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ORIGINAL RESEARCH INTERVENTIONAL Access-Site Complications in Mechanical Thrombectomy for Acute Ischemic Stroke: A Review of Prospective Trials S.Z. Shapiro, K.A. Sabacinski, K. Mantripragada, S.S. Shah, A.A. Stein, N.B. Echeverry, G.A. MacKinnon, and B.M. Snelling ABSTRACT BACKGROUND: A shift has occurred in interventional cardiology from transfemoral to transradial access due to a 70%–80% decrease in complications. This shift has not yet taken place in other interventional specialties, perhaps owing to the lack of gener- alizability of findings in the cardiology data. PURPOSE: Our aim was to assess data from the recent mechanical thrombectomy prospective trials to better understand the access-site complication rate. DATA SOURCES: Articles were systematically sourced from the National Center for Biotechnology Information PubMed archive. STUDY SELECTION: According to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, prospective, randomized controlled trials published after 2008 with mention of major and/or minor femoral access-site complications in neuro- endovascular mechanical thrombectomies were included. DATA ANALYSIS: Major and minor femoral access-site complications were extracted. A total complication rate was calculated with major access-site complications alone and combined with minor access-site complications. DATA SYNTHESIS: Seven prospective studies of 339 total screened met the inclusion criteria. Eleven major access-site complica- tions were
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: Mar 1, 2020
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