Distal transradial access for cerebral angiography and neurointervention: a systematic review and meta-analysis
10.3760/cma.j.issn.1673-4165.2022.03.007
- VernacularTitle:经远端桡动脉路径行全脑血管造影及神经介入治疗：系统评价和meta分析
- Author:
Dan GUO
1
;
Yue GAO
;
Anming LIU
;
Dong WANG
;
Pengyu PAN
;
Guobiao LIANG
Author Information
1. 北部战区总医院第一派驻门诊部，沈阳 110002
- Keywords:
Cerebral angiography;
Endovascular procedures;
Neurosurgical procedures;
Radial artery
- From:
International Journal of Cerebrovascular Diseases
2022;30(3):194-200
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy and safety of distal transradial access for cerebral angiography and neurointervention.Methods:The 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.Results:A 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.Conclusion:The distal transradial access is a safe and effective alternative approach for cerebral angiography and neurointervention.
