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Case series
Arm-only access for combined transarterial and transvenous neurointerventional procedures
  1. Jorge Galvan Fernandez1,
  2. Mario Martínez-Galdámez1,
  3. Miguel Schüller Arteaga1,
  4. Joaquín Ortega-Quintanilla2,
  5. Antonio Hermosín3,
  6. Eduardo Crespo-Vallejo3,
  7. Carlos A Rodriguez-Arias4
  1. 1Interventional Neuroradiology/Endovascular Neurosurgery, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
  2. 2Interventional Neuroradiology, Hospital Universitario Virgen del Rocío, Sevilla, Andalucía, Spain
  3. 3Interventional Radiology Unit, Hospital Universitario Fundacion Jimenez Diaz, Madrid, Madrid, Spain
  4. 4Neurosurgery Department, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
  1. Correspondence to Dr Mario Martínez-Galdámez, Interventional Neuroradiology/Endovascular Neurosurgery, Hospital Clínico Universitario de Valladolid, Valladolid 47003, Spain; mariomgaldamez{at}


A simultaneous arterial and venous approach has been widely described for the endovascular treatment of dural arteriovenous fistula (DAVFs) and recently for arteriovenous malformation (AVMs). Conventional venous approaches are performed by direct internal jugular puncture or by femoral access. Although complication rates are low, there are potential life-threatening complications that should be avoided. The advantages of radial artery access have been widely proven, nevertheless the use of upper limb veins in neurointervention are rarely reported. We present five cases of the simultaneous arteriovenous approach through the radial artery and superficial veins of the forearm for the treatment of intracranial neurovascular diseases.

  • arteriovenous malformation
  • hemorrhage
  • technique

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  • Contributors All authors have contributed to the concept, authorship, and final review of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial, or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval The manuscript obtained ethics approval by the institutional Ethics Committee CEIC Área de Salud Valladolid Este, ID approval: PI 20-1896. All participants gave informed consent before taking part.

  • Provenance and peer review Not commissioned; externally peer reviewed.