Transradial versus transfemoral approach for cerebral angiography: A prospective comparison
Objectives: To evaluate the feasibility, efficiency, and safety of the transradial approach (TRA) for cerebral angiography versus the transfemoral approach (TFA) in patients. Methods: In this trial, 2314 patients underwent cerebral angiography, with 1085 patients undergoing the procedure via radial...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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KeAi Communications Co., Ltd.
2019-02-01
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| Series: | Journal of Interventional Medicine |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2096360219300687 |
| _version_ | 1828521732006215680 |
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| author | Ziliang Wang Jinchao Xia Wei Wang Gangqin Xu Jianjun Gu Yongfeng Wang Tianxiao Li |
| author_facet | Ziliang Wang Jinchao Xia Wei Wang Gangqin Xu Jianjun Gu Yongfeng Wang Tianxiao Li |
| author_sort | Ziliang Wang |
| collection | DOAJ |
| description | Objectives: To evaluate the feasibility, efficiency, and safety of the transradial approach (TRA) for cerebral angiography versus the transfemoral approach (TFA) in patients. Methods: In this trial, 2314 patients underwent cerebral angiography, with 1085 patients undergoing the procedure via radial access and 1229 via transfemoral access. The arterial puncture time, operation success rate, oppression time on puncture points, local vascular complication incidence (including bleeding, hematoma, and pseudoaneurysm), deep venous thrombosis of lower limbs (DVT), and bradycardia/hypotension were observed and compared between the two groups. Results: Of the patients who underwent cerebral angiography via radial access, the procedure was successful in 1070 patients; compared with 1219 patients with transfemoral access, there was no significant difference (P > 0.05) in the success rate or the arterial puncture time. Radial access patients were less likely to present with oppression time on puncture points, local vascular complications, DVT, and bradycardia/hypotension compared with femoral access patients. Conclusions: For patients undergoing cerebral angiography, radial and femoral approaches are both safe and effective. However, the lower rate of local vascular complications may be a reason to use the radial approach. Keywords: Cerebral angiography, Transradial approach, Transfemoral approach, Intervention |
| first_indexed | 2024-12-11T19:54:54Z |
| format | Article |
| id | doaj.art-c8131def479b46ad8ac29be4a5e4d082 |
| institution | Directory Open Access Journal |
| issn | 2096-3602 |
| language | English |
| last_indexed | 2024-12-11T19:54:54Z |
| publishDate | 2019-02-01 |
| publisher | KeAi Communications Co., Ltd. |
| record_format | Article |
| series | Journal of Interventional Medicine |
| spelling | doaj.art-c8131def479b46ad8ac29be4a5e4d0822022-12-22T00:52:40ZengKeAi Communications Co., Ltd.Journal of Interventional Medicine2096-36022019-02-01213134Transradial versus transfemoral approach for cerebral angiography: A prospective comparisonZiliang Wang0Jinchao Xia1Wei Wang2Gangqin Xu3Jianjun Gu4Yongfeng Wang5Tianxiao Li6Department of Intervention, Henan Provincial People's Hospital,Henan University, Zhengzhou, Henan, ChinaDepartment of Intervention, Henan Provincial People's Hospital,Henan University, Zhengzhou, Henan, ChinaHenan Provincial Medical Association, Zhengzhou, 450000, Henan, ChinaDepartment of Intervention, Henan Provincial People's Hospital,Henan University, Zhengzhou, Henan, ChinaDepartment of Intervention, Henan Provincial People's Hospital,Henan University, Zhengzhou, Henan, ChinaDepartment of Intervention, Henan Provincial People's Hospital,Henan University, Zhengzhou, Henan, ChinaDepartment of Intervention, Henan Provincial People's Hospital,Henan University, Zhengzhou, Henan, China; Corresponding author. Department of Intervention, Henan Provincial People's Hospital, Henan University, No. 7 Weiwu Rd, Zhengzhou City, Henan Province, 450003, PR China.Objectives: To evaluate the feasibility, efficiency, and safety of the transradial approach (TRA) for cerebral angiography versus the transfemoral approach (TFA) in patients. Methods: In this trial, 2314 patients underwent cerebral angiography, with 1085 patients undergoing the procedure via radial access and 1229 via transfemoral access. The arterial puncture time, operation success rate, oppression time on puncture points, local vascular complication incidence (including bleeding, hematoma, and pseudoaneurysm), deep venous thrombosis of lower limbs (DVT), and bradycardia/hypotension were observed and compared between the two groups. Results: Of the patients who underwent cerebral angiography via radial access, the procedure was successful in 1070 patients; compared with 1219 patients with transfemoral access, there was no significant difference (P > 0.05) in the success rate or the arterial puncture time. Radial access patients were less likely to present with oppression time on puncture points, local vascular complications, DVT, and bradycardia/hypotension compared with femoral access patients. Conclusions: For patients undergoing cerebral angiography, radial and femoral approaches are both safe and effective. However, the lower rate of local vascular complications may be a reason to use the radial approach. Keywords: Cerebral angiography, Transradial approach, Transfemoral approach, Interventionhttp://www.sciencedirect.com/science/article/pii/S2096360219300687 |
| spellingShingle | Ziliang Wang Jinchao Xia Wei Wang Gangqin Xu Jianjun Gu Yongfeng Wang Tianxiao Li Transradial versus transfemoral approach for cerebral angiography: A prospective comparison Journal of Interventional Medicine |
| title | Transradial versus transfemoral approach for cerebral angiography: A prospective comparison |
| title_full | Transradial versus transfemoral approach for cerebral angiography: A prospective comparison |
| title_fullStr | Transradial versus transfemoral approach for cerebral angiography: A prospective comparison |
| title_full_unstemmed | Transradial versus transfemoral approach for cerebral angiography: A prospective comparison |
| title_short | Transradial versus transfemoral approach for cerebral angiography: A prospective comparison |
| title_sort | transradial versus transfemoral approach for cerebral angiography a prospective comparison |
| url | http://www.sciencedirect.com/science/article/pii/S2096360219300687 |
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