Introduction: A transradial angiography is accepted as the gold standard for cardiovascular procedures,
cerebral angiography has been performed via transfemoral approach in most institutions.
The purpose of this study is to present our experience concerning the feasibility,
efficacy, and safety
Method(s): Between February 2019 and October 2021, a total of 1,240 cerebral angiographies were
performed via a transradial approach in a single center. The right radial approach
was used as an initial access route. The procedure continued only after the ulnar
artery was proven to provide satisfactory collateral perfusion according to two tests
(a modified Allen's test and forearm angiography).
Result(s): The procedural success rate was 94.8% with a mean duration of 28 minutes. All supra-aortic
vessels were successfully catheterized with a success rate of 100%. The radial artery
occlusion was found in 4 patients (5.4%) on follow-up cerebral angiography, but no
ischemic symptoms were observed.
Conclusion(s): This study suggests that cerebral angiography using a transradial approach can be
performed with minimal risk of morbidity and might be useful follow-up angiographics
with less stress on patients.
