Meng Du, Yueyu Hu, Deyuan Zhu, Wei Cao, Peng Li, Dayong Qi, Chao Wu, Juanling He, Shifei Ye, Suya Li, Yibin Fang
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引用次数: 0
摘要
关于经桡动脉入路(TRA)颈动脉支架置入术的研究越来越多。我们旨在总结经桡动脉途径与经股动脉途径(TFA)的已发表数据。我们检索了 Science Direct、Embase、PubMed 和 Web of Science 数据库中的相关文献。主要结果包括手术成功率和心脑血管并发症发生率;次要结果包括血管通路相关并发症和其他并发症的发生率。我们还比较了 TRA 和 TFA 颈动脉支架术的交叉率、成功率和并发症。这是首次对 TRA 和 TFA 进行此类荟萃分析。共纳入了 20 项关于 TRA 颈动脉支架置入术的研究(n = 1300)。在19项研究中,TRA颈动脉支架植入术的成功率为0.951(95%置信区间[CI]:0.926-0.975);死亡率为0.022(0.011-0.032);中风率为0.005(0.001-0.008);桡动脉闭塞率为0.008(0.003-0.013);前臂血肿率为0.003(-0.000-0.006)。在比较 TRA 和 TFA 的 4 项研究中,TRA 的成功率较低(几率比:.02;95% CI:.00-.23),交叉率较高(几率比:40.16;95% CI:4.41-365.73)。因此,经桡动脉神经介入手术的成功率低于 TFA。
Systematic Review and Meta-Analysis of Transradial Access for Carotid Artery Stenting.
There is an increasing number of studies on the transradial approach (TRA) for carotid artery stenting. We aimed to summarize the published data on TRA vs the transfemoral approach (TFA). We searched Science Direct, Embase, PubMed, and Web of Science databases for the relevant literature. Primary outcomes included surgical success and cardiovascular and cerebrovascular complication rates; secondary outcomes included the rates of vascular access-related and other complications. We also compared the crossover rate, success rate, and complications between TRA and TFA carotid stenting. This is the first such meta-analysis regarding TRA and TFA. Twenty studies on TRA carotid stenting were included (n = 1300). Among 19 studies, the success rate of TRA carotid stenting was .951 (95% confidence interval [CI]: .926-.975); death rate was .022 (.011-.032); stroke rate was .005 (.001-.008); radial artery occlusion rate was .008 (.003-.013); and forearm hematoma rate was .003 (-.000 to .006). Among 4 studies comparing TRA and TFA, the success rate was lower (odds ratio: .02; 95% CI: .00-.23) and crossover rate was higher (odds ratio: 40.16; 95% CI: 4.41-365.73) with TRA. Thus, transradial neuro-interventional surgery has a lower success rate than TFA.
期刊介绍:
A presentation of original, peer-reviewed original articles, review and case reports relative to all phases of all vascular diseases, Angiology (ANG) offers more than a typical cardiology journal. With approximately 1000 pages per year covering diagnostic methods, therapeutic approaches, and clinical and laboratory research, ANG is among the most informative publications in the field of peripheral vascular and cardiovascular diseases. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 13 days