Meta-analysis
Distal transradial access for cerebral angiography and neurointervention: a systematic review and meta-analysis
Guo Dan, Gao Yue, Liu Anming, Wang Dong, Pan Pengyu, Liang Guobiao
Published 2022-03-28
Cite as Int J Cerebrovasc Dis, 2022, 30(3): 194-200. DOI: 10.3760/cma.j.issn.1673-4165.2022.03.007
Abstract
ObjectiveTo investigate the efficacy and safety of distal transradial access for cerebral angiography and neurointervention.
MethodsThe literature about distal transradial access for cerebral angiography and neurointervention were searched in PubMed, EMbase, the Cochrane Library, CNKI, WanFang Data, and VIP database from January 2015 to September 2021. Two reviewers independently screened the literature and extracted data according to the inclusion and exclusion criteria, evaluated the literature quality according to the Newcastle-Ottawa scale. The R 4.0.5 software was used for meta-analysis.
ResultsA total of 12 articles with 987 patients were enrolled. All the studies were retrospective design and did not compare with the results of proximal transradial access and transfemoral access. A meta-analysis of the operation success rate and complication rate using a fixed effect model showed that the operation success rate of distal transradial access was 96% (95% confidence interval 95%-97%), and the incidence of minor complications was 3% (95% confidence interval 2%-4%). One patient had serious complications.
ConclusionThe distal transradial access is a safe and effective alternative approach for cerebral angiography and neurointervention.
Key words:
Cerebral angiography; Endovascular procedures; Neurosurgical procedures; Radial artery
Contributor Information
Guo Dan
The First Stationed Outpatient Department, General Hospital of Northern Theater Command, Shenyang 110002, China
Gao Yue
The First Stationed Outpatient Department, General Hospital of Northern Theater Command, Shenyang 110002, China
Liu Anming
The First Stationed Outpatient Department, General Hospital of Northern Theater Command, Shenyang 110002, China
Wang Dong
The First Stationed Outpatient Department, General Hospital of Northern Theater Command, Shenyang 110002, China
Pan Pengyu
Department of Neurosurgery, General Hospital of Northern Theater Command, Shenyang 110016, China
Liang Guobiao
Department of Neurosurgery, General Hospital of Northern Theater Command, Shenyang 110016, China
