{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T03:43:36Z","timestamp":1789875816134,"version":"4.0.1"},"reference-count":13,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Recently, the transradial (TR) approach has become a common alternative because of its safety profile and increased patient satisfaction compared with the transfemoral (TF) route. Both routes are associated with their respective associated costs, and differences typically emerge on the basis of patient anatomy, operator expertise, and occurrence of complications. The authors\u2019 objective was to compare the overall costs of diagnostic cerebral angiography via both routes and to shed light on the individual equipment costs of each route.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>This retrospective single-center study of 926 elective diagnostic angiograms was performed between December 2019 and March 2022.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>The study comprised of 314 and 612 angiograms performed through the TF and TR routes, respectively. A significantly greater proportion of female patients were included in the TF cohort (79.3% vs 67.8%, p &lt; 0.001), and most other demographic characteristics and baseline modified Rankin Scale scores were comparable between cohorts. The overall cost of patients utilizing the TR route was comparable to that of the TF route (mean \u00b1 SD $12,591.80 \u00b1 $19,128.00 vs $12,789.50 \u00b1 18,424.00, p = 0.88). However, the median cost of catheters was significantly higher in TR group ($55.20 vs $12.40, p = 0.03), while the median costs of closure devices ($87.00 vs $20.20 p &lt; 0.001) and sheaths ($44.60 \u00b1 11.3 vs $41.10 \u00b1 3.10, p &lt; 0.001) were significantly higher in the TF group.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Overall, the authors\u2019 study showed that the TR approach can be a less expensive option for patients undergoing diagnostic cerebral angiography, especially if complications occur. Future studies may corroborate these findings and potentially lead to the adoption of TR as a low-cost, efficient, gold-standard technique for cerebral angiography.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2023.9.jns23941","type":"journal-article","created":{"date-parts":[[2023,11,18]],"date-time":"2023-11-18T01:27:31Z","timestamp":1700270851000},"page":"1328-1334","source":"Crossref","is-referenced-by-count":14,"title":["Transradial versus transfemoral access routes for diagnostic cerebral angiography: a large single-center comparative cost-analysis study"],"prefix":"10.3171","volume":"140","author":[{"given":"Elias","family":"Atallah","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kareem","family":"El Naamani","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arbaz A.","family":"Momin","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rawad","family":"Abbas","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paarth","family":"Jain","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Hunt","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhijeet","family":"Sambangi","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angeleah","family":"Carreras","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"El Fadel","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University Sidney Kimmel Medical College, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. 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