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Transradial approach in vertebral artery stenting
Yao Zhang1, Wenya Lan2, Hui Liu3
1Department of Neurology, Pukou Hospital of Chinese Medicine Affiliated to China Pharmaceutical University, Nanjing, China.
Frontiers in Neurology
|September 29, 2025
Summary
Transradial approach (TRA) is safe for vertebral artery stenting, offering shorter procedure times and hospital stays compared to transfemoral approach (TFA). Further research is needed to confirm these findings for vertebral artery stenosis treatment.
Area of Science:
- Interventional Cardiology
- Vascular Surgery
- Neurology
Background:
- Transradial approach (TRA) is increasingly utilized for endovascular procedures.
- Vertebral artery (VA) stenosis is a condition requiring effective treatment strategies.
Purpose of the Study:
- To compare the efficacy and safety of TRA versus transfemoral approach (TFA) for stenting in patients with VA stenosis.
- To evaluate procedural outcomes, complications, and long-term results of both approaches.
Main Methods:
- Retrospective analysis of 109 patients undergoing endovascular stenting of the V1 segment of the VA.
- Patients were divided into TRA and TFA groups.
- Comparison of outcomes using logistic regression and propensity score-matching.
Main Results:
- The TRA group (45 patients) showed significantly shorter procedure times (43 vs. 50 min, p=0.005) and length of stay compared to the TFA group (64 patients).
- Post-procedure complications were lower in the TRA group (2.2%) versus the TFA group (10.9%), though not statistically significant (p=0.179).
Conclusions:
- TRA is a safe and feasible option for stenting V1 segment VA stenosis.
- TRA offers advantages in reduced procedural time and length of hospital stay.
- Larger, randomized controlled trials are recommended to validate these findings.
