Radial access procedure, an illustrative case

Patient

• 55yo. female patient with a ca. 5mm ICA-PCom aneurysm
• FA: Aunt with ruptured aneurysm
• Hx: Arterial hypertension and Flow diverter for treatment of an ICA aneurysm on the left side (2018)

Radial access with: 7F sheath, RIST 079, Phenom 21 Microcatheter and Pipeline Vantage 3.5 x 14mm FD

Check the:

• Distal position of the RIST catheter due to the great flexibility of the tip
• Additional support in the aortic arch with a 0.035” stiff wire in the RIST
• Can use a combination of 0.035 with Phenom 27 for big Flowdiverters
• Or combination of 0.035 with Phenom 21 for Artisse implantations
• Or Apollo and Marathon for AVM Embolisation

Patient discharged with medication:

• Clopidogrel 75mg 1-0-0
• Ticagrelor 90mg 1-0-1

for 3 months. Without neurological deficits! (mRS 0, NIHSS 0)

This case is sponsored by Medtronic.

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