E-212 A comparison of outcomes between transfemoral versus transradial access for carotid stenting

ConclusionThe TR approach is safe, feasible, and provides similar rates of complications and high rates of successful stent deployment compared with the TF route. Neurointerventionalists adopting the radial first approach should carefully assess the pre-procedural computed tomography angiography to identify patients amenable to TR approach for carotid stenting.Abstract E-212 Table 2Comparison of outcomes between trans-radial vs trans-femoral access Outcome Trans-Femoral (n=232) Trans-Radial(n=110) Odds Ratioβ(95% CI) p-valueβ Odds Ratio*(95% CI) p-value* Primary Outcome: Any Complication, n (%) 15 (6.5%) 3 (2.7%) 0.59 (0.19-1.83) .36 0.82 (0.25-2.67) .74 Secondary Outcomes: Intraprocedural complication, n (%) 6 (2.6%) 1 (0.9%) 0.84 (0.16-4.40) .84 1.34 (0.27-6.73) .72 Access site complication, n (%) 3 (1.3%) 0 (0.0%) - - - - Postprocedural complication, n (%) 6 (2.6%) 2 (1.8%) 0.70 (0.14-3.51) .66 0.59 (0.09-3.58) .57 Cross-Over rate, n (%) 6 (2.6%) 16 (14.6%) 4.77 (1.97-11.51) .005 6.11 (2.48-15.01) <.001 Mortality 5 (2.2%) 2 (1.8%) 1.79 (0.53-6.01) .34 1.72 (0.43-6.97) .43 In-stent stenosis 5 (2.2%) 4 (3.6%) 1.71 (0.45-6.51) .43 1.65 (0.43-6.33) .47 Need for retreatment 2 (0.9%) 0 (0.0%) - - - - Stroke at follow-up visit 5 (2.2%) 2 (1.8%) 0.84 (0.16-4.40) .84 0.34 (0.03-4.51) .41 mRS at discharge 0-2 189 (81.5%) 92 (83.6%) Reference - 3-6 43 (18.5%) 18 (16.4%) 0.86 (0.47-1.57) .62 0.96 (0.51-1.81) .89 Abbreviations: n= number, CI= Confidence Inter...
Source: Journal of NeuroInterventional Surgery - Category: Neurosurgery Authors: Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research