Literature DB >> 32487766

Lower complication rates associated with transradial versus transfemoral flow diverting stent placement.

Yangchun Li1, Stephanie H Chen2, Alejandro M Spiotta3, Pascal Jabbour4, Michael R Levitt5, Peter Kan6, Christoph J Griessenauer7,8, Adam S Arthur9,10, Joshua W Osbun11, Min S Park12, Nohra Chalouhi4, Ahmad Sweid4, Stacey Q Wolfe13, Kyle M Fargen14, Aaron S Dumont15, Travis M Dumont16, Marie-Christine Brunet2, Samir Sur1, Evan Luther2, Allison Strickland2, Dileep R Yavagal17, Eric C Peterson18, Clemens M Schirmer7,19, Oded Goren20, Shamsher Dalal7, Gregory Weiner21, Axel Rosengart7, Daniel Raper22, Ching-Jen Chen23, Peter Amenta24, Tyler Scullen25, Cory Michael Kelly26, Christopher Young26, Michael Nahhas27, Eyad Almallouhi27, Arunprasad Gunasekaran3, Suhas Pai3, Giuseppe Lanzino28, Waleed Brinjikji29, Mehdi Abbasi28, David Dornbos Iii30,31, Nitin Goyal32, Jeremy Peterson10,33, Mohammad H El-Ghanem34, Robert M Starke35,36.   

Abstract

BACKGROUND: Currently, there are no large-scale studies in the neurointerventional literature comparing safety between transradial (TRA) and transfemoral (TFA) approaches for flow diversion procedures. This study aims to assess complication rates in a large multicenter registry for TRA versus TFA flow diversion.
METHODS: We retrospectively analyzed flow diversion cases for cerebral aneurysms from 14 institutions from 2010 to 2019. Pooled analysis of proportions was calculated using weighted analysis with 95% CI to account for results from multiple centers. Access site complication rate and overall complication rate were compared between the two approaches.
RESULTS: A total of 2,285 patients who underwent flow diversion were analyzed, with 134 (5.86%) treated with TRA and 2151 (94.14%) via TFA. The two groups shared similar patient and aneurysm characteristics. Crossover from TRA to TFA was documented in 12 (8.63%) patients. There were no access site complications in the TRA group. There was a significantly higher access site complication rate in the TFA cohort as compared with TRA (2.48%, 95% CI 2.40% to 2.57%, vs 0%; p=0.039). One death resulted from a femoral access site complication. The overall complications rate was also higher in the TFA group (9.02%, 95% CI 8.15% to 9.89%) compared with the TRA group (3.73%, 95% CI 3.13% to 4.28%; p=0.035).
CONCLUSION: TRA may be a safer approach for flow diversion to treat cerebral aneurysms at a wide range of locations. Both access site complication rate and overall complication rate were lower for TRA flow diversion compared with TFA in this large series. © Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.

Entities:  

Keywords:  aneurysm; artery; complication; flow diverter; intervention

Year:  2020        PMID: 32487766      PMCID: PMC7708402          DOI: 10.1136/neurintsurg-2020-015992

Source DB:  PubMed          Journal:  J Neurointerv Surg        ISSN: 1759-8478            Impact factor:   5.836


  29 in total

1.  Right Radial Access for PTCA: A Prospective Study Demonstrates Reduced Complications and Hospital Charges.

Authors: 
Journal:  J Invasive Cardiol       Date:  1996       Impact factor: 2.022

Review 2.  Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials.

Authors:  Sanjit S Jolly; Shoaib Amlani; Martial Hamon; Salim Yusuf; Shamir R Mehta
Journal:  Am Heart J       Date:  2008-11-01       Impact factor: 4.749

3.  Biaxial system using the Benchmark intracranial guide catheter for placement of a Pipeline Embolization Device for intracranial aneurysms.

Authors:  Apar S Patel; Christoph J Griessenauer; Christopher S Ogilvy; Ajith J Thomas
Journal:  Interv Neuroradiol       Date:  2016-02-22       Impact factor: 1.610

4.  Comparison of frequency of radial artery occlusion after 4Fr versus 6Fr transradial coronary intervention (from the Novel Angioplasty USIng Coronary Accessor Trial).

Authors:  Satoshi Takeshita; Hiroshi Asano; Tetsuya Hata; Kiyoshi Hibi; Yuji Ikari; Yoshifumi Kan; Takaaki Katsuki; Tomohiro Kawasaki; Motomaru Masutani; Toshiyuki Matsumura; Rajendra K Premchand; Surya P Rao; Takashi Suzuki; Akihiko Takahashi; Ryuichi Takeda; Shinji Tanaka; Seiji Yamazaki; Wei-Hsian Yin; Fuminobu Yoshimachi; Shigeru Saito
Journal:  Am J Cardiol       Date:  2014-04-01       Impact factor: 2.778

5.  Transarterial and transvenous access for neurointerventional surgery: report of the SNIS Standards and Guidelines Committee.

Authors:  Robert M Starke; Brian Snelling; Fawaz Al-Mufti; Chirag D Gandhi; Seon-Kyu Lee; Guilherme Dabus; Justin F Fraser
Journal:  J Neurointerv Surg       Date:  2019-12-09       Impact factor: 5.836

6.  Complications of femoral versus radial access in neuroendovascular procedures with propensity adjustment.

Authors:  Joshua S Catapano; Vance L Fredrickson; Tatsuhiro Fujii; Tyler S Cole; Stefan W Koester; Jacob F Baranoski; Daniel D Cavalcanti; D Andrew Wilkinson; Neil Majmundar; Michael J Lang; Michael T Lawton; Andrew F Ducruet; Felipe C Albuquerque
Journal:  J Neurointerv Surg       Date:  2019-12-16       Impact factor: 5.836

Review 7.  Transradial access for neurointerventions: management of access challenges and complications.

Authors:  Marie-Christine Brunet; Stephanie H Chen; Eric C Peterson
Journal:  J Neurointerv Surg       Date:  2019-07-26       Impact factor: 5.836

8.  Transradial access or Simmons shaped 8F guide enables delivery of flow diverters in patients with large intracranial aneurysms and type III aortic arch: technical case report.

Authors:  Carolin Dietrich; Gesa H Hauck; Luca Valvassori; Erik F Hauck
Journal:  Neurosurgery       Date:  2013-09       Impact factor: 4.654

9.  Transradial Approach for Deployment of a Flow Diverter for an Intracranial Aneurysm in a Patient with a Type-3 Aortic Arch.

Authors:  Geoffrey W Peitz; Bhavani Kura; Jeremiah N Johnson; Ramesh Grandhi
Journal:  J Vasc Interv Neurol       Date:  2017-10

Review 10.  Radial Artery Occlusion After Transradial Interventions: A Systematic Review and Meta-Analysis.

Authors:  Muhammad Rashid; Chun Shing Kwok; Samir Pancholy; Sanjay Chugh; Sasko A Kedev; Ivo Bernat; Karim Ratib; Adrian Large; Doug Fraser; James Nolan; Mamas A Mamas
Journal:  J Am Heart Assoc       Date:  2016-01-25       Impact factor: 5.501

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  9 in total

1.  Safety of the transradial approach to carotid stenting.

Authors:  Young Erben; James F Meschia; Donald V Heck; Fayaz A Shawl; Minerva Mayorga-Carlin; George Howard; Kenneth Rosenfield; John D Sorkin; Thomas G Brott; Brajesh K Lal
Journal:  Catheter Cardiovasc Interv       Date:  2021-08-13       Impact factor: 2.585

2.  Comparison of transradial and transfemoral access for the Woven EndoBridge embolization of intracranial aneurysms: A single-center experience.

Authors:  Nimer Adeeb; Mahmoud Dibas; Abdallah Amireh; Sandeep Kandregula; Hugo Cuellar
Journal:  Interv Neuroradiol       Date:  2021-09-22       Impact factor: 1.764

Review 3.  Transradial versus transfemoral access for endovascular therapy of intracranial aneurysms: a systematic review and meta-analysis of cohort studies.

Authors:  Xinyue Huang; Yu Xiong; Xiumei Guo; Xiaodong Kang; Chunhui Chen; Hanlin Zheng; Zhigang Pan; Lingxing Wang; Shuni Zheng; Pantelis Stavrinou; Roland Goldbrunner; Lampis Stavrinou; Weipeng Hu; Feng Zheng
Journal:  Neurosurg Rev       Date:  2022-09-21       Impact factor: 2.800

4.  Anatomic Snuffbox (Distal Radial Artery) and Radial Artery Access for Treatment of Intracranial Aneurysms with FDA-Approved Flow Diverters.

Authors:  A L Kühn; S R Satti; T Eden; K de Macedo Rodrigues; J Singh; F Massari; M J Gounis; A S Puri
Journal:  AJNR Am J Neuroradiol       Date:  2021-01-14       Impact factor: 3.825

5.  Is Transradial Access a Replacement Technique for Transfemoral Access in Neurointervention?

Authors:  A H Chiu
Journal:  AJNR Am J Neuroradiol       Date:  2021-01-14       Impact factor: 3.825

6.  A nomogram for predicting the risk of femoral pseudoaneurysm after neurointerventional procedures.

Authors:  Liangliang Yang; Puyuan Zhao; Bin Liu; Yang Gao; Hao Zhou; Qiuping Li; Yingchuan Jiang; Zhigang Yang
Journal:  Ann Transl Med       Date:  2022-01

7.  Subclavian artery stenting via bilateral radial artery access: Four case reports.

Authors:  Tao Qiu; Sheng-Qi Fu; Xiao-Yong Deng; Ming Chen; Xiao-Yan Dai
Journal:  World J Clin Cases       Date:  2022-02-16       Impact factor: 1.337

8.  Feasibility and Safety of Flow Diversion in the Treatment of Intracranial Aneurysms via Transradial Approach: A Single-Arm Meta-Analysis.

Authors:  Xiang Liu; Wenzhang Luo; Mingyan Wang; Changren Huang; Kunyang Bao
Journal:  Front Neurol       Date:  2022-07-15       Impact factor: 4.086

Review 9.  Transradial access for embolization of cerebral aneurysms with the woven EndoBridge device: Case series and review of the literature.

Authors:  Colin Son; Samon Tavakoli-Sabour
Journal:  Interv Neuroradiol       Date:  2020-11-11       Impact factor: 1.610

  9 in total

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