Retrospective analysis compares outcomes of endovascular treatment for aneurysms using transradial or transfemoral access, suggesting TRA is a safe option.
Key Points
The research investigates the effects of vascular access routes on complications and new DWI lesions in patients undergoing EVT for cerebral aneurysms.
Retrospective single-center analysis.
Included patients undergoing elective EVT for unruptured cerebral aneurysms via TRA or TFA.
Postprocedural MRI assessed for new DWI lesions.
Univariable and multivariable regression analyses performed to identify predictors for DWI lesions.
53% of patients showed new DWI lesions post-procedure.
No significant difference in DWI lesions between TRA and TFA groups.
Age, procedure time, and adjunctive techniques were identified as independent predictors of DWI lesions.
Puncture site complication rates were similar between TRA (3%) and TFA (8%).