ORIGINAL RESEARCH article
Front. Neurol.
Sec. Endovascular and Interventional Neurology
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1643105
Transradial approach for vertebral artery stenting
Provisionally accepted
- 1Pukou Hospital of Chinese Medicine affiliated to China Pharmaceutical University, Nanjing, China
- 2Nanjing Brain Hospital, Nanjing, China
- 3First People's Hospital of Changshu City, Changshu, China
- 4General Hospital of Eastern Theatre Command, Nanjing, China
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Background: Transradial approach (TRA) has been gaining attraction for endovascular procedures. This study aimed to compare the efficacy and safety of TRA versus transfemoral approach (TFA) for stenting in patients with vertebral artery stenosis. Methods: We retrospectively enrolled consecutive patients treated with endovascular stenting in the V1 segment of the vertebral artery from August 2020 to October 2021. We divided patients into two groups (TRA group and TFA group) and compared the procedure outcomes, post-procedure complications and long-term outcomes with logistic regression models and propensity score-matching methods. Results: Among 109 enrolled patients, 45 patients were treated via TRA and 64 patients were treated via TFA. TRA group had a significantly shorter procedure time (43 versus 50 min, P = 0.005) and the length of stay compared to TFA group. The post-procedure complications were slightly higher in TFA group compared to TRA group (10.9% versus 2.2%, P = 0.179). Conclusion: This study found that TRA was a safe and feasible approach for vertebral artery stenting of V1 segment stenosis. TRA demonstrated a procedural time and length of stay reduction advantage compared to TFA. Further large-scale and randomized controlled studies were warranted to verify the findings due to the retrospective and non-randomized nature of this study.
Keywords: Vertebral Artery, stent, Radial, Stroke, endovascular treatment
Received: 08 Jun 2025; Accepted: 14 Aug 2025.
Copyright: © 2025 Zhang, Lan, Liu, Yuan and Ye. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Yao Zhang, Pukou Hospital of Chinese Medicine affiliated to China Pharmaceutical University, Nanjing, China
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