2022
DOI: 10.1016/j.wneu.2022.04.043
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Transradial versus Transfemoral Approach for Neuroendovascular Procedures: A Survey of Patient Preferences and Perspectives

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Cited by 11 publications
(5 citation statements)
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“…Similar to the findings from randomized controlled trials in interventional cardiology, neuroendovascular studies have reported lower access site-related complications with the TRA compared with the TFA. 1,[3][4][5][6][7][8] Generally, it has been shown that DCA difficulty quantified by the amount of contrast used, the length of the procedure, and the operator's subjective difficulty in selecting target vessels was significantly correlated with cerebral diffusion-weighted imaging (DWI) hits after DCA. 17 Recent preliminary evidence suggests that the TRA compared with the TFA is associated with a 3.9 times higher risk for DWI lesions.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Similar to the findings from randomized controlled trials in interventional cardiology, neuroendovascular studies have reported lower access site-related complications with the TRA compared with the TFA. 1,[3][4][5][6][7][8] Generally, it has been shown that DCA difficulty quantified by the amount of contrast used, the length of the procedure, and the operator's subjective difficulty in selecting target vessels was significantly correlated with cerebral diffusion-weighted imaging (DWI) hits after DCA. 17 Recent preliminary evidence suggests that the TRA compared with the TFA is associated with a 3.9 times higher risk for DWI lesions.…”
Section: Discussionmentioning
confidence: 99%
“…Lately, increasing evidence substantiated the reduction of access-related complications with the TRA compared with the TFA while demonstrating equal effectiveness. 1,[3][4][5][6][7][8] The potential drawbacks of the TRA are an increased risk for clinically silent diffusion-weighted imaging lesions with undetermined clinical impact. 9 Intraoperative cerebral angiography (IOA) is a useful adjunct in open and hybrid cerebrovascular surgery.…”
mentioning
confidence: 99%
“…Concerning arterial access sites, the transfemoral approach (TFA) has been demonstrated to increase the rate of vessel-related complications and bleeding complications compared with the transradial approach (TRA). [1][2][3] Femoral approach has given rise to increased mortality and hospital stay in percutaneous coronary intervention (PCI). [4,5] Observational and randomized control trials comparing the TRA with TFA for coronary angiography and PCI showed a significant reduction in bleeding and access site complications when the TRA was used.…”
Section: Introductionmentioning
confidence: 99%
“…1,2 Reportedly, in the cerebrovascular field, the TRA is sufficient for completing examinations and neuroendovascular treatment, except in cases where definitive selection of the branches of the external carotid artery or left vertebral artery is necessary. [3][4][5] Recently, the distal radial artery approach (DRA), which involves puncturing the radial artery (RA) running through the anatomical snuffbox, has garnered attention as a less invasive approach. [6][7][8] An additional advantage is that there is minimal restriction of patient movement after the test.…”
Section: Introductionmentioning
confidence: 99%
“…1,2 Reportedly, in the cerebrovascular field, the TRA is sufficient for completing examinations and neuroendovascular treatment, except in cases where definitive selection of the branches of the external carotid artery or left vertebral artery is necessary. 35…”
Section: Introductionmentioning
confidence: 99%