Mechanical Thrombectomy for Large Vessel Occlusion via the Transbrachial Approach: Case Series

• Published in: Neurointervention Vol. 15; no. 2; pp. 89 - 95
• Main Authors: Tsuji, Yuichiro, Miki, Takanori, Kakita, Hiroto, Sato, Kimitoshi, Yoshida, Takashi, Shimizu, Fuminori
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Society of Interventional Neuroradiology 01.07.2020; 대한신경중재치료의학회
• Subjects: acute ischemic stroke; Case Series; mechanical thrombectomy; transbrachial approach; 방사선과학; Acute ischemic stroke; Mechanical thrombectomy; Transbrachial approach
• ISSN: 2093-9043; 2233-6273
• DOI: 10.5469/neuroint.2020.00136

Mechanical thrombectomy has become a standard treatment for acute ischemic stroke with large vessel occlusion. In aged patients, it is difficult to guide the catheter via the transfemoral approach due to vessel tortuosity and aortic elongation. We report our preliminary clinical experience using the transbrachial approach. Among the 119 patients who underwent thrombectomy from April 2018 to December 2019, a total of 5 patients were treated via the transbrachial approach. Clinical outcomes were retrospectively analyzed. Successful reperfusion was achieved in 4 out of 5 cases. There was 1 death due to symptomatic intracranial hemorrhage. One patient had a good outcome at discharge. There were no access-site complications associated with any of these cases. Transbrachial access for mechanical thrombectomy is feasible and can provide an alternative to the transfemoral approach.