ArticleStroke and vascular neurology2021
Transradial versus transfemoral access for anterior circulation mechanical thrombectomy: analysis of 375 consecutive cases.
Article in Stroke and vascular neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05225636 (Stroke Process in FEmoral Versus Radial Access), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Stroke Process in FEmoral Versus Radial Access
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Transradial versus transfemoral access for endovascular therapy of intracranial aneurysms: a systematic review and meta-analysis of cohort studies.Neurosurgical review · 2022Pooled it
- Comparing Two Distal Radial Hemostatic Devices for Radial Artery Patency Post-TACE: A Randomized Trial.Cardiovascular and interventional radiology · 2026Trial
- Early implementation of transradial mechanical thrombectomy in a primary stroke center: a sequential cohort propensity score-matched study.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
- Structural radial artery modifications following transradial access: Mechanisms, clinical implications, and preventive strategies.World journal of cardiology · 2025Review
- Initial experience of utilizing a lower-profile transradial approach for mechanical thrombectomy: Comparable efficacy to larger-bore transfemoral approaches.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Feasibility and safety of 0.018-inch guidewire-supported distal access catheters in establishing transradial neurointerventional access.Scientific reports · 2025Article
- The application of Trans-Radial telescoping catheter technique with a Distal Access catheter and Simmons catheter (RDAS) in neurointerventional procedures: A dual-center experience.Neurosurgical review · 2025Article
- A retrospective review of safety and efficacy of the selectFlex neurovascular access catheters.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Transradial Approach for Neurovascular Interventions : A Literature Review.Journal of Korean Neurosurgical Society · 2025Article
- A "Radial Ready" Tricoaxial Setup for Anterior Circulation Mechanical Thrombectomy: Technical Aspects and Preliminary Results.Neurointervention · 2024Article
- Maximizing the Available Space : The New RED 062 Aspiration Catheter in Conjunction with 7F Guide Catheter in Mechanical Thrombectomy for Left Anterior Circulation Stroke via Direct Transradial Approach.Clinical neuroradiology · 2023Article
- Therapeutic efficacy and complications of radial versus femoral access in endovascular treatment of unruptured intracranial aneurysms.The neuroradiology journal · 2023Article
- Transradial Versus Transfemoral Access for Mechanical Thrombectomy: A Systematic Review and Meta-Analysis.Stroke (Hoboken, N.J.) · 2023Article
- What You Always Wanted to Know about Endovascular Therapy in Acute Ischemic Stroke but Never Dared to Ask: A Comprehensive Review.Reviews in cardiovascular medicine · 2022Review
- Safety and Efficacy of Radial Versus Femoral Artery Access for Mechanical Thrombectomy Procedures Following Intravenous Administration of Tissue Plasminogen Activator.Stroke (Hoboken, N.J.) · 2022Article
- Transradial Versus Transfemoral Approach for Endovascular Thrombectomy of Left Anterior Circulation Stroke With Bovine Arch.Stroke (Hoboken, N.J.) · 2022Article
- Transradial Access Results in Faster Recanalization in Left Anterior Circulation Stroke with Bovine Arch Anatomy.Stroke (Hoboken, N.J.) · 2022Article
- Review
- Transradial versus transfemoral access for acute stroke endovascular thrombectomy: a 4-year experience in a high-volume center.Neuroradiology · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare transradial artery access (TRA) to the gold standard of transfemoral artery access (TFA) in mechanical thrombectomy (MT) for stroke caused by anterior circulation large vessel occlusion.
methodsThe clinical outcomes, procedural speed, angiographic efficacy and safety of both techniques were analysed in 375 consecutive cases over an 18-month period in a high volume statewide neurointerventional service.
resultsThere was no significant difference in patient characteristics, stroke parameters, imaging techniques or intracranial techniques. The median time elapsed between CT scanning and reperfusion was 96.5 min (IQR 68-123) in the TFA group and 95 min (IQR 68-123) in the TRA group (p=0.456). Of 336 patients who were independent at presentation 58% (124/214) of the TFA group and 67% (82/122) of the TRA group had a modified Rankin score of 0-2 at 90-day follow-up (p=0.093). Cross-over from radial to femoral was 4.6% (4/130) compared with 1.6% cross-over from femoral to radial (4/245), but did not meet the predetermined level of statistical significance (OR 2.92, 95% CI 0.81 to 10.52), p=0.088) and did not impact median procedural speed. Adequate angiographic reperfusion, first pass reperfusion, embolisation to new territory and symptomatic intracranial haemorrhage were similar in both groups. There was a significant difference in major access site complications requiring an additional procedure. None of the TRA cases had a major access site complication but 6.5% (16/245) of the TFA cases did (p=0.003).
conclusionThis study suggests that using TRA for anterior circulation MT is fast, efficacious, safe and not inferior to the gold standard of TFA.
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Registered trials
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