TRANSRADIAL APPROACH FOR CAROTID ARTERY STENTING
https://doi.org/10.17802/2306-1278-2018-7-4-112-120
Abstract
Approximately 20% of ischemic strokes are provoked by stenotic carotid artery lesions. With the growing experience of surgeons and the continued improvement of devices, carotid artery stenting has become an effective alternative to carotid endarterectomy. Traditional access to carotid artery stenting is transfemoral approach. However, due to peripheral artery disease and challenging anatomy of the aortic arch, transfemoral approach may be problematic. A number of randomized trials have proven the effcacy and safety of transradial access for coronary interventions. A similar technique was adapted for coronary artery stenting. The article provides a review of the major studies dedicated to coronary artery stenting via transradial approach, discusses all benefts and limitations as well as provide the guide to select an optimal vascular access, depending on the patient's anatomical characteristics. Transradial approach is shown to be a good alternative to transfemoral approach for coronary artery stenting. However, it is accompanied by a high rate of unsuccessful procedures compared to transfemoral approach. Nevertheless, transradial approach is accompanied by a decrease in the rate of vascular complications, and is preferable for intervening on the right ICA, or on the left with bovine aortic arch.
About the Authors
D. U. Malaev
E. Meshalkin National Medical Research Centre
Russian Federation
Russian Federation
Malaev Dastan U., interventional cardiologist, PhD student
15, Rechkunovskaya Street, Novosibirsk, 630055
E. I. Kretov
E. Meshalkin National Medical Research Centre
Russian Federation
Russian Federation
Kretov Evgeniy I., MD, PhD, leading researcher at the Center for Interventional Cardiology, interventional cardiologist
15, Rechkunovskaya Street, Novosibirsk, 630055
V. I. Baystrukov
E. Meshalkin National Medical Research Centre
Russian Federation
Russian Federation
Baystrukov Vitaliy I., PhD, interventional cardiologist
15, Rechkunovskaya Street, Novosibirsk, 630055
A. A. Prokhorikhin
E. Meshalkin National Medical Research Centre
Russian Federation
Russian Federation
Prokhorikhin Alexey A., interventional cardiologist, PhD student
15, Rechkunovskaya Street, Novosibirsk, 630055
A. A. Boykov
E. Meshalkin National Medical Research Centre
Russian Federation
Russian Federation
Boykov Andrey A., interventional cardiologist, PhD student
15, Rechkunovskaya Street, Novosibirsk, 630055
References
1. Sudlow C..L, Warlow C.P. Comparing stroke incidence worldwide: what makes studies comparable? Stroke. 1996; 27:550–558, DOI: 10,1161/01,STR,27,3,550
2. Vereshchagin N.V., Varakin YU.YA. EHpidemiologiya insul'ta v Rossii. V: redaktory Vereshchagin N.V., Piradov M.A.. Evzel'man M.A. Neotlozhnye sostoyaniya v nevrologii. Moscow: Favor; 2002. p. 16 – 21. (In Russian)
3. Vilenskij B.S. Oslozhneniya insul'ta: proflaktika i lechenie. Sankt-Peterburg: Foliant; 2000. (In Russian)
4. Endovascular versus surgical treatment in patients with carotid stenosis in the Carotid and Vertebral Artery Transluminal Angioplasty Study (CAVATAS): a randomised trial. Lancet. 2001 Jun 2;357(9270):1729-37.
5. Kedev S. Transradial carotid artery stenting: examining the alternatives when femoral access is unavailable. Interv Cardiol. 2014; 6(5): 463–475.
6. Heenan S.D., Grubnic S., Buckenham T.M., Belli A.M. Transbrachial arteriography: indications and complications. Clin Radiol. 1996;51: 205-9.
7. Kiemeneij F., Laarman G.J., Odekerken D., Slagboom T., van der Wieken R. A randomized comparison of percutaneous transluminal coronary angioplasty by the radial, brachial and femoral approaches: the Access study. J Am Coll Cardiol. 1997;29:1269-75.
8. Ferrante G., Rao S.V., Juni O., Da Costa B.R., Reimers B., Condorelli G. et al. Radial versus femoral access for coronary interventions across the entire spectrum of patients with coronary artery disease: a meta-analysis of randomized trials. JACC Cardiovasc Interv. 2016; 9:14-19, DOI: 10,1016/j,jcin,2016,04,014
9. Jang J.S., Jin H.Y., Seo J.S., Yang T.H., Kim D.K., Kim D.I. et al, The transradial versus the transfemoral approach for primary percutaneous coronary intervention in patients with acute myocardial infarction: a systematic review and meta-analysis. EuroIntervention. 2012 Aug;8(4):501-10. DOI: 10.4244/EIJV8I4A78.
10. Pinter L., Cagiannos C., Ruzsa Z., Bakoyiannis C., Kolvenbach R. Report on initial experience with transradial access for carotid artery stenting. J Vasc Surg. 2007; 45:113641, DOI: 10,1016/j,jvs,2007,02,035
11. Etxegoien N., Rhyne D., Kedev S., Sachar R., Mann T. The transradial approach for carotid artery stenting. Catheter Cardiovasc Interv. 2012; 80:1081-7, DOI: 10,1002/ccd,24503
12. Montorsi P., Galli S., Ravagnani P.M., Trabattoni D., Fabbiocchi F., Lualdi A. et al Carotid Artery Stenting in Patients With Left ICA Stenosis and Bovine Aortic Arch: A SingleCenter Experience in 60 Consecutive Patients Treated Via the Right Radial or Brachial Approach. J Endovasc Ther. 2014 Feb;21(1):127-36. DOI: 10.1583/13-4491MR.1.
13. Patel T., Shah S., Ranian A., Malhotra H., Pancholy S., Coppola J. Contralateral transradial approach for carotid artery stenting: a feasibility study. Catheter Cardiovasc Interv. 2010 Feb 1;75(2):268-75. DOI: 10.1002/ccd.22159.
14. Fang H., Chung S., Sun C., Youssef A.A., Bhasin A., Tsai T.H. et al. Transradial and transbrachial arterial approach for simultaneous carotid angiographic examination and stenting using catheter looping and retrograde engagement technique. Ann Vasc Surg. 2010 Jul;24(5):670-9. DOI: 10.1016/j.avsg.2009.12.001.
15. Mendiz O.A., Sampaolesi A.H., Londero H.F., Fava C.M., Lev G.A., Valdivieso L.R. Initial experience with transradial access for carotid stenting. Vasc Endovascular Surg. 2011 Aug;45(6):499-503. DOI: 10.1177/1538574411405547.
16. Mendiz O1.A., Fava C., Lev G., Caponi G., Valdivieso L. Transradial Versus Transfemoral Carotid Artery Stenting: A 16-Year Single-Center Experience. J Interv Cardiol.2016 Dec; 29 (6):588-593, DOI: 10.1111/joic,12342
17. Ruzsa Z., Nemes B., Pintér L., Berta B., Tóth K., et al, A randomised comparison of transradial and transfemoral approach for carotid artery stenting: RADCAR (RADial access for CARotid artery stenting) study. EuroIntervention. 2014 Jul; 10 (3):381-91. DOI: 10.4244/EIJV10I3A64.
18. Campeau L. Percutaneous radial artery approach for coronary angiography. Cathet Cardiovasc Diagn. 1989; 16:3-7.
19. Jeffrey M., Schussler M.D. Effectiveness and safety of transradial artery access for cardiac catheterization. Proc (Bayl Univ Med Cent). 2011 Jul; 24(3): 205–209.
20. Prokhorikhin A.A.,Baystrukov v.I., Grazhdankin I.O., Ponomarev D.N., verin v.v., Osiev A.G., Ganyukov v.I., Protopopov A.v.,Dyomin v.v., Abugov S.A., Boykov A.A., Malaev D.U., Karaskov A.M.,Pokushalov E.A., Kretov E.I. Prospective rAndomized, single-blind, mulTicenter study of sirolimus-eluting coRonary stent “Calypso” vs everolimus-eluting cOronary stenT “XiencePrime”: results of the PATRIOT trial. Patologiya krovoobrashcheniya i kardiokhirurgiya = Circulation Pathology and Cardiac Surgery. 2017;21(3):76-85 (In Russian). DOI: http://dx.doi.org/10.21688/1681-3472-2017-3-76-85
21. Slagboom T., Kiemeneij F., Laarman G.J., van Der Wieken R., Odekerken D. Actual outpatient PTCA: Results of the OUTCLAS pilot study. Catheter Cardiovasc Interv. 2001; 53:204-8, DOI: 10.1002/ccd.1149
22. Folmar J., Sachar R., Mann T. Transradial approach for carotid artery stenting: a feasibility study. Catheter Cardiovasc Interv. 2007;69:355-361. DOI: 10.1002/ccd.21049
23. Hill M.D., Brooks W., Mackey A., Clark W.M., Meschia J.F., Morrish W.F. et al, Stroke After Carotid Stenting and Endarterectomy in the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST). Circulation. 2012 Dec 18;126(25):3054-61. DOI: 10.1161/CIRCULATIONAHA.112.120030
24. Macdonald S., Lee R., Williams R., Stansby G. Delphi Carotid Stenting Consensus Panel, Towards safer carotid artery stenting: a scoring system for anatomic suitability. Stroke. 2009;40: 1698–1703. DOI: 10.1161/STROKEAHA.109.547117
25. Berko N.S., Jain V.R., Godelman A., Stein E.G., Ghosh S., Haramati L.B. Variants and anomalies of thoracic vasculature on computed tomographic angiography in adults. J Computed Assist Tomogr. 2009; 33:523–528. DOI: 10.1097/RCT.0b013e3181888343.
26. Bertrand O.F., Bélisle P., Joyal D., Costerousse O., Rao S.V., Jolly S.S., Meerkin D., Joseph L. Comparison of transradial and femoral approaches for percutaneous coronary interventions: A systematic review and hierarchical Bayesian meta-analysis. Am Heart J. 2012 Apr;163(4):632-48. DOI: 10.1016/j.ahj.2012.01.015.
27. Saito S., Ikei H., Hosokawa G., Tanaka S. Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention. Catheter Cardiovasc Interv. 1999;46:173-8, DOI: 10.1002/(SICI)1522-726X(199902)46:2<173::AIDCCD12>3.0.CO;2-4
28. Stella P.R., Kiemeneij F., Laarman G.J., Odekerken D., Slagboom T., van der Wieken R. Incidence and outcome of radial artery occlusion following transradial artery coronary angioplasty. Cathet Cardiovasc Diagn. 1997;40:156-8.
29. Bonati L.H., Jongen L.M., Haller S. New ischaemic brain lesions on MRI after stenting or endarterectomy for symptomatic carotid stenosis: a substudy of the International Carotid Stenting Study (ICSS). Lancet Neurol. 2010;9:353– 362. DOI: 10.1016/S1474-4422(10)70057-0.
30. Kim H.J., Lee H.J., Yang J.H., Yeo I.S., Yi J.S., Lee I.W. et al. The influence of carotid artery catheterization technique on the incidence of thromboembolism during carotid artery stenting. Am J Neuroradiol. 2010; 31: 1732–1736. DOI: 10.3174/ajnr.A2141
31. Vermeer S.E., Prins N.D., den Heijer T., Hofman A., Koudstaal P.J., Breteler M.M. Silent brain infarcts and the risk of dementia and cognitive decline. N Engl J Med. 2003;348:1215-22.
32. Gensick H., van der Worp B., Nederkoorn P.J., Macdonald S., Gaines P.A., van der Lugt A. at al, Ischemic Brain Lesions After Carotid Artery Stenting Increase Future Cerebrovascular Risk. J Am Coll Cardiol. 2015 Feb 17; 65(6): 521–529, DOI: 10.1016/j.jack.2014.11.038
33. Hammer FD, Lacroix V, Duprez T, Grandin C, Verhelst R, Peeters A, Cosnard G. Cerebral microembolization after protected carotid artery stenting in surgical high-risk patients: results of a 2-year prospective study. J Vasc Surg. 2005; 42: 847–853 DOI: 10.1016/j.jvs.2005.05.065.
Review
For citations:
Malaev D.U., Kretov E.I., Baystrukov V.I., Prokhorikhin A.A., Boykov A.A. TRANSRADIAL APPROACH FOR CAROTID ARTERY STENTING. Complex Issues of Cardiovascular Diseases. 2018;7(4):112-120. (In Russ.) https://doi.org/10.17802/2306-1278-2018-7-4-112-120
Views:
667
