Your new experience awaits. Try the new design now and help us make it even better

ORIGINAL RESEARCH article

Front. Neurol.

Sec. Endovascular and Interventional Neurology

Transradial 'Combined Catheter' Technique for Six-Vessel Cerebral Angiography

Provisionally accepted
Rundong ChenRundong Chen1Guoli DuanGuoli Duan1Qian ZhengQian Zheng1Guanghao ZhangGuanghao Zhang1Yiban FangYiban Fang2Pengfei YangPengfei Yang1Yi XuYi Xu1Jianmin LiuJianmin Liu1Qiang LiQiang Li1*
  • 1Changhai Hospital, Second Military Medical University, Shanghai, China
  • 2Shanghai Fourth People's Hospital, Shanghai, China

The final, formatted version of the article will be published soon.

Select one of your emails

You have multiple emails registered with Frontiers:

Notify me on publication

Please enter your email address:

If you already have an account, please login

You don't have a Frontiers account ? You can register here

Background: Compared with transfemoral access (TFA), transradial access (TRA) has been widely used in neurointervention as it has a relatively low rate of access site complications. However, the method still has several restrictions, particularly with regard to selective angiography. This study aimed to evaluate the technical feasibility and procedural performance of a combined catheter technique designed to facilitate complete six-vessel selective cerebral angiography via TRA. Methods: We prospectively studied patients who underwent TRA selective cerebral angiography with combined catheter technique between January 2023 and September 2023. Clinical characteristics, procedural details, complications, and outcomes at discharge were collected. A descriptive analysis was performed. Results: Altogether 48 patients received TRA angiography using the combined catheter technique, 15 of whom were male. The median age of the patients was 54.81±13.62 years (30-82). The intermediate or distal catheter types used in the patients were Tethys in 27 cases, Envoy DAXB in 6 cases, Envoy DA in 6 cases, and Navien in 9 cases. All patients had successfully received selective six-vessel angiography including bilateral ICAs, ECAs, and VAs, and completed the follow-up neurointervention procedure. Image quality scores of arterial phase, capillary apparatus, and venous phase were all 15, which means all patients showed superior visualization of vasculature. Average selection times per vessel were 230.50±72.80 seconds (124-395). Conclusion: In this small single-center feasibility series, the combined catheter technique for six-vessel TRA cerebral angiography appeared technically feasible and safe, but these preliminary findings require confirmation in larger comparative studies.

Keywords: Transradial access, selective cerebral angiography, combined catheter technique, Safety, feasibility

Received: 19 Aug 2025; Accepted: 11 Dec 2025.

Copyright: © 2025 Chen, Duan, Zheng, Zhang, Fang, Yang, Xu, Liu and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Qiang Li

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Supplementary Material