Comparison of transradial and transfemoral cerebral angiography

Objectives: To compare the feasibility, safety and effectiveness of transradial and transfemoral artery puncture cerebral angiography.Methods: The clinical data of 30 cases (radial artery group) and 256 cases (femoral artery group) of cerebrovascular angiography through radial artery puncture were retrospectively analyzed, and the puncture success rate, angiography time, exposure time and surgical complication rate were compared.Results: There was no significant difference in the success rate of puncture between the two groups (P > 0.05). The procedure time and radiation exposed time were longer than those in the femoral artery group (P < 0.05). The incidence of hematoma in the radial artery group was lower than femoral artery group (P < 0.05), but the incidence of vasospasm was higher than femoral artery group (P < 0.05).Conclusion: Compared with traditional angiography through femoral artery puncture, the procedure time and duration of angiography through radial artery puncture were slightly longer, and the incidence of postoperative vasospasm was slightly higher, but the trauma was small, the incidence of hematoma at puncture site was low, and the patients did not need to stay in bed, which were applicable to patients with different needs.(c) 2020 Production and hosting by Elsevier B.V. on behalf of KeAi Communications Co., Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).