Radial-first to wrist-first: Transulnar arterial access for diagnostic cerebral angiography and neurovascular intervention
Transradial arterial access has demonstrated a lower rate of access site complications relative to the femoral approach. Our experience suggests that transulnar artery access is also a feasible and safe alternative for diagnostic cerebral angiography and neurovascular intervention. Given the lower complication rates associated with both transradial and transulnar access compared to femoral access in the existing literature, this study further supports shifting from a "radial-first" approach to a broader "wrist-first" approach in neurointerventional procedures.
Authors
- Hasan S. Ahmad (ORCID: https://orcid.org/0000-0002-6152-2510)
- Luis Octavio Tierradentro‐García (ORCID: https://orcid.org/0000-0003-1164-4656)
- Omar Choudhri (ORCID: https://orcid.org/0000-0002-8311-2336)
- Raghav Mattay (ORCID: https://orcid.org/0000-0002-8506-9503)
- Sartaaj Walia (ORCID: https://orcid.org/0000-0002-7844-5232)
- Mohammed Habib (ORCID: https://orcid.org/0000-0001-7756-7249)
- Aaron A Anandarajah
Institutions
- Northwell Health (US)
- University of California, San Francisco (US)
- University of Pennsylvania (US)
Publication Details
- Journal
- Clinical Neurology and Neurosurgery
- Published
- 2025-09-01
- DOI
- https://doi.org/10.1016/j.clineuro.2025.109141
- Primary Topic
- Vascular Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00