Complications of transradial versus transfemoral access for neuroendovascular procedures: a meta-analysis.
Publication/Presentation Date
8-1-2022
Abstract
BACKGROUND: Transradial access (TRA) has gained increased usage among neurointerventionalists. However, the overall safety profile of access site complications (ASCs) and non-access site complications (NASCs) of TRA versus transfemoral access (TFA) for neuroendovascular procedures remains unclear.
METHODS: A systematic literature review and meta-analysis using a random effects model was conducted to investigate the pooled odds ratios (OR) of ASCs and NASCs. Randomized, case-control, and cohort studies comparing access-related complications were analyzed. An assessment of study heterogeneity and publication bias was also completed.
RESULTS: Seventeen comparative studies met the inclusion criteria for final analysis. Overall, there was a composite ASC rate of 1.8% (49/2767) versus 3.2% (168/5222) for TRA and TFA, respectively (P< 0.001). TRA was associated with a lower odds of ASC compared with TFA (OR 0.42; 95% CI 0.25 to 0.68, P< 0.001, I
CONCLUSION: On meta-analysis, the current literature indicates that TRA is associated with a lower incidence of ASCs compared with TFA, but is not associated with a lower rate of NASCs.
Volume
14
Issue
8
First Page
820
Last Page
825
ISSN
1759-8486
Published In/Presented At
Schartz, D., Akkipeddi, S. M. K., Ellens, N., Rahmani, R., Kohli, G. S., Bruckel, J., Caplan, J. M., Mattingly, T. K., Bhalla, T., & Bender, M. T. (2022). Complications of transradial versus transfemoral access for neuroendovascular procedures: a meta-analysis. Journal of neurointerventional surgery, 14(8), 820–825. https://doi.org/10.1136/neurintsurg-2021-018032
Disciplines
Medicine and Health Sciences
PubMedID
34479985
Department(s)
Department of Surgery
Document Type
Article