ArticleNeurologia medico-chirurgica2025
Feasibility and Safety of a Novel 4 Fr Sheath Transradial and Transbrachial Approach for Mechanical Thrombectomy in Selected Patients.
Article in Neurologia medico-chirurgica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
The transradial/transbrachial approach for mechanical thrombectomy offers potential reductions in access-site complications, but the feasibility of downsizing to a 4 Fr guiding sheath remains to be systematically assessed. To evaluate the feasibility and safety of mechanical thrombectomy performed through a 4 Fr transradial/transbrachial approach in selected patients and to compare procedural metrics with those of a contemporaneous transfemoral approach cohort treated at the same center, we retrospectively reviewed consecutive patients who underwent mechanical thrombectomy between December 2023 and December 2024. Overall, 17 patients were treated with a 4 Fr sheath through the right transradial/transbrachial approach and 87 with transfemoral approach. Baseline demographics, procedural times, recanalization rates, and access-site complications were compared using the Mann-Whitney U or χ
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