
The femoral artery is the preferred access route for neurointerventions. The transfemoral approach (TFA) offers advantages such as a large diameter and easy access. However, it also entails disadvantages such as patient discomfort and high risk of complications. Following the initial report of coronary angiography using the transradial approach (TRA) in 1989, cardiologists discovered the advantages of TRA over the TFA and gradually replaced it with the TRA. In 1997, Matsumoto et al. used the TRA for cerebral angiography and neurointervention. Thereafter, the adoption of TRA for neurointervention gradually increased and good outcomes were reported. However, despite these developments, the adoption rate of TRA is relatively low. We reviewed the relevant studies to increase the accessibility of TRA for neurointerventionists.
Key Words: Endovascular · Intervention · Transradial approach (TRA)
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