{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T18:58:41Z","timestamp":1785610721946,"version":"3.56.0"},"reference-count":50,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T00:00:00Z","timestamp":1704240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neuroradiol J"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Carotid artery stenting (CAS) through transradial access (TRA) is emerging as an alternative to carotid endarterectomy. However, the current evidence base is limited, mainly comprising single-center studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This systematic review and meta-analysis aim to assess the safety and effectiveness of TRA for CAS, providing evidence to support clinical decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted searches on PUBMED, Cochrane Library, Embase, and Web of Science databases, including studies on TRA for CAS. Studies with fewer than 20 patients, non-primary outcomes, and non-full-text articles were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We analyzed 14 studies involving 1,166 patients who underwent CAS via TRA. Procedural success rate was high in 13 studies, with a 95% rate (95% CI; 92%\u201398%). Crossover to TFA access was observed in 12 studies at 6% (95% CI: 3%\u20139%). Transradial access failure was reported in four studies, with a rate of 0% (95% CI: 0%\u20130%). Cannulation failure resulted in a rate of 4% (95% CI: 2%\u20137%). Asymptomatic radial artery occlusion (ARAO) occurred at a rate of 2% based on eight studies (95% CI: 0%\u20135%). Forearm hematoma was reported in 10 studies, with an occurrence of 1% (95% CI: 0%\u20132%). Cerebral vascular attacks (CAV) within 30\u00a0days were assessed in 13 studies, indicating a 2% occurrence (95% CI: 1%\u20132%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings suggest that TRA for CAS yields promising outcomes with high success rates and low complication rates. Further research should focus on randomized controlled trials and long-term outcomes to validate and extend findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19714009231224410","type":"journal-article","created":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T19:39:28Z","timestamp":1704310768000},"page":"546-555","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Transradial artery access for carotid artery stenting: A pooled analysis"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6861-0505","authenticated-orcid":false,"given":"S\u00e1vio","family":"Batista","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo de Barros","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, State University of Ponta Grossa, Paran\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4418-4894","authenticated-orcid":false,"given":"Marcelo Porto","family":"Sousa","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agostinho C","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Department of Neurology, Massachusetts General Hospital, Brigham and Women\u2019s Hospital, Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordana","family":"Borges","sequence":"additional","affiliation":[{"name":"Independent Researcher"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"La\u00eds","family":"Santana","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Bertani","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filipi Fim","family":"Andre\u00e3o","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adria","family":"Sim\u00f5es","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Geral de Palmas, Tocantins, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Alberto","family":"Almeida Filho","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Municipal Hospital Miguel Couto, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,1,3]]},"reference":[{"key":"bibr1-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehp471"},{"key":"bibr2-19714009231224410","first-page":"41","volume":"29","author":"Bakoyiannis C","year":"2010","journal-title":"Int Angiol"},{"key":"bibr3-19714009231224410","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2004.101.5.0767"},{"key":"bibr4-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2017-013295"},{"key":"bibr5-19714009231224410","first-page":"1247","volume":"24","author":"Nohara AM","year":"2003","journal-title":"AJNR Am J Neuroradiol"},{"key":"bibr6-19714009231224410","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2010.47.5.332"},{"key":"bibr7-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2017-013584"},{"key":"bibr8-19714009231224410","first-page":"1151","volume":"27","author":"Layton KF","year":"2006","journal-title":"AJNR Am J Neuroradiol"},{"key":"bibr9-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2019-015604"},{"key":"bibr10-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2019-015764"},{"key":"bibr11-19714009231224410","doi-asserted-by":"publisher","DOI":"10.2174\/1573403X16999200819101923"},{"key":"bibr12-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.119.025811"},{"key":"bibr13-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1002\/clc.23906"},{"key":"bibr14-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.02.035"},{"key":"bibr15-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1177\/1526602816640291"},{"key":"bibr16-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21049"},{"key":"bibr17-19714009231224410","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV10I3A64"},{"key":"bibr18-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.06.215"},{"key":"bibr19-19714009231224410","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13071266"},{"key":"bibr20-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.24503"},{"key":"bibr21-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29912"},{"key":"bibr22-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.12.138"},{"key":"bibr23-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2020-017143"},{"key":"bibr24-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.03.003"},{"key":"bibr25-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1177\/1591019920959537"},{"key":"bibr26-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1111\/joic.12342"},{"key":"bibr27-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22159"},{"key":"bibr28-19714009231224410","first-page":"410","volume":"16","author":"Maciejewski DR","year":"2020","journal-title":"Postepy Kardiol Interwencyjnej"},{"key":"bibr29-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccl.2013.08.001"},{"key":"bibr30-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1097\/RCT.0b013e3181888343"},{"key":"bibr31-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2018-014686"},{"key":"bibr32-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29677"},{"key":"bibr33-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1227\/neu.0000000000002437"},{"key":"bibr34-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1227\/ons.0000000000000717"},{"key":"bibr35-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1177\/15910199231194665"},{"key":"bibr36-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1177\/0300060518807604"},{"key":"bibr37-19714009231224410","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.st.2018-0264"},{"key":"bibr38-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2019-014994"},{"key":"bibr39-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1007\/s12928-020-00750-7"},{"key":"bibr40-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihj.2020.06.002"},{"key":"bibr41-19714009231224410","doi-asserted-by":"publisher","DOI":"10.23736\/S0392-9590.21.04662-9"},{"key":"bibr42-19714009231224410","doi-asserted-by":"crossref","first-page":"e02","DOI":"10.15420\/ver.2020.17","volume":"4","author":"Yunus M","year":"2021","journal-title":"Vasc Endovascular Rev"},{"key":"bibr43-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-92742-7"},{"key":"bibr44-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2021-017460"},{"key":"bibr45-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.006356"},{"key":"bibr46-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.04.390"},{"key":"bibr47-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.111.633743"},{"key":"bibr48-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.115.002686"},{"key":"bibr49-19714009231224410","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2019-015573"},{"key":"bibr50-19714009231224410","first-page":"e25894","volume":"14","author":"Mantripragada K","year":"2022","journal-title":"Cureus"}],"container-title":["The Neuroradiology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19714009231224410","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19714009231224410","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19714009231224410","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:38:21Z","timestamp":1777588701000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19714009231224410"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,3]]},"references-count":50,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1177\/19714009231224410"],"URL":"https:\/\/doi.org\/10.1177\/19714009231224410","relation":{},"ISSN":["1971-4009","2385-1996"],"issn-type":[{"value":"1971-4009","type":"print"},{"value":"2385-1996","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,3]]}}}