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Case report
Transradial intracranial aneurysm treatment via an aberrant right subclavian artery
  1. Nihar Jha,
  2. Gregory Selkirk,
  3. Matthew Thomas Crockett and
  4. Timothy John Phillips
  1. Neurological Imaging and Interventional Service of Western Australia, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
  1. Correspondence to Dr Nihar Jha; niharjhatn{at}


We report two cases of successfully treated intracranial saccular aneurysms via transradial access with aberrant right subclavian artery anatomy. Two patients aged 74 and 82 years with anterior communicating artery aneurysms deemed suitable for endovascular treatment and anomalous aortic arch anatomy (aberrant right subclavian artery) underwent successful treatment with transradial access. Transradial access was obtained in both patients, in the first patient, without prior knowledge of the aortic arch anatomy. Aberrant right subclavian artery anatomy was negotiated, and the aneurysms were successfully treated in both cases with intrasaccular flow disrupting devices (WEB-SL).

  • neuroimaging
  • interventional radiology
  • neurology
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  • Contributors NJ and GS are primary authors. MTC and TJP provided revisions and editorial oversight.

  • 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 Obtained.

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

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