We report our experience using transradial access (TRA) for carotid artery stenting (CAS). Eighty-eight patients underwent CAS using a nonfemoral approach, 79 of them by TRA. Carotid artery stenting was performed using standard techniques with a long hydrophilic sheath. Mean age was 69.5 years. A total of 46 patients were symptomatic and 34 were asymptomatic. Transradial access and procedural success were achieved in 98.8% and 96.6% of the cases, respectively. There were no deaths, myocardial infarction, or radial access site complications. In all, 2 patients sustained a stroke, 1 hemorrhage, and 1 ischemia. Carotid artery stenting using TRA was safe and technically feasible.
Yates D.Stroke: Early trial results favor surgery over stenting for symptomatic carotid artery stenosis. Nat Rev Neurol.2010;6(5):237.
2.
Mantese VA, Timaran CH, Chiu D., Begg RJ, Brott TGThe Carotid Revascularization Endarterectomy versus Stenting Trial (CREST): stenting versus carotid endarterectomy for carotid disease. Stroke. 2010;41(10suppl):S31-S34.
3.
Giles KA, Hamdan AD, Pomposelli FB, Wyers MC, Schermerhorn MLStroke and death after carotid endarterectomy and carotid artery stenting with and without high risk criteria. J Vasc Surg.2010;52(6):1497-1504.
4.
Bangalore S., Kumar S., Wetterslev J., et al. Carotid artery stenting vs carotid endarterectomy: meta-analysis and diversity-adjusted trial sequential analysis of randomized trials. Arch Neurol.2011;68(2):172-184.
5.
Rao SV, Ou FS, Wang TY, et al. Trends in the prevalence and outcomes of radial and femoral approaches to percutaneous coronary intervention: a report from the National Cardiovascular Data Registry. JACC Cardiovasc Interv. 2008;1(4):379-386.
6.
Achenbach S. , Ropers D., Kallert L., et al. Transradial versus trans-femoral approach for coronary angiography and intervention in patients above 75 years of age . Catheter Cardiovasc Interv. 2008;72(5):629-635.
7.
Bertrand OF, De Larochelliere R., Rodes-Cabau J., et al. A randomized study comparing same-day home discharge and abciximab bolus only to overnight hospitalization and abciximab bolus and infusion after transradial coronary stent implantation. Circulation. 2006;114(24):2636-2643.
8.
Rao SV, Cohen MG, Kandzari DE, Bertrand OF, Gilchrist ICThe transradial approach to percutaneous coronary intervention: historical perspective, current concepts, and future directions. J Am Coll Cardiol.2010;55(20):2187-2195.
9.
Patel T., Shah S., Ranjan A., Malhotra H., Pancholy S., Coppola J.Contralateral transradial approach for carotid artery stenting: a feasibility study. Catheter Cardiovasc Interv.2010;75(2):268-275.
10.
Elgharib NZ , Shah UH, Coppola JTTransradial cardiac catheterization and percutaneous coronary intervention: a review. Coron Artery Dis.2009;20(8):487-493.
11.
Amoroso G., Kiemeneij F.Transradial access for primary percutaneous coronary intervention: the next standard of care?Heart. 2010;96(17):1341-1344.
12.
Hammer FD, Lacroix V., Duprez T., et al. Cerebral microembolization after protected carotid artery stenting in surgical high-risk patients: results of a 2-year prospective study. J Vasc Surg. 2005; 42(5):847-853; discussion 853.
