SynthesisJournal of endovascular therapy : an official journal of the International Society of Endovascular Specialists2018
Transradial Approach for Aortoiliac and Femoropopliteal Interventions: A Systematic Review and Meta-analysis.
Synthesis in Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Guideline
- Cerebrovascular Complications After Upper Extremity Access for Complex Aortic Interventions: A Systematic Review and Meta-Analysis.Cardiovascular and interventional radiology · 2020Pooled it
- Usefulness of ultrasonography to confirm hemostasis after femoral artery access in endovascular therapy.CVIR endovascular · 2026Article
- Clinical outcomes of endovascular therapy for aortoiliac artery chronic total occlusion via the transradial approach.CVIR endovascular · 2025Article
- Procedural Utility, Reliability, and Success of Endovascular Intervention for Peripheral Arterial Disease Utilizing Transradial Access.Journal of the Society for Cardiovascular Angiography & Interventions · 2025Article
- Results from a multicenter retrospective study of transradial iliac artery stenting in Japan.Cardiovascular intervention and therapeutics · 2025Article
- Clinical comparison of transfemoral vs. distal transradial access for lower extremity arteriography.Frontiers in surgery · 2025Review
- Alternative access for peripheral vascular interventions.Journal of vascular surgery cases and innovative techniques · 2023Article
- Combining transradial access and sheathless femoral access for complex iliac artery chronic total occlusions.CVIR endovascular · 2022Article
- Distal Radial Artery Access for Superficial Femoral Artery Interventions.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2021Article
- Dual alternate access sites for the treatment of an ostial left common iliac artery chronic total occlusion.SAGE open medical case reports · 2020Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo present a systematic review and meta-analysis comparing the transradial approach for aortoiliac and femoropopliteal interventions to the traditional transfemoral access.
methodsA search of the public domain databases MEDLINE, SCOPUS, Web of Science, and Cochrane Library Databases was performed to identify studies related to the use of the transradial approach for infra-aortic procedures. Meta-analysis was used to compare the transradial to the transfemoral route in terms of procedure success, complications, procedure parameters, and hospital length of stay. Results are presented as the odds ratio (OR) and 95% confidence interval (CI).
resultsNineteen studies containing 638 patients with transradial access for lower limb interventions were selected. Lesions were treated from the aortic bifurcation down to the popliteal artery. The mean technical success rate was 90.9%, conversion to a transfemoral approach was necessary in 9.9%, and complications were reported in 1.9%. The meta-analysis included 4 comparative studies involving 114 transradial and 208 transfemoral procedures. There was no significant advantage of either approach in terms of procedure success (OR 5.0, 95% CI 0.49 to 50.83, p=0.17), but the risk of developing a complication was significantly lower (OR 0.25, 95% CI 0.07 to 0.86, p=0.03) with the transradial approach.
conclusionTransradial access for lower limb endovascular interventions can be performed with comparable technical success and a lower overall complication profile compared to transfemoral access.
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