Transradial approach in the treatment of a sacral dural arteriovenous fistula: a technical note

Orrù, Emanuele; Tsang, Chun On Anderson; Klostranec, Jesse M.; Pereira, Vítor Mendes

doi:10.1136/bcr-2019-014834

Cited by 4 publications

(4 citation statements)

References 9 publications

(10 reference statements)

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“…4 The only prior report of a trans-radial spinal intervention comes from Orru et al who described a case of a sacral dural AVF that was treated via a radial approach due to difficulties with transfemoral approach. 5 Our series constitutes the largest to date in this regard, when it comes to a trans-radial approach for SpAn.…”

Section: Discussionmentioning

confidence: 95%

“…Recently, the trans-radial approach has gained traction for cerebrovascular diagnostic and interventional procedures due to its greater convenience for patients, and equivalent efficacy to transfemoral access. [1][2][3] Nevertheless, the utilization of this approach for SpAn has yet to be extensively described given the low frequency of SpAn at most centers as well as the novelty of this approach, although a few isolated case reports do exist 4,5 Herein, we describe our experience with utilizing the trans-radial approach for SpAn in a series of eight patients at our institution, including one patient who underwent embolization for a spinal dural AVF via trans-radial approach. We also compared fluoroscopy time and contrast usage with traditional trans-femoral approach SpAn.…”

Section: Introductionmentioning

confidence: 99%

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Trans-radial spinal angiography: A single-center experience

et al. 2022

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Introduction Spinal angiography (SpAn) is the gold standard for diagnosis of spinal dural fistulas and arteriovenous malformations. A complete spinal angiogram necessitates the interrogation of the segmental arteries arising from the aorta at every level as well, the internal iliac; and median sacral arteries at the caudal end; and the cervical vasculature at the cranial end. SpAn has traditionally been performed with transfemoral arterial access and could be challenging. Of late, transradial arterial access has emerged as a popular alternative for endovascular surgical Neuroradiology (ESN) procedures including SpAn. However, there is paucity of the literature regarding transradial access for spinal angiography. Methods After IRB approval, records and imaging were reviewed in a series of patients who underwent SpAn at our institution. Results A total of nine spinal angiograms were performed via transradial access in a consecutive series of eight patients between July 2019 and December 2020 at our institution. Eight of these were diagnostic SpAn's, and one patient underwent SpAn with transradial approach for the treatment of a type I spinal dural arteriovenous fistula. No complications occurred during or subsequent to the procedures. Conclusion SpAn can be successfully and safely accomplished via transradial access. This approach appears to provide a stable method for interventions, as well.

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Trans-radial spinal angiography: A single-center experience

et al. 2022

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“…Our case series highlights the feasibility of transradial access for spinal angiography, supplementing the existing literature on the topic published previously. [13][14][15][16] The procedure is especially useful for targeted angiography and embolization prior to major surgical resections for vascular spinal tumors. There was a very low rate of minor complications with no incidences of major access site bleeding events, critical hand ischemia or permanent neurological deficits.…”

Section: Discussionmentioning

confidence: 99%

“…Orru et al described a radial approach in the treatment of a sacral dural AVF. 13 Their patient had a symptomatic sacral dural AVF fed by the lateral sacral artery. Spinal diagnostic angiography from a femoral approach was made difficult due to an aorto-bi-iliac endograft.…”

Section: Discussionmentioning

confidence: 99%

Distal transradial access for targeted spinal angiography and embolization

2022

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Background Spinal catheter angiography is commonly performed in the evaluation and treatment of spinal vascular lesions. The typical approach to spinal angiography consists of access through the femoral artery with the use of suitably shaped catheters for selective catheterization of the spinal segmental vasculature. The purpose of our study was to evaluate the safety and feasibility of distal transradial access through the “anatomical snuffbox” for targeted spinal angiography, for the investigation and treatment of selected spinal lesions Methods A retrospective review of patients who underwent transradial spinal angiography and embolization was performed from August 2019 to January 2022. A total of eight patients were identified, who underwent targeted spinal angiography through distal transradial access. Outcome measures were documented in a tabular manner. Results Radial access was successful in all patients. Seven patients had vascular tumors of the spinal column and underwent tumor embolization followed by segmental artery occlusion prior to surgery. One patient had a spinal dural AV fistula that could not be embolized due to feeding vessel tortuosity and eventually went on to have a laminectomy. Mean fluoroscopy time was 31.4 min. There were no access site hemorrhagic complications. One patient experienced transient mild hand numbness during the period of hemostasis with the vascular compression device that resolved completely within 24 h. Conclusions Distal transradial access is a feasible and safe option for targeted spinal angiography and treatment in selected patients.

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Vascular Spine Intervention

Kaminsky

2021

Image Guided Interventions of the Spine

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Transradial approach in the treatment of a sacral dural arteriovenous fistula: a technical note

Cited by 4 publications

References 9 publications

Trans-radial spinal angiography: A single-center experience

Trans-radial spinal angiography: A single-center experience

Distal transradial access for targeted spinal angiography and embolization

Vascular Spine Intervention

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