Distal Transradial Access for Diagnostic Cerebral Angiography and Neurointervention: Systematic Review and Meta-analysis.
Journal
AJNR. American journal of neuroradiology
ISSN: 1936-959X
Titre abrégé: AJNR Am J Neuroradiol
Pays: United States
ID NLM: 8003708
Informations de publication
Date de publication:
05 2021
05 2021
Historique:
received:
14
09
2020
accepted:
11
11
2020
pubmed:
13
3
2021
medline:
10
7
2021
entrez:
12
3
2021
Statut:
ppublish
Résumé
Radial artery access for cerebral angiography is traditionally performed in the wrist. Distal transradial access in the anatomic snuffbox is an alternative with several advantages. Our aim was to review the safety and efficacy of distal transradial access for diagnostic cerebral angiography and neurointerventions. We performed a comprehensive search of the literature using PubMed, Scopus, and EMBASE. The study included all case series of at least 10 patients describing outcomes associated with distal transradial access for diagnostic cerebral angiography or a neurointervention. Random-effects models were used to obtain pooled rates of procedural success and complications. A total of 7 studies comprising 348 (75.8%) diagnostic cerebral angiograms and 111 (24.2%) interventions met the inclusion criteria. The pooled success rate was 95% (95% CI, 91%-98%; I A small number of studies met the inclusion criteria, all of them were retrospective, and none compared outcomes with proximal transradial or femoral access. Early experience with distal transradial access suggests that it is a safe and effective alternative to proximal radial and femoral access for performing diagnostic cerebral angiography and interventions. Additional studies are needed to establish its efficacy and compare it with other access sites.
Sections du résumé
BACKGROUND
Radial artery access for cerebral angiography is traditionally performed in the wrist. Distal transradial access in the anatomic snuffbox is an alternative with several advantages.
PURPOSE
Our aim was to review the safety and efficacy of distal transradial access for diagnostic cerebral angiography and neurointerventions.
DATA SOURCES
We performed a comprehensive search of the literature using PubMed, Scopus, and EMBASE.
STUDY SELECTION
The study included all case series of at least 10 patients describing outcomes associated with distal transradial access for diagnostic cerebral angiography or a neurointervention.
DATA ANALYSIS
Random-effects models were used to obtain pooled rates of procedural success and complications.
DATA SYNTHESIS
A total of 7 studies comprising 348 (75.8%) diagnostic cerebral angiograms and 111 (24.2%) interventions met the inclusion criteria. The pooled success rate was 95% (95% CI, 91%-98%; I
LIMITATIONS
A small number of studies met the inclusion criteria, all of them were retrospective, and none compared outcomes with proximal transradial or femoral access.
CONCLUSIONS
Early experience with distal transradial access suggests that it is a safe and effective alternative to proximal radial and femoral access for performing diagnostic cerebral angiography and interventions. Additional studies are needed to establish its efficacy and compare it with other access sites.
Identifiants
pubmed: 33707276
pii: ajnr.A7074
doi: 10.3174/ajnr.A7074
pmc: PMC8115378
doi:
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
888-895Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2021 by American Journal of Neuroradiology.
Références
AJNR Am J Neuroradiol. 2019 Sep;40(9):1526-1528
pubmed: 31467236
J Neurointerv Surg. 2020 Aug;12(8):798-801
pubmed: 31915209
Oper Neurosurg (Hagerstown). 2020 Sep 15;19(4):353-363
pubmed: 32365203
Oper Neurosurg (Hagerstown). 2020 Oct 15;19(5):495-501
pubmed: 32448914
J Endovasc Ther. 2019 Oct;26(5):717-724
pubmed: 31257996
Catheter Cardiovasc Interv. 2019 Nov 1;94(5):651-657
pubmed: 30801939
World Neurosurg. 2019 Feb;122:355-359
pubmed: 30447446
Stroke Vasc Neurol. 2019 Nov 27;5(1):103-106
pubmed: 32411415
JACC Cardiovasc Interv. 2015 Feb;8(2):283-291
pubmed: 25596790
Catheter Cardiovasc Interv. 2008 Sep 1;72(3):335-340
pubmed: 18726956
AJNR Am J Neuroradiol. 2019 Nov;40(11):1947-1953
pubmed: 31582386
EuroIntervention. 2014 Jul;10(3):381-91
pubmed: 25042266
EuroIntervention. 2009 May;5(1):115-20
pubmed: 19577992
Lancet. 2015 Jun 20;385(9986):2465-76
pubmed: 25791214
J Neurointerv Surg. 2019 Jul;11(7):710-713
pubmed: 30814329
Lancet. 2011 Apr 23;377(9775):1409-20
pubmed: 21470671
Interv Neuroradiol. 2020 Dec;26(6):713-718
pubmed: 32403960
Catheter Cardiovasc Interv. 2020 Dec;96(7):1381-1389
pubmed: 31785083
Surg Neurol Int. 2019 Nov 01;10:211
pubmed: 31768291
PLoS One. 2020 Aug 21;15(8):e0237798
pubmed: 32822396
Cardiovasc Revasc Med. 2020 Oct;21(10):1209-1213
pubmed: 32321695
J Neurointerv Surg. 2020 Sep;12(9):886-892
pubmed: 32152185
BMJ Evid Based Med. 2018 Apr;23(2):60-63
pubmed: 29420178
Ann Vasc Surg. 2019 Oct;60:236-245
pubmed: 31200041
Interv Neuroradiol. 2020 Aug;26(4):506-513
pubmed: 32408785
Expert Rev Cardiovasc Ther. 2019 Jun;17(6):435-447
pubmed: 31213156
JACC Cardiovasc Interv. 2009 Nov;2(11):1047-54
pubmed: 19926042
EuroIntervention. 2017 Sep 20;13(7):851-857
pubmed: 28506941
J Clin Epidemiol. 2009 Oct;62(10):1006-12
pubmed: 19631508
Cardiovasc Revasc Med. 2019 Aug;20(8):678-680
pubmed: 30314833