Pioneering radial approach for aneurysm, stroke

Pioneering radial approach for aneurysm, stroke

Endovascular neurosurgeons at Norton Neuroscience Institute are among a handful of physicians in the country accessing the brain through the radial artery rather than the femoral artery to treat aneurysm or stroke.

The radial approach allows patients of Mahan Ghiassi, M.D., and Mayshan Ghiassi, M.D., brothers and endovascular neurosurgeons with Norton Neuroscience Institute, to recover faster because general anesthesia isn’t necessary.

“Heart physicians have used this wrist, or radial, approach for years,” said Dr. Mayshan Ghiassi.

“It’s a more complex procedure that requires more expertise … but the benefits are worth it.”

Faster recovery

Patients can get up and move around right after the procedure. With the traditional femoral artery approach, patients must remain on their backs for several hours after treatment.

Refer a patient

To refer a patient to Norton Neuroscience Institute, use the:

Online Referral Form.

“There’s also less pain during recovery, and no scarring,” said Dr. Mayshan Ghiassi. “Patients love it.”

Tina Terrell had an aneurysm rupture in 2012. The massage therapist from Paducah, Kentucky, first sought treatment in Tennessee, where doctors used the femoral approach. When she needed additional treatment last year, doctors referred her to Norton Neuroscience Institute.

“I was told the expertise and service at Norton rivaled the best hospitals around,” Tina said. “And they were right.”

Related Content: New device is big advancement in brain aneurysm treatment

Tina needed a special stent that allowed the body to eliminate the aneurysm. Typically, placing the stent required invasive brain surgery. She met with Drs. Ghiassi, who recommended the radial approach. She’s glad they did.

“I went home the day after the procedure and was back at work several days after that,” she said. “The recovery was great. As a massage therapist I use my wrists a lot, and the procedure didn’t slow me down. I’m feeling great and was so pleased with the compassionate care I received from everyone.”

‘The future of treatment’

Drs. Ghiassi are using the treatment for both emergency and nonemergency strokes and aneurysms. Right now, they’re doing the radial approach on about half their patients, but Dr. Mayshan Ghiassi expects that number to grow.

“Unless they’ve had a previous surgery on the arm, radial artery surgery, or are just too anxious to hold still, going through the wrist is likely an option,” he said. “We think this is the future of treatment.”