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      Distal radial access for neuroangiography and neurointerventions: systematic review and meta-analysis

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          Abstract

          Background

          Many studies have shown that coronary angiography (CAG) and percutaneous coronary intervention (PCI) via distal radial access (DRA) are safe and effective. Safety and efficacy of neuroangiography and neurointerventions via DRA are unknown.

          Purpose

          Search the literatures on neuroangiography and neurointerventions via DRA and conduct a systematic review and meta-analysis.

          Methods

          PubMed, Embase and Cochrane were searched from inception to November 10, 2022. After literature screening, data extraction and assessment of literature quality, random effects model was used for meta-analysis.

          Results

          A total of 236 literatures were retrieved, and 17 literatures including 1163 patients were finally included for meta-analysis.The pooled access success rate was 0.96 (95% confidence interval, 0.94–0.98), and the heterogeneity was obvious (I 2 = 55.5%). The pooled access-related complications incidence rate was 0.03 (95% confidence interval, 0.02–0.05), and the heterogeneity was not obvious (I 2 = 15.8%).

          Conclusion

          Neuroangiography and neurointerventions via DRA may be safe and effective. DRA is an alternative access for neuroangiography and neurointerventions.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12883-023-03416-y.

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          Most cited references29

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          Methodological quality and synthesis of case series and case reports

          Mohammad Hassan Murad, Shahnaz Sultan, Samir Haffar … (2018)
          Case reports and case series are uncontrolled study designs known for increased risk of bias but have profoundly influenced the medical literature and continue to advance our knowledge. In this guide, we present a framework for appraisal, synthesis and application of evidence derived from case reports and case series. We propose a tool to evaluate the methodological quality of case reports and case series based on the domains of selection, ascertainment, causality and reporting and provide signalling questions to aid evidence-based practitioners and systematic reviewers in their assessment. We suggest using evidence derived from case reports and case series to inform decision-making when no other higher level of evidence is available.
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            Left distal transradial access in the anatomical snuffbox for coronary angiography (ldTRA) and interventions (ldTRI).

            Ferdinand Kiemeneij (2017)
            To demonstrate the feasibility of distal left transradial approach for patients in whom left radial access is preferred over right radial access for coronary angiography and interventions. This procedure is more convenient for the operator. For the right- handed patient, left radial access is more convenient because of the free use of the right hand after the procedure. In addition, this technique reduces the chance for radial artery occlusion at the site of the distal forearm.
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              Best Practices for the Prevention of Radial Artery Occlusion After Transradial Diagnostic Angiography and Intervention

              Ivo Bernat, Adel Aminian, Samir Pancholy … (2019)
              Transradial access (TRA) is increasingly used worldwide for percutaneous interventional procedures and associated with lower bleeding and vascular complications than transfemoral artery access. Radial artery occlusion (RAO) is the most frequent post-procedural complication of TRA, restricting the use of the same radial artery for future procedures and as a conduit for coronary artery bypass graft. The authors review recent advances in the prevention of RAO following percutaneous TRA diagnostic or interventional procedures. Based on the available data, the authors provide easily applicable and effective recommendations to prevent periprocedural RAO and maximize the chances of access in case of repeat catheterization or coronary artery bypass grafting surgery.
              Article 0 comments Cited 38 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Maogang Li: limaogang81@163.com
                Gang Cao:
                ORCID: http://orcid.org/0000-0001-6796-1103
                964168061@qq.com
                Journal
                Journal ID (nlm-ta): BMC Neurol
                Journal ID (iso-abbrev): BMC Neurol
                Title: BMC Neurology
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1471-2377
                Publication date (Electronic): 15 November 2023
                Publication date PMC-release: 15 November 2023
                Publication date Collection: 2023
                Volume: 23
                Electronic Location Identifier: 405
                Affiliations
                [1 ]Department of Neurology, Ganzhou Hospital of Guangdong Provincial People’s Hospital, Ganzhou Municipal Hospital, ( https://ror.org/045kpgw45) Ganzhou, 341000 China
                [2 ]Department of Ultrasonography, Ganzhou Hospital of Guangdong Provincial People’s Hospital, Ganzhou Municipal Hospital, ( https://ror.org/045kpgw45) Ganzhou, 341000 China
                [3 ]Department of Cardiology, Ganzhou People’s Hospital, ( https://ror.org/00r398124) Ganzhou, 341000 China
                [4 ]Department of Radiology and Imaging, Ganzhou Hospital of Guangdong Provincial People’s Hospital, Ganzhou Municipal Hospital, ( https://ror.org/045kpgw45) Ganzhou, 341000 China
                [5 ]Department of Cardiology, Ganzhou Hospital of Guangdong Provincial People’s Hospital, Ganzhou Municipal Hospital, ( https://ror.org/045kpgw45) Ganzhou, 341000 China
                [6 ]Department of Neurological Surgery, Ganzhou Hospital of Guangdong Provincial People’s Hospital, Ganzhou Municipal Hospital, ( https://ror.org/045kpgw45) Ganzhou, 341000 China
                Author information
                http://orcid.org/0000-0001-6796-1103
                Article
                Publisher ID: 3416
                DOI: 10.1186/s12883-023-03416-y
                PMC ID: 10648363
                PubMed ID: 37968640
                SO-VID: f2a11cea-b3a4-467a-9435-f8ca9f810040
                Copyright © © The Author(s) 2023
                License:

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                Date received : 21 April 2023
                Date accepted : 30 September 2023
                Categories
                Subject: Research
                Custom metadata
                issue-copyright-statement © BioMed Central Ltd., part of Springer Nature 2023

                ScienceOpen disciplines: Neurology
                Keywords: distal radial access,cerebral angiography,neuroangiography,neurointervention
                Data availability:
                ScienceOpen disciplines: Neurology
                Keywords: distal radial access, cerebral angiography, neuroangiography, neurointervention

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