Abstract TP293: Radial Access for Neurovascular Procedures-Patient Preference and Outcomes

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Abstract

Introduction: Radial access for neurovascular procedures is rarely performed or even considered. There is increasing evidence from the interventional cardiology literature that radial access is associated with lower costs, lower incidence of myocardial infarction, stroke, decreased major access site complications, and even decreased mortality. Roadblocks for adopting or considering radial access for neurovascular procedures includes physician bias, physician training, and limitations in technology/devices. As we move towards a patient centered health care delivery, patient preference and complication rates should be considered. The 2 goals of this poster presentation are to provide a simplified approach to performing radial access for neurovascular and to present data on patient preference and outcomes for radial access.

Hypothesis: Radial access for neuro interventional procedures is preferred by patients over traditional femoral access and can be performed with a high degree of technical success and low rates of complications.

Methods: Over a two-year period, 25 patients that had undergone conventional femoral angiography and presented for repeat angiography or subsequent neurovascular intervention were offered radial access. By including only patients that had undergone both femoral and radial access, we felt that this would provide the best comparison between the 2 techniques. Patient assessment survey included: Preference for femoral versus radial, degree of stress between the 2 procedures, degree of pain during and post-procedurally, any immediate/delayed complications, recovery time and ambulation time.

Results: There was 100% patient preference for radial access and no minor (hematoma or pseudoaneurysm) or major access site complications (bleeding requiring transfusion, pseudoaneurysm requiring intervention, arteriovenous fistula, delayed occlusion).

Conclusion: Radial access was preferred by patients over femoral access for neurovascular procedures and associated with low complications and high technical success.

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