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TRUST Technique for Neurointervention: A Promising Alternative for Complex Cases

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1. Title Title of document TRUST Technique for Neurointervention: A Promising Alternative for Complex Cases
2. Creator Author's name, affiliation, country Xinzhao Jiang; Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People’s Hospital (Affiliated People's Hospital, Hangzhou Medical College)
2. Creator Author's name, affiliation, country Peng Wang; Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People’s Hospital (Affiliated People's Hospital, Hangzhou Medical College)
2. Creator Author's name, affiliation, country Fang Liu; Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People’s Hospital (Affiliated People's Hospital, Hangzhou Medical College)
2. Creator Author's name, affiliation, country Huadong Wu; Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People’s Hospital (Affiliated People's Hospital, Hangzhou Medical College)
2. Creator Author's name, affiliation, country Peng Jiang; Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People’s Hospital (Affiliated People's Hospital, Hangzhou Medical College)
2. Creator Author's name, affiliation, country Ruozhen Yuan; Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People’s Hospital (Affiliated People's Hospital, Hangzhou Medical College)
2. Creator Author's name, affiliation, country Sheng Zhang; Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People’s Hospital (Affiliated People's Hospital, Hangzhou Medical College)
2. Creator Author's name, affiliation, country Zongjie Shi; Center for Rehabilitation Medicine, Department of Neurology, Zhejiang Provincial People’s Hospital (Affiliated People's Hospital, Hangzhou Medical College)
3. Subject Discipline(s)
3. Subject Keyword(s) Endovascular treatment; ischemic stroke; neurointervention; neurology; neurovascular diseases; complications.
4. Description Abstract

Background:Neurointervention via Transradial Access (TRA) is becoming increasingly popular as experience with this technique increases. However, approximately 8.6–10.3% of complex TRA cases are converted to femoral access due to a lack of support or radial artery spasm. This study aimed to assess the efficacy and safety of the TRUST (trans-radial coaxial catheter technique using a short sheath, Simmons catheter, and Tethys intermediate catheter) technique in interventional procedures via TRA.

Methods:This was a single-center retrospective analysis of 16 patients admitted to our institute between January 2023 to May 2023 to undergo endovascular interventions with the TRUST technique via the TRA.

Results:The mean age of the study population was 63.8 years, and 62.5% were male (10/16). The most common procedure was intracranial atherosclerotic stenosis (93.75%, 15/16). All procedures were performed successfully, and the most common procedures in our cohort were ballooning (50.0%, 8/16), stenting (18.75%, 3/16), and both procedures combined (31.25%, 1/16). All procedures were performed using the TRA, and the distal and proximal radial arteries were used for access in 31.35% (5/16) and 68.75% (11/16) of the cases, respectively. Technical success was achieved in all patients and most cases demonstrated mTICI ≥2b recanalization (93.75%, 15/16). In this case, no major access-site complications occurred.

Conclusion:The TRUST technique is technically safe and feasible and had a high technical success rate and low complication rate in our study. These results demonstrate that the TRUST technique is a promising alternative for patients undergoing complex neurointerventions.

5. Publisher Organizing agency, location Bentham Science
6. Contributor Sponsor(s)
7. Date (DD-MM-YYYY) 01.01.2024
8. Type Status & genre Peer-reviewed Article
8. Type Type Research Article
9. Format File format
10. Identifier Uniform Resource Identifier https://archivog.com/1567-2026/article/view/644261
10. Identifier Digital Object Identifier (DOI) 10.2174/0115672026291503240105093155
11. Source Title; vol., no. (year) Current Neurovascular Research; Vol 21, No 1 (2024)
12. Language English=en
13. Relation Supp. Files
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
15. Rights Copyright and permissions Copyright (c) 2024 Bentham Science Publishers