The Evaluation of Efficacy and Safety of Coil Embolization in Treatment of Intracranial Aneurysms via Distal Trans-Radial Artery under Guidance of DSA
Objective To investigate the efficacy of coil embolization in the treatment of intracranial aneurysms under the guidance of distal radial artery routing ( dTRA ) angiography ( DSA ) .Methods A total of 90 patients with intracranial aneurysms who received coil embolization interventional therapy via distal radial artery under DSA guidance in our hospital from December 2021 to December 2023 were retrospectively included as the observation group,and another 90 patients who received femoral artery route therapy during the same period were selected as the control group.The operative indexes,operative efficacy,and postoperative complications were observed.Results The puncture time and operation time in the observation group were longer than those in the control group,but the hospitalization time was shorter than those in the control group ( all P<0.05 ) .There was no statistical significance in the number of successful first-time puncture cases between the two groups ( P>0.05 ) .There was no significant difference in the score of the modified Rankin scale between the two groups at 3 months,6 months,and 12 months after surgery ( P>0.05 ) .The total complication rate of the observation group was lower than that of the control group ( P<0.05 ) .Conclusion The therapeutic effect of coil embolization in the treatment of intracranial aneurysms via distal radial artery under DSA guidance is comparable to that of the traditional femoral artery approach,and this approach can shorten the length of hospital stay and reduce the incidence of postoperative complications,with high safety.
Intracranial aneurysmInterventional therapyDistal radial artery pathCerebral angiographyEfficacy comparison study
万方数据
维普
