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December 4, 2025Stroke Vascular and Interventional NeurologyOpen Access

Comparing Transradial and Transfemoral Access for Acute Ischemic Stroke Thrombectomy

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Authors

MPM. M. PérezNMN. MoretonMMM. Mirza

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Overview

Systematic review shows higher access failure rates in transradial versus transfemoral access for acute ischemic stroke thrombectomy, indicating anatomical challenges.

Key Points

  • Transradial access is associated with a higher failure rate compared to transfemoral access for thrombectomy in acute ischemic stroke.
  • Access failure leading to crossover trended higher in transradial access at 6.99%, compared to 2.18% in transfemoral access.
  • Observational analysis of 343 articles revealed significant variations in thrombectomy technique and access approaches.
  • Transfemoral access offers more versatility with larger catheters and varied techniques, suggesting careful pre-procedural assessment is essential.

Cite This Study

Pérez et al. (2025) studied this question.

synapsesocial.com/papers/6930e8dbea1aef094cca3ddbhttps://doi.org/10.1161/svi270000_283
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