Comparative study of endovascular treatment of intracranial aneurysms through radial artery and femoral artery approaches
Objective To comparatively evaluate the safety and feasibility of endovascular treatment of intracranial aneurysms using transradial approach(TRA)and transfemoral approach(TFA).Methods A retrospective analysis was performed on the clinical data of patients with intracranial aneurysms who underwent endovascular treatment at the Department of Neurosurgery,Qilu Hospital of Shandong University from March to August 2022.There were a total of 118 cases,of which 51 cases received TRA and 67 cases received TFA.There were no statistically significant differences in age,gender,history of related diseases,or aneurysm characteristics between the two groups of patients(all P＞0.05).We then compared the puncture success time,working approach angle,guiding catheter placement time,operation time,immediate embolization effect,patient comfort score during operation,and perioperative complications(pseudoaneurysm at the puncture point,intraoperative thrombosis,stent thrombosis,symptomatic cerebral infarction)between the two groups of patients.Results The operations were successful for both groups of patients,and no change of surgical approach occurred.The working approach angles[M(Q1,Q3)]of the TRA group and TFA were 45°(33°,62°)and 59°(50°,68°)respectively,the guiding catheter placement time[M(Q1,Q3)]were 12(8,20)min,9(7,10)min respectively,the patient comfort scores[M(Q1,Q3)]were 93(89,98)points and 73(68,76)points respectively,and the differences were statistically significant(all P＜0.05).The differences in puncture time,embolization effect or incidence of perioperative complications were not statistically significant(all P＞0.05).Conclusion Compared with TFA,endovascular treatment of intracranial aneurysms with TRA is safe,feasible and more advantageous in patient comfort.
Intracranial aneurysmEndovascular proceduresTransradial approachTrans-femoral approachTreatment outcomeComparative study
万方数据
维普
