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    Transradial access for cerebral angiography and neurointerventional procedures: A meta-analysis and systematic review

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    Authors
    Rentiya, Zubir S
    Kuhn, Anna Luisa
    Hutnik, Robert
    Shazeeb, Mohammed Salman
    De Leacy, Reade A
    Goldman, Daryl
    Singh, Jasmeet
    Puri, Ajit S
    UMass Chan Affiliations
    Radiology
    Document Type
    Journal Article
    Publication Date
    2022-07-15
    Keywords
    cerebral angiography
    neurointervention
    radial artery
    transradial access
    
    Metadata
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    Link to Full Text
    https://doi.org/10.1177/15910199221112200
    Abstract
    Purpose: Transradial access (TRA) for diagnostic and interventional neurointerventional procedures has recently gained traction over transfemoral access (TFA) in the neurointerventional community. This meta-analysis aims to assess and summarize the utility of TRA in cerebral angiography and neurointerventional procedures. Methods: A systematic literature review was performed utilizing Pubmed, Embase, and Scopus databases. Using PRISMA guidelines, records were extracted with the following search terms: transradial approach, transradial access, radial access, cerebral angiogram, cerebral angiography, neurointervention, and neuroendovascular. The primary outcomes assessed were case success rate, complication rate, and crossover rate from TRA to TFA. Secondary analysis was performed on procedure time, fluoroscopy time, fluoroscopy time per vessel (diagnostic procedures only), contrast dose, radial artery diameter, distal radial artery diameter, and patient preference for TRA over TFA. Results: Sixty-two full-text articles were analyzed for this meta-analysis, representing 12,927 diagnostic and interventional TRA access patients. Our analysis revealed a combined diagnostic and interventional case success rate of 95.9% and complication rate of 3.5%, with crossover to TFA occurring in 4.9% of cases. Conclusion: This meta-analysis demonstrates that TRA access for diagnostic angiography and neurointerventional procedures is a safe and effective approach, though determining a true complication rate is challenging as the definition of TRA complications has changed in various publications over time.
    Source
    Rentiya ZS, Kuhn AL, Hutnik R, Shazeeb MS, De Leacy RA, Goldman D, Singh J, Puri AS. Transradial access for cerebral angiography and neurointerventional procedures: A meta-analysis and systematic review. Interv Neuroradiol. 2022 Jul 15:15910199221112200. doi: 10.1177/15910199221112200. Epub ahead of print. PMID: 35837726.
    DOI
    10.1177/15910199221112200
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/51266
    PubMed ID
    35837726
    ae974a485f413a2113503eed53cd6c53
    10.1177/15910199221112200
    Scopus Count
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    Radiology Publications

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