Comparison between transradial and transfemoral mechanical thrombectomy for ICA and M1 occlusions: insights from the Stroke Thrombectomy and Aneurysm Registry (STAR).
Michael A SilvaSameh Samir ElawadyIlko L MaierSami Al KasabPascal M JabbourJoon-Tae KimStacey Quintero WolfeAnsaar RaiMarios-Nikos PsychogiosEdgar A SamaniegoNitin GoyalShinichi YoshimuraHugo H Cuellar-SaenzJonathan A GrossbergAli AlawiehAli AlarajMohamad EzzeldinDaniele G RomanoOmar TanweerJustin MascitelliIsabel R FragataAdam J PolifkaFazeel M SiddiquiJoshua W OsbunRoberto Javier CrosaCharles C MatoukMichael R LevittBrinjikji WMark MossTravis M DumontRichard WilliamsonPedro Navia-ÁlvarezPeter T KanReade Andrew De LeacyShakeel A ChowdhryAlejandro M SpiottaMin S ParkRobert M Starkenull nullPublished in: Journal of neurointerventional surgery (2024)
Radial and femoral thrombectomy resulted in similar clinical outcomes. In multivariate analysis, the radial approach had improved revascularization rates, fewer cases of symptomatic ICH, and faster reperfusion times, but higher rates of distal emboli. Further studies on the optimal approach are necessary based on patient and disease characteristics.
Keyphrases
- acute ischemic stroke
- percutaneous coronary intervention
- cerebral ischemia
- acute myocardial infarction
- atrial fibrillation
- transcatheter aortic valve replacement
- ultrasound guided
- coronary artery
- transcatheter aortic valve implantation
- case report
- coronary artery bypass grafting
- aortic valve replacement
- minimally invasive
- data analysis
- acute coronary syndrome
- case control
- aortic valve
- left ventricular
- blood brain barrier
- subarachnoid hemorrhage
- ejection fraction