AANS Neurosurgeon | Volume 29, Number 2, 2020


A Better Avenue for Neurosurgery to Improve Outcomes

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For years cardiologists have threaded hair-like surgical instruments through arteries in the wrist, as an access point to perform procedures on the heart. For procedures in the brain, however, neurosurgeons more commonly thread instruments through arteries at the groin – a transfemoral approach. In the largest cohort study to date, new research from Jefferson (Philadelphia University + Thomas Jefferson University) demonstrates that transradial surgery, done  via the wrist, is  safe and effective for a broad range of neuroendovascular procedures, and gives patients faster recovery with less procedural risk.

“Despite improved safety shown in large cardiology trials, transradial brain surgeries via the wrist are much less common,” says senior author of the study and neurosurgeon Pascal Jabbour, MD, Professor of Neurological Surgery and the Chief of the Division of Neurovascular and Endovascular Neurosurgery, and researcher at the Vickie & Jack Farber Institute for Neuroscience at Jefferson. “Neurosurgeons tend to prefer the transfemoral approach on which many of us were trained. But our research demonstrates that all kinds of neurological procedures can be done effectively and even more safely via the wrist.”

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