Radial artery access anatomy: considerations for neuroendovascular procedures
Kazim Narsinh, Mohammed H. Mirza, Madhavi Duvvuri, M. Travis Caton, Amanda Baker, Ethan A. Winkler, Randall T. Higashida, Van V. Halbach, Matthew R. Amans, Daniel L. Cooke, Steven W. Hetts, Adib A. Abla, Christopher F. Dowd
Abstract
Although enthusiasm for transradial access for neurointerventional procedures has grown, a unique set of considerations bear emphasis to preserve safety and minimize complications. In the first part of this review series, we will review important anatomical considerations for safe and easy neuroendovascular procedures from a transradial approach. These include normal and variant radial artery anatomy, the anatomic snuffbox, as well as axillary, brachial, and great vessel arterial anatomy that is imperative for the neuroendovascular surgeon to be intimately familiar prior to pursuing transradial access procedures. In the next part of the review series, we will focus on safety and complications specific to a transradial approach.