目的:在神经介入领域,用于诊断和介入神经介入手术的经桡骨入路(TRA)最近获得了经股动脉入路(TFA)的牵引力。这项荟萃分析旨在评估和总结TRA在脑血管造影和神经介入手术中的实用性。
方法:利用Pubmed,Embase,和Scopus数据库。使用PRISMA指南,用以下搜索词提取记录:经桡动脉入路,经桡动脉进入,径向通道,脑血管造影,脑血管造影,神经干预,和神经血管内血管。评估的主要结果是病例成功率,并发症发生率,和从TRA到TFA的交叉率。对手术时间进行二次分析,透视时间,每条血管的透视时间(仅诊断程序),造影剂剂量,桡动脉直径,桡动脉远端直径,以及患者对TRA的偏好高于TFA。
结果:对62篇全文进行了荟萃分析,代表12,927名诊断和介入性TRA患者。我们的分析显示,联合诊断和介入病例的成功率为95.9%,并发症发生率为3.5%。4.9%的病例发生与TFA的交叉。
结论:这项荟萃分析表明,TRA用于诊断性血管造影和神经介入治疗是一种安全有效的方法。尽管由于TRA并发症的定义随着时间的推移在各种出版物中发生了变化,因此确定真实的并发症发生率具有挑战性。
UNASSIGNED: Transradial access (TRA) for diagnostic and interventional neurointerventional procedures has recently gained traction over transfemoral access (TFA) in the neurointerventional community. This meta-analysis aims to assess and summarize the utility of TRA in cerebral angiography and neurointerventional procedures.
UNASSIGNED: A systematic literature
review was performed utilizing Pubmed, Embase, and Scopus databases. Using PRISMA guidelines, records were extracted with the following search terms: transradial approach, transradial access, radial access, cerebral angiogram, cerebral angiography,
neurointervention, and neuroendovascular. The primary outcomes assessed were case success rate, complication rate, and crossover rate from TRA to TFA. Secondary analysis was performed on procedure time, fluoroscopy time, fluoroscopy time per vessel (diagnostic procedures only), contrast dose, radial artery diameter, distal radial artery diameter, and patient preference for TRA over TFA.
UNASSIGNED: Sixty-two full-text articles were analyzed for this meta-analysis, representing 12,927 diagnostic and interventional TRA access patients. Our analysis revealed a combined diagnostic and interventional case success rate of 95.9% and complication rate of 3.5%, with crossover to TFA occurring in 4.9% of cases.
UNASSIGNED: This meta-analysis demonstrates that TRA access for diagnostic angiography and neurointerventional procedures is a safe and effective approach, though determining a true complication rate is challenging as the definition of TRA complications has changed in various publications over time.