ArticleJournal of neurointerventional surgery2021
Lower complication rates associated with transradial versus transfemoral flow diverting stent placement.
Article in Journal of neurointerventional surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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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
31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.
- Transradial versus transfemoral access for endovascular therapy of intracranial aneurysms: a systematic review and meta-analysis of cohort studies.Neurosurgical review · 2022Pooled it
- Feasibility and Safety of Flow Diversion in the Treatment of Intracranial AneurysmsFrontiers in neurology · 2022Pooled it
- Feasibility and Safety of High RIST Catheter Placement via Transradial Approach for Unruptured Anterior Circulation Aneurysm: A Single-center Era-based Retrospective Study.Neurologia medico-chirurgica · 2026Article
- Radiation exposure in transradial versus transfemoral access in endovascular treatment of intracranial aneurysms.European radiology · 2026Article
- Comparative safety, efficacy, and predictors of complete occlusion of flow diverter devices in the treatment of unruptured distal anterior cerebral artery aneurysms.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Article
- Feasibility and Safety of a Novel 4 Fr Sheath Transradial and Transbrachial Approach for Mechanical Thrombectomy in Selected Patients.Neurologia medico-chirurgica · 2025Article
- Transradial Approach for Neurovascular Interventions : A Literature Review.Journal of Korean Neurosurgical Society · 2025Article
- Transradial approach in vertebral artery stenting.Frontiers in neurology · 2025Article
- World's First Artificial Intelligence-Based Evaluation of Rist Catheter Stability in Transradial Procedures: A Feasibility Study.Journal of neuroendovascular therapy · 2025Article
- Influence of anatomical factors on the efficacy of treating femoral pseudoaneurysms with ultrasound-guided compression technique: A prospective cohort study.Irish journal of medical science · 2024Article
- TRUST Technique for Neurointervention: A Promising Alternative for Complex Cases.Current neurovascular research · 2024Article
- Quantification of the flexural rigidity of endovascular surgical devices using three-point bending tests.Research square · 2023Article
- Article
- Thyroid artery embolization of large solitary symptomatic benign thyroid nodules through transradial approach.Quantitative imaging in medicine and surgery · 2023Article
- Therapeutic efficacy and complications of radial versus femoral access in endovascular treatment of unruptured intracranial aneurysms.The neuroradiology journal · 2023Article
- Safety and Feasibility of Transradial Access for Neurointervention Procedures in Patients With Radial Artery Occlusion.Stroke (Hoboken, N.J.) · 2023Article
- Cost Comparison: Evaluating Transfemoral and Transradial Access for Diagnostic Cerebral Angiography.Stroke (Hoboken, N.J.) · 2023Article
- Transradial access with intra-aortic catheter looping for the treatment of intracranial aneurysms.Frontiers in neurology · 2023Article
- Predicting difficult transradial approach guiding into left internal carotid artery on unruptured intracranial aneurysms.Surgical neurology international · 2023Article
- Transradial Approach for Pediatric Diagnostic and Neurointerventional Surgery: Single-Center Case Series and Systematic Review.Stroke (Hoboken, N.J.) · 2022Article
Corrections and comments
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Authors and funding
45 authors at 17 institutions in 2 countries.
Funding
Abstract
backgroundCurrently, 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.
methodsWe 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.
resultsA 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).
conclusionTRA 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.
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