Effects and safety of the transradial artery approach for cerebral angiography: A comparative observational study

IF 3.2 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

European Journal of Radiology Pub Date : 2025-05-09 DOI:10.1016/j.ejrad.2025.112165

Jinchao Xia , Shuxin Xiao , Gangqin Xv , Tianxiao Li , Ziliang Wang

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引用次数: 0

Abstract

Background

Conventionally,the transfemoral artery approach has been the primary approach for neurointervention. However, this approach has been associated with perioperative complications. Thus, the purpose of this study was to evaluate the safety and feasibility of the transradial artery approach in cerebral angiography.

Methods

This study collected 2504 patients who received cerebral angiography at our center from November 2017 to June 2021. There were 1105 patients in the transradial artery group and 1399 patients in the transfemoral artery group.

Results

There were 1088 successful cases in the transradial artery group and 1386 cases in the transfemoral artery group. However, there was no significant difference in the success rate and intraoperative radiographic exposure time between the two groups (P > 0.05). The length of hospital stay and perioperative complications were significantly less in the transradial artery group than in the transfemoral artery group (P < 0.05). The logistic regression analysis for risk factors shows that age (OR = 1.891, 95 % CI 0.057–3.382, P = 0.032) and hypertension (OR = 3.265, 95 % CI 1.003–10.627, P = 0.049) were independent risk factors for angiographic success in TRA group.

Conclusion

Compared to the transfemoral artery approach, the transradial artery approach was associated with shorter hospital stays, less perioperative complications and can be used as a available approach in cerebral angiography. Age and hypertension were independent risk factors for angiographic success in TRA group.

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经桡动脉入路脑血管造影的效果和安全性：一项比较观察研究

传统上，经股动脉入路一直是神经介入治疗的主要途径。然而，这种方法与围手术期并发症有关。因此，本研究的目的是评估经桡动脉入路在脑血管造影中的安全性和可行性。方法本研究收集2017年11月至2021年6月在我中心接受脑血管造影的2504例患者。经桡动脉组1105例，经股动脉组1399例。结果经桡动脉组1088例，经股动脉组1386例。然而，两组在成功率和术中x线片暴露时间方面无显著差异(P >；0.05)。经桡动脉组住院时间和围手术期并发症明显少于经股动脉组(P <；0.05)。危险因素logistic回归分析显示，年龄（OR = 1.891, 95% CI 0.057 ~ 3.382, P = 0.032）和高血压（OR = 3.265, 95% CI 1.003 ~ 10.627, P = 0.049）是影响TRA组血管造影成功的独立危险因素。结论与经股动脉入路相比，经桡动脉入路住院时间短，围手术期并发症少，是一种可行的脑血管造影入路。年龄和高血压是影响TRA组血管造影成功的独立危险因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Radiology 医学-核医学

CiteScore

6.70

自引率

3.00%

发文量

398

审稿时长

42 days

期刊介绍： European Journal of Radiology is an international journal which aims to communicate to its readers, state-of-the-art information on imaging developments in the form of high quality original research articles and timely reviews on current developments in the field. Its audience includes clinicians at all levels of training including radiology trainees, newly qualified imaging specialists and the experienced radiologist. Its aim is to inform efficient, appropriate and evidence-based imaging practice to the benefit of patients worldwide.