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

Huang, Xiaoping; Xiong, Yu; Guo, Xiumei; Kang, Xiaodong; Chen, Chuansheng; Zheng, Hanlin; Pan, Zhigang; Wang, Lingxing; Zheng, Shuni; Stavrinou, Pantelis; Goldbrunner, Roland; Stavrinou, Lampis C.; Hu, Weipeng; Zheng, Feng

doi:10.1007/s10143-022-01868-3

Cited by 6 publications

(3 citation statements)

References 28 publications

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“…Aneurysmal subarachnoid hemorrhage (aSAH) is a cerebrovascular disorder with potentially devastating consequences and a mortality rate that ranges from 8.3 to 66.7% 1,2 . Treatment typically involves surgical and endovascular procedures 3,4 . The yearly incidence rate of aSAH is 7.9 cases per 100,000 people 5,6 , and the incidence of serious complications of postoperative pneumonia (POP) occurring within 30 d ranges from 13 to 37% [7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

“…SD, standard deviation; GCS, Glasgow Coma Scale; WFNS, World Federation of Neurosurgical Societies; mFisher, modi ed Fisher; NLR, neutrophil-to-lymphocyte ratio; IQR, interquartile range; *p < 0.05.1 T test,2 Pearson's Chi-squared test,3 Fisher's exact test,4 Wilcoxon rank sum test; Neutrophil1, Lymphocyte1, and NLR1 were tested at admission; Neutrophil2, Lymphocyte2, and NLR2 were tested within 24 h after endovascular treatment; Neutrophil3, Lymphocyte3, and NLR3 were tested 3-7 d after endovascular treatment.…”

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confidence: 99%

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Follow-up Neutrophil–Lymphocyte Ratio as a Predictor for Postoperative Pneumonia After Endovascular Treatment in Aneurysmal Subarachnoid Hemorrhage Patients: A Retrospective Analysis

Huang,

Guo,

Gao

et al. 2023

Preprint

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The association between NLR and postoperative pneumonia (POP) in patients with aneurysmal subarachnoid hemorrhage (aSAH) who underwent endovascular treatment remains poorly understood. Patients with aSAH who underwent endovascular treatment between January 2019 and April 2023 were included. The follow-up endpoint was the presence of POP at 30 days postoperatively. Logistic regression analysis was conducted using POP as the dependent variable. NLR was calculated at admission (NLR1), 24 h after endovascular treatment (NLR2), and 3–7 days after endovascular treatment (NLR3). Four prediction models were constructed: Model 1 (variables with p < 0.05, except for the NLR); Model 2 (Model 1 plus NLR1); Model 3 (Model 1 plus NLR2); and Model 4 (Model 1 plus NLR3). Among the 154 patients with aSAH, POP occurred in 101 (65.6%) patients. Higher NLRs at admission (odds ratio [OR] = 1.08; 95% Confidence Interval [CI] 1.02, 1.16; p = 0.019), 24 h postoperatively (OR = 1.14; 95% CI 1.05, 1.25; p = 0.005) and 3-7days postoperatively (OR = 1.17; 95% CI 1.02, 1.38; p = 0.04) were independently associated with the occurrence of POP. Follow-up NLR may be an independent predictor of POP in aSAH patients treated endovascularly. Elevated NLR at admission, 24 h postoperatively and 3–7 days postoperatively correlated with a high risk for POP.

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confidence: 99%

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confidence: 99%

Follow-up Neutrophil–Lymphocyte Ratio as a Predictor for Postoperative Pneumonia After Endovascular Treatment in Aneurysmal Subarachnoid Hemorrhage Patients: A Retrospective Analysis

Huang,

Guo,

Gao

et al. 2023

Preprint

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“…We would like to highlight that recent studies have reported high rates of technical success and low rates of cross to TFA for neuroendovascular procedures. 7 TRA is increasingly being preferred over TFA because of the reduction of cost of surgery, length of hospital stay, and postprocedural patient discomfort. 8…”

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confidence: 99%