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Comparative study of the clinical value of digital subtraction angiography via femoral and radial arterial paths.
Zeng, Hu; Xie, Jia-Yu; Xu, Li-Xin; Cao, Wu-Yang; Liu, Meng-Jiao; Que, Si-Wei.
Afiliación
  • Zeng H; Neurosurgery Department, Changde Hospital, Xiangya School of Medicine, Central South University Changde 415000, Hunan, China.
  • Xie JY; Neurosurgery Department, Changde Hospital, Xiangya School of Medicine, Central South University Changde 415000, Hunan, China.
  • Xu LX; Neurosurgery Department, Changde Hospital, Xiangya School of Medicine, Central South University Changde 415000, Hunan, China.
  • Cao WY; Neurosurgery Department, Changde Hospital, Xiangya School of Medicine, Central South University Changde 415000, Hunan, China.
  • Liu MJ; Gu Lian Rehabilitation Hospital of Changde City Changde 415000, Hunan, China.
  • Que SW; Neurosurgery Department, Changde Hospital, Xiangya School of Medicine, Central South University Changde 415000, Hunan, China.
Am J Transl Res ; 16(7): 3064-3071, 2024.
Article en En | MEDLINE | ID: mdl-39114697
ABSTRACT

OBJECTIVE:

To evaluate the clinical efficacy of digital subtraction angiography (DSA) performed via femoral artery and radial artery approaches.

METHODS:

This retrospective study included 480 patients requiring cerebral vascular angiography at the First People's Hospital of Changde City from March 2020 to February 2022. Patients were divided into the femoral artery group (transfemoral approach, n=400) and the radial artery group (transradial approach, n=80) according to the surgical route. We compared perioperative metrics, success rates of selective angiography and puncture, and complication rates (including pseudoaneurysm, urinary retention, hematoma, vasospasm) between the groups. Multivariate logistic regression was used to analyze factors influencing the failure of angiography by each approach.

RESULTS:

The radial artery group exhibited shorter durations for puncture, hemostasis, exposure, operation, and postoperative recovery (all P<0.001). The success rate of selective angiography was higher in the radial artery group (93.75%) compared to the femoral artery group (85.25%) (χ2=4.168, P=0.041). No significant difference was found in puncture success rates between the groups (χ2=0.235, P=0.628). The overall complication rate was significantly lower in the radial artery group (2.50%) compared to the femoral artery group (9.25%) (χ2=4.069, P=0.044). Gender and low-density lipoprotein cholesterol levels were significant predictors of angiography failure in both approaches (both P<0.05).

CONCLUSION:

The transradial approach for DSA is safe and feasible, offering advantages in terms of operational time and complication rates, making it the preferred method in clinical settings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Transl Res Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Am J Transl Res Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos