Placement of the Woven EndoBridge (WEB) device via distal transradial access in the anatomical snuffbox: A technical note

Fadi Al Saiegh, Nikolaos Mouchtouris, Ahmad Sweid, Nohra Chalouhi, Thana Theofanis, Ritam Ghosh, Stavropoula Tjoumakaris, M. Reid Gooch, Robert H. Rosenwasser, Pascal Jabbour

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

The distal transradial access in the anatomical snuffbox for neurovascular procedures is a modification of the radial access with an improved safety profile and patient comfort compared to the conventional transradial access. However, its use has been limited to diagnostic cerebral angiography, but not aneurysm treatment. We present the first case of a 53-year-old female whose work-up for headaches showed an anterior communicating artery aneurysm. The patient underwent distal transradial cerebral angiography and subsequent placement of a Woven EndoBridge (WEB) device for treatment of the aneurysm through the same access site. The procedure was uneventful and the patient was discharged home neurologically intact. Her hand remained warm, well-perfused, and with no visible or palpable hematoma. Our report illustrates the feasibility of the distal TRA for the treatment of cerebral aneurysms using the WEB device. Further studies are necessary to confirm the additional benefits of the distal TRA over TRA for neurovascular access.

Original languageEnglish (US)
Pages (from-to)261-264
Number of pages4
JournalJournal of Clinical Neuroscience
Volume69
DOIs
StatePublished - Nov 2019
Externally publishedYes

Keywords

  • Anatomical snuffbox
  • Aneurysm
  • Distal transradial
  • Embolization
  • Endovascular therapy
  • WEB device

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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